11-Hear and deliberate on presentations from non-profit organizations requesting funding

Home Browse Search

REQUEST FOR PUBLIC FUNDING Non-profit agencies requesting funding from the City of Paris for projects that benefit the citizens of Paris must complete the following infortnation to be eligible for consideration (you may use additional pages, if necessary). In addition, please submit with this form a copy of your agency's most recent financial statement or audit and a detailed budget for the project. Agencies must also make a brief presentation on their project at a city council meeting. Agency Name• ~ 4 Date: / ~ 1 h o Agency Mailing Address: <7 -7 7E) v (D f Agency Phon umber: 0' _~"'_7 4:E3 (7'~j A- Agency Fax Number: Contact Person: Contact's Title• E e c ~ Contact' ~Nl-ai~i gAdd e: 1`" • 0. 0 Contact's Phone Number: Z2; 7J Contact's Fax Numbe ~ Contact's Email Address: O•~ ~ Name of Praject• S ~ ° ~ Location/Service Area of Project: ~j Total Project Budget: $ 1-7 -7 , 5 2- '1 Total Amount Requested from City: $ ~ Number of Beneficiaries: Summary of Project: ~ i Describe how our project will beneft the City of Paris and its citizen : U11 'o L nm". 1 ' " C3- ri)CCLp S 'Ok Q-i ~ 4, ' GA'\A W Yl a- C A 'st other sources of funding for this pro'ect and the ounts: ~ l' C0 Is a detailed project budget, including columns and descriptions for allocations of city funding and the agency's matching funds, attached? ❑ Yes X No o(~e,,~( cy~o` i~d P~ ~,i 1 ~ ~ Is the agency's most recent Gnancial statement or audit attached? XYes ❑ No ~n~, Have you received funding from the CiTy of Paris in the last five years for this or any other project? Yes ❑ No~~ If you have received previous funding from the City, list the name of the project, the amount of the City s award, and the year awarded: City of Paris Revised 7/07/09 r li~