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EXHIBIT A <br />AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY <br />A. Program Cover Page FISCAL YEAR 2019/2020 <br />Agency: Gifford Youth Achievement Center, Inc. <br />Contact Person: Angelia Perry <br />Title: Executive Director <br />Address: 4875 431d Avenue <br />Vero Beach, FL 32967 <br />Website Address: www.gyac.net <br />Program Title: GYAC Operations <br />Telephone: 772.794.1005 <br />Fax: 772.569.5563 <br />E -Mail: aperry@gyac.net <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that the expenditures or portions thereof for which County funds are being requested are not reimbursed <br />by any other source. <br />Angelia Perry Executive Director <br />Signature Print name and title <br />Brief description of the Program for which fundinq is requested: <br />The Gifford Youth Achievement Center (GYAC) is requesting funds for the purpose of providing a wide <br />array of services to youth and adults. Funds will be used to provide a variety of educational, recreational, <br />social, and cultural activities. GYAC houses a computer lab, a public library, classrooms, a gymnasium, <br />and offers programs to include homework assistance, reading enrichment, senior citizen activities, <br />tutoring, mentoring, community activities. We believe that through these activities, we will enhance the <br />lives of the youth and adults we serve academically, socially, behaviorally, emotionally, physically, and <br />mentally to enable them to enhance the quality of their lives. <br />a�LZ <br />\Vt IL <br />Amount requested from Indian River County for 2019/2020: $ 144,118.00 <br />Total Proposed Program budget for 2019/2020: $ 597,065.00 <br />Percent of total Program budget: 24.14% <br />Current Funding (2018/2019) $ 97,840.00 <br />Dollar increase/ (decrease) in request: $ 46,278.00 <br />Percent increase / decrease in request: 47.3% <br />ii i Hucat alulCaseU 5-/o ur more, oneriv explain wnv: <br />GYAC has added 14,000 square feet, that includes eight (8) additional classrooms, to the current facility. <br />This expansion will allow GYAC to serve up to 325 students annually; up from the current enrollment of <br />130 students. GYAC is providing programs and services, to youth and adults, that would otherwise be <br />provided by the County. As such, an increase that exceeds 5% is requested. <br />The Organization's Board of Directors has approved this applic (dz <br />Adam Bolinger <br />Name of President/Chair of the Board Signature <br />Angelia Perry <br />Name of Exec. Director/CEO Signature <br />EXHIBIT A <br />arch Q6„21019 <br />