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EXHIBIT A <br /> INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING <br /> A. Program Cover Page <br /> Agency: Gifford Progressive Civic League Telephone: (772) 567-1435 <br /> Contact Person: Mr. Godfrey E. Gipson Fax: (772) 569-5563 <br /> Title: Director E-Mail: bpearce(cr)mygyac.orq <br /> Address: 32967 3rd Avenue, Vero Beach, FL .cs,C <br /> Website Address: APR 0 4 2024 <br /> Program Title: Gifford Progressive Civic League <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: Godfrey E. Gipson Title: Director <br /> Brief description of the Program for which funding is requested: <br /> A. Voting precinct for local and national elections <br /> B. Meals on wheel lunch five (5) days per week <br /> C. Community Organizations meetings weekly and monthly <br /> D. School relative activities <br /> E. Town Hall meetings <br /> F. Health Care check-ups <br /> G. Church held functions <br /> H. Gifford Youth Orchestra weekly practices <br /> I.Alzheimer& Parkinson Association of Indian River County, Inc <br /> (program weekly on Thursday afternoon) <br /> Summary Report <br /> Amount requested from Indian River County for 2024/2025: $12,185.00 <br /> Total Proposed Program budget for 2024/2025: $39,685.00 <br /> Percent of total Program budget: 30.7% <br /> Current Funding (2023/2024) $0.00 <br /> Dollar increase/(decrease) in request: $12,185.00 <br /> Percent increase/decrease in request: Infinity % <br /> If request increased 5% or more, briefly explain why: <br /> The Organization's Board of Directors has approved this application on (date): 04/05/2024 <br /> Name of President/Chair of the Board: Joe Idlette III <br /> Name of Exec. Director/CEO: Godfrey E. Gipson <br /> EXHIBIT A <br />