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8| Funding <br />Response 8.1: Does your organization have, or have you applied for funding from other sources?* <br />Response 8.2a: If not, please explain why not.* <br />Response 8.3: What changes will be made if funding for your request is not available or recommended?* <br />Matching Funds Percentage <br />9| Project Budget Overview <br />Please complete budget for this project/proposal. If your agency operates independently of this project application it may not be necessary <br />to submit the entire agency budget. You must submit a budget which specifically pertains to the project/event for which you are <br />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 ongoing for <br />more than one (1) year, please also submit actuals from the previous three (3) years of operations (need not be consecutive) for the <br />project/proposal if applicable. <br />For any claimed in-kind contributions valued at $500 or more and related to marketing/advertising, you must submit verifying <br />documentation which assures the contribution will be provided. For instance, if you are claiming in-kind contributions in the form of <br />advertising match, a binding contract itemizing the matching value and obligating each party must be provided. <br />ATTENTION: In an effort to allow an adequate level of flexibility for all applicants, not all fields in the budget portion are required to be filled <br />before this form is submitted. Providing all applicable data is your responsibility, failure to do so will potentially jeopardize your <br />application's chance for review. <br />Budget Year <br />Edit if necessary <br />Revenues <br />Account Name Past Actual 3 Past Actual 2 Past Actual 1 Projected <br />Verification of In-kind Contributions <br />Contributions of Volunteer Time <br />Application Questions: Part 5 <br />Yes <br />No <br />Not aware of any other funding available. <br />2500 character limit <br />Reduced marketing budget. <br />2500 character limit. <br />242.50 <br />This field will auto fill with the correct percentage based on your input to budget section below. <br />2022 2023 2024 2025 <br />LTAC Grant Funding 0.00$0.00$0.00$15,000.00$ <br />Other Revenues <br />0.00$0.00$14851.00$36375.00$ <br />In-Kind Contributions <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.