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Account Narne Past Actual 3 Past Actual 2 Past Actual 1 Projected Insurance $3516.00 $3591.00 $5000.00 $5000.00 License/Permits $290.00 $412.00 $475.00 $475.00 Membership $2467.00 $1910.00 $2000.00 $2200.00 Payroll $158494.00 $177501.00 $184000.00 $199000.00 SP Projects $0.00 $40191.00 $12371.00 $0.00 Rental $182.00 $210.00 $600.00 $1000.00 Repairs/Maintenanc $15683.00 $10271.00 $15250.00 $20000.00 e Retail $3148.00 $3481.00 $3750.00 $4500.00 COGS $89003.00 $86870.00 $86400.00 $86400.00 Supplies $6978.00 $10183.00 $9000.00 $9000.00 Taxes $3222.00 $3528.00 $3620.00 $3800.00 Telephone/Internet $4714.00 $4975.00 $5000.00 $5000.00 utilities $12954.00 $14043.00 $13200.00 $13500.00 website $57.00 $57.00 $250.00 $250.00 Professional $2030.00 $1323.00 $1850.00 $2000.00 Development Professional Fees $10500.00 $10575.00 $10000.00 $11000.00 Postage $767.00 $1179.00 $1400.00 $1400.00 Grant $15499.00 $15810.00 $10500.00 $10000.00 Volunteer support $20073.00 $20073.00 $29521.00 $29591.00 Past Actual 3 Past Actual 2 Past Actual 1 Projected Expense Totals $432351.00 $495864.00 $480372.00 $496516.00 Profit &Loss Past Actual 3 Past Actual 2 Past Actual 1 Projected $-1121.00 $8819.00 $-761.00 $258.36 Application Certification The applicant here certifies and affirms:1.That it does not now,nor will it during the performance of any contract arising from this application,unlawfully discriminate against any employee,applicant for employment,client,customer,or other person who might benefit from said contract,by reason of age,race,color,ethnicity,sex,religion,military status,sexual orientation,creed,place of birth,or disability;2.That it will abide by all relevant local,state and federal laws and regulations and;3.That it has read the information contained in the Instructions on pages 1 and 2 and understands and will comply with all provisions thereof. Certified by: Name *Monica Miller