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

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RECEIVED REQUEST FOR PUBLIC FUNDING 7 ' "77`-' Non-profit agencies requesting funding from the City of Paris for projects that benefit the citizeiu~'y the following information to be eligible for consideration (you may use additional pages, if necessar",~fflW please submit with this form a copy of your agency's most recent financial statement or audit and a detailed budget far the project. Agencies must also make a briefpresentation on theirproject at a city council meeting. Agency Name: t~ ( 1'~? Date: '1 .L v:w, C Agency Mailing Address:_ r,~.J \ r C) \ t M1 f ~ ~ ~ ~ C ~ Agency Phone Number: Agency Fax Number: Contact Person:~~~~~ _ iN - C4-v ~-'c< ),~-_Contact's Title: Contact's Maiting Address: ~ L? Contact's Phone Number: J , ' Contact's Fax Number: Contact's Email Address: ~ - ~ ~10S~`,~~^„ti~_~: (fZ ~A- Name of Project.& ' ~ c~.'` , ,v •T • ` ~ ~ , ~ Location/Service Area of Project: J Total Project Budget: $_4k`Z~ occ, _ + Total Amount Requested from City: N ber of Benefciaries: Summary of Project: i- F J.-I~Af ,r'~~.~ _ t "~T--~,hS~~ .y,:\•'\v~.1~ X~ ' ` ~~~Y.._. v.. , 3_ , ^ ( , ~ . ~ . ~ , . ~ - - _s5 Describe how your project will benefit the City of Paris and its citizens:___'~> . - , . ~ l List other sources of funding for this project and the amounts: ~ -.x ~ ~ k i ` ,r -wt.~.. , . ~ \ ( ~ o \ ~ - , . . Is a de&iled project budget; in~luding columns and descriptions for allocations of c ty funding and the agency's matching funds, attached? ❑ Yes [~JNo Is the agency's most recent financial statement or audit attached? ❑ Yes SWo Have you received funding from the City of Paris in the last five years for this or any other project? MWes [U.Aia 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 - N 1