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Expense Totals <br />Profit & Loss <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />The applicant hereby certifies and affirms: <br />1.That it does not now, nor will it during the performance of any contract arising from this application, unlawfully discriminate against <br />any employee, applicant for employment, client, customer, or other person who might benefit from said contract, by reason of age, <br />race, color, ethnicity, sex, religion, military status, sexual orientation, creed, place of birth, or disability; <br />2.That it will abide by all relevant local, state and federal laws and regulations and; <br />3.That it has read the information contained in the Instructions on pages 1 and 2 and understands and will comply with all provisions <br />thereof. <br />Certified by:* <br />Name * <br />Applicant's Title * <br />Grant Program(s)18000.00$20000.00$20000.00$25000.00$ <br />Operations 196500.00$185000.00$186137.48$185000.00$ <br />Facilities (absorbed into <br />Promotion) <br />1000.00$2000.00$0.00$0.00$ <br />Speaker & Talent <br />(Absorbed in part to Org, <br />Promo, and EV) <br />5500.00$7500.00$0.00$0.00$ <br />Organization 8500.00$6500.00$12500.00$17500.00$ <br />371500.00$392000.00$528637.48$550000.00$ <br />-203479.00$-187500.00$-318537.48$-227667.00$ <br />Application Certification <br />Jordan Peterson <br />Executive Director