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Grassroots Arts Program 3 <br /> i' Subgrantee Application Form <br /> <br /> I 7. Financial Information Please provide a pxo~ected budget for your proposed p~ogram utilizing the <br /> format below. <br /> Expenses cash = amount + subgrantee <br /> I expenses ~equested cash match <br /> A. Personnel <br /> Administrative <br /> I Artistic <br /> Technical/ <br /> Production <br /> B. Outslde Fees and Services <br /> m Artistic 2200.00 1000.00 1200.00 <br /> Other <br /> C. Space Rental <br /> m D. Travel <br /> E. Marketing <br /> Printing 100. O0 lO0. O0 <br /> m other <br /> F. Remaining Operating Expenses <br /> Postage 2.5. O0 25. O0 <br /> Telephone 10. O0 lO. 00 <br /> 400. O0 400.00 <br /> Supplies <br /> Other <br /> G. Capita! Expenditures <br /> m Acquisiti?ns <br /> Other . . <br /> H. Total <br /> CeshExpenses $2735.00 = ~000.00 + ].735.00 <br /> I Income cash income <br /> A. Admissions 500. O0 <br /> I B. Contracted Services <br /> Revenue <br /> C. Other Revenue <br /> <br /> m D. Private Support <br /> corporate con~rlbutlons 700_ O0 <br /> (oundaiion grants <br /> other private supporl <br /> m E. Government Support <br /> federal <br /> state/regional <br /> m [not including this <br /> request) <br /> local <br /> <br /> m F. Applicant Cash 535. OD <br /> G. G~asstoots Amount Requested <br /> from the Gressroots Aris <br /> Program Local Distributing 1000.00 · <br /> m _ Agent for the program <br /> H:'Totel Cash Income <br /> (must be at leasl as much <br /> as Total Cash Expenses, <br />I item 7H above} 2735. O0 <br />I <br /> <br /> <br />