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Verification of In-kind Contributions <br />Contributions of Volunteer Time <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Number of Hours <br />Evidence of Volunteer Contributions * <br />Calculated Value of Projected Volunteer Time <br />Total Revenues <br />Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Expenses <br />Expense Item Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />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 />Grants 18172.00$38000.00$4665.00$14500.00$ <br />Fundraising/Donations 62843.00$92567.00$104569.00$72505.00$ <br />Programs/Investments 4337.00$5598.00$9337.00$8619.00$ <br />In-Kind Contributions <br />Wine for Auction 0.00$514.00$0.00$0.00$ <br />Banquet Decoration <br />Flowers Quilt Frame <br />0.00$394.00$0.00$0.00$ <br />For any claimed in-kind contributions valued at $500 or more and related to marketing/advertising, you must submit verifying documentation which assures the contribution will <br />be provided. <br />1,270 1,378 1,515 1,667 <br />Please upload a single file which offers evidence in support of the projected volunteer hours. <br />Sample Volunteer Form.pdf 4.81MB <br />39,274.52$ <br />85352.00$167073.00$137321.00$169898.52$ <br />Fundraising 18887.00$31783.00$75704.00$48000.00$ <br />Operations 39402.00$41165.00$55310.00$31245.00$ <br />58289.00$72948.00$131014.00$79245.00$ <br />27063.00$94125.00$6307.00$90653.52$ <br />Application Certification