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Matching Funds <br />Percentage <br />Verification of ln-kind <br />Contribuiions <br />Budget Year <br />Edit if necessary 2019 <br />Past Actual 3 <br />LTAC Grant Funding $ 9,107.00 <br />All Other Revenues <br />72.32 <br />Tljs field 'r/ill,{rlo fill v/ilh the cor.ecl pertilnt.rge based on yotir irput to budgel seqtion below. <br />9l Project Budget Overview <br />Please complete budget for this project/proposal. lf your agency operates independently of this project application it may <br />not be necessary to submit the entire agency budget. You must submit a budget which specifically pertains to the <br />proiect/event for which you are requesting funding and adheres to the basic budget format shown below. <br />The budget must include anticipated revenues, expenditures. and any potential profit or loss. For projects/events which are <br />ongoing for more than one (1) year, please also submit aciuals from the previous three (3) years of operations (need not <br />be consecutive) for the projectlproposal if applicable. <br />For any claimed in-kind contributions valued at $500 or more and related to marketingladvertising, you must <br />submit verifying documentation which assures the contribution will be provided. For instance, if you are clainring in- <br />kind contributions in the fornr of advertising maich, a binding contract itemizing the matching value and obligatrng each <br />pady must be provided. <br />ATTENTION: ln an effort to allow an adequate level of flexibility for all applicants. not all fields in the budget portion are <br />required to be filled before this form is submitted. Providing all applicable data is your responsibility, failure to do so <br />will potentially jeopardize your application's chance for review <br />iror arty tlainted ir-kitt.i caNlnbuliors valtjed al S500 or nrore arrll relatcd lo ntarketinrji'advetlisinq. ycu nl{lsl s|btrtii <br />veiifyin!l doCirnrelrtation,rhich a3srires ihit cotrlribuiion sill be Fiaovrded. <br />2020 2021 2022 <br />Revenues From Consolidated Lodging Tax Grant <br />Account Name <br />Tickei Sales <br />Merch <br />Sponsorships <br />Donations Mticket <br />sales <br />Bottle Shop Sales <br />Extra Scrip Sales <br />Camping <br />Past Actual 3 <br />$ 17188.00 <br />$ 355.00 <br />$ 1300.00 <br />$ 250.00 <br />$ 2039.00 <br />$ 1210.00 <br />$ 0.00 <br />Past Actual 3 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />Past Actual 2 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />$ 0.00 <br />Past Actual 1 <br />$ 31,904.00 <br />Past Actual 1 <br />$ '13430.00 <br />$ 545.00 <br />$ 6300.00 <br />$ 482.00 <br />$ 461.50 <br />$ 1695.00 <br />$ 460.00 <br />Past Actual 1 <br />$ 2s00.00 <br />Projected <br />$ 52,610.00 <br />Projected <br />$ 20000.00 <br />$ 1000.00 <br />$ 10000.00 <br />$ 650.00 <br />$ 750.00 <br />$ 2500.00 <br />$ 650.00 <br />Projected <br />$ 2500.00 <br />$ 0.00 <br />$ 0.00 <br />$ o.oo <br />ln-Kind Contributions (except volunteerism) <br />Past Actual 2 <br />$ 0.00 <br />Account Name