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EXHIBIT A <br />INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING <br />A. Program Cover Page <br />Agency: Gifford Youth Achievement Center, Inc. Telephone: (772) 794-1005 <br />Contact Person: Angelia Perry Fax: (772) 569-5563 <br />Title: Executive Director E -Mail: aperry(ab_mygyac.orq <br />Address: 4875 43rd Avenue, Vero Beach, FL 32967 <br />Website Address: www.mygyac.org <br />Program Title: GYAC Operations <br />I Agree - By checking the "I Agree" box and entering your name below, you certify that information contained <br />in this application accurately reflects the activities of this agency and that the expenditures or portions thereof for <br />which County funds are being requested are not reimbursed by any other source. <br />Name: Angelia Perry Title: Executive Director <br />:3rlet aescriotion of the rroaram for wnicn tunaina is reauestea: <br />The Gifford Youth Achievement Center (GYAC) requests funds to provide various services to youth and adults in Indian <br />River County. Funds will be used to provide educational, recreational, social, and cultural activities. GYAC is a 34,000 <br />sq. ft. facility that houses classrooms, computer labs, a public library, and a gymnasium. Program activities include <br />homework assistance, reading enrichment, tutoring, senior citizen activities, and various community activities. <br />These programs and activities enhance the lives of the youth, adults, and families served by GYAC and improves the <br />quality of their lives. <br />bummary Ke ort <br />Amount requested from Indian River County for 2023/2024: $110,760.00 <br />Total Proposed Program budget for 2023/2024: $1,680,103.00 <br />Percent of total Program budget: 6.59% <br />Current Funding (2022/2023) $106,500.00 <br />Dollar increase / (decrease) in request: $4,260.00 <br />Percent increase / decrease in request: <br />request increased 5% or more, briefly explain why: <br />The Organization's Board of Directors has approved this application on (date): 04/27/2023 <br />Name of President/Chair of the Board: <br />Name of Exec. Director/CEO: <br />EXHIBIT A <br />Deborah Taylor -Long <br />Angelia Perry <br />4%' <br />