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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 />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 />2022 2023 2024 2026 <br />LTAC Grant Funding $30,000.00$18,750.00$30,000.00$ <br />Other Revenues <br />Fundraising/Donations 92567.00$104569.00$92723.00$75000.00$ <br />Programs/Investments 5598.00$9337.00$6249.00$5000.00$ <br />Other Grants 38000.00$4665.00$16500.00$5000.00$ <br />In-Kind Contributions <br />Banquet <br />Flowers/Decorations <br />394.00$0.00$0.00$0.00$ <br />Quilt Materials 0.00$0.00$205.00$0.00$ <br />For any claimed in-kind contributions valued at $500 or more and related to marketing/advertising, you must submit verifying documentation which assures the contribution will <br />be provided. <br />1,378 1,515 2,520 3,000 <br />Please upload a single file which offers evidence in support of the projected volunteer hours. <br />Sample Volunteer Hours 2.jpg 414.77KB <br />70,680.00$ <br />136559.00$148571.00$134427.00$185680.00$ <br />Fundraising 31783.00$75704.00$19468.13$22000.00$ <br />Operations 41165.00$55310.00$68313.24$74000.00$ <br />72948.00$131014.00$87781.37$96000.00$