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EXHIBIT A <br />INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING <br />A. Program Cover Page <br />Agency: Veterans Council of Indian River County Telephone: 772-410-5820 <br />Contact Person: Patricia Geyer -Patton Fax: Pat dir. line: 772-205-1995 <br />Title: Grant writer E -Mail: pat(@veteranscouncilirc.org <br />Address: PO Box 1354, Vero Beach, FL 32961 <br />Website Address: www.veteranscouncilirc.org <br />Program Title: Transportation Services for Veterans <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: Cynthia Ryan Title: Executive Director <br />jrieT aescription OT the rrogram Tor wnicn Tunaing is requestea: <br />The Program provides transportation for veterans and caregivers from Indian River County to and from medical <br />appointments locally and to the Veterans Administration Medical Center in West Palm Beach, FL at no charge to the <br />veteran. Veterans utilizing the transportation program also have access to all of the programs VCIRC operates, including <br />case management and direct financial aid. <br />DuIrunary McPUrn <br />Amount requested from Indian River County for 2023/2024: $119,000.00 <br />Total Proposed Program budget for 2023/2024: $119,000.00 <br />Percent of total Program budget: 100% <br />Current Funding (2022/2023) $94,000.00 <br />Dollar increase / (decrease) in request: $25,000.00 <br />Percent increase / decrease in request: 26.6% <br />f request increased 5% or more, briefly explain why: <br />Increased ridership demand seen in FY2023 compared to historical ridership data (See attached for details) <br />The Organization's Board of Directors has approved this application on (date): 04/26/2023 <br />Name of President/Chair of the Board: Fr. Dave Newhart <br />Name of Exec. Director/CEO: <br />EXHIBIT A <br />Cynthia Ryan <br />