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2003-253C
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2003-253C
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Last modified
11/22/2016 11:36:40 AM
Creation date
9/30/2015 7:46:49 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/23/2003
Control Number
2003-253C
Agenda Item Number
7.D.
Entity Name
Boys & Girls Club of Indian River County
Subject
Children's Services Advisory Grant Contract
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3908
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_ .J ( <UuI I .V _ cis �, _•Z� .., _ <br /> ' ori VII. Ansivsis Of lnczme-? roduc ; na AcaViiies ( Z .- .- . DerCric : nsu ctcns CIl Oarce <br /> 'Jam: Enter crass amounts unless o[herwise :Z,mEa bum eC _ <br /> 5Al a) , e; 01 = amea cr <br /> -- =^JC7am service revenue: "" '= =%e i -mount =,:;;s;c-1 -•-gun: _xemot funs==, <br /> ?ROGRSZRVRETJF�7IIE -cane <br /> a P� _ C^ = U <br /> I <br /> I <br /> O I , <br /> a <br /> i <br /> " I <br /> -1egiC2rerMeattrta oayments <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 3 rms ana contracs ;rem covemment agencies <br /> ?4 :lemoersnio dues ana assessments i <br /> ?_ ' Merest on savincs ana temoorary caasn invesU-nents <br /> 35 Zivldenas ana interest :.om securities Z <br /> a- d <br /> Net reninane or (less ) from real esmte: <br /> V <br /> a cert- inancea oroeenv <br /> nct gear-lnaricaac OrCae'•iV . . . . . <br /> _ ' Jer rental inc=me or ,' Icss I frcm oersonal orooenv <br /> =° 2trier rnvescnent ;nccme <br /> . . . . . . . . . . . . . . . . . . . . . . . . i <br /> 00 Sain or ( lass ) from sales of asses other than inventory <br /> : 01 Vet income or (loss ) from soeciai events <br /> r <br /> : 02 Zross orotit or (loss ) from sales of inventary I <br /> 0? Cuter revenue: a <br /> a <br /> 04 . uotctal ( aao columns i8 ), ( D ) , ana ( Ei ) i 01 <br /> a . <br /> 0= -ami ( acid line 11r=. =vwens ( 8 ) . 10 ) . ana ( E; JI . 84 <br /> ) _ <br /> . . . . . . . . . <br /> . . . . . . . . <br /> cite: _tte 105 ows tine ' d . �=an I , snowd equal the amount on line <br /> far' SII. . Ret21lOnsi71 ❑ Of AC'.IVIL1e5 zo the AC::, rilpllsnteent OT = empt PurMOSeS ; $ e° ` oeM-c ; sM ; Ctrs cin case <br /> • IExclain now esc; acdvmr for wni= income is reacnea in c=ualn ( El or Part VII =mnbutea imnartanuy .m Itte _=malisnment <br /> of the ctaanr,�.tion 's exerrtot ourooses ( other than ov crrnrtdirc Winos Tor sum ouroosesl_ <br /> I <br /> I <br /> Information Reaardina Tazabie Subsidiaries ana Disregarded Entities ;gee fcec c : n_�r, cgns cin s <br /> eae <br /> lame- address. anc) :N ci c croorawn . ( 8 ) t 01 <br /> =armersnio _ or nisreaenea entity �`ra=nmae ar Vature cr ac vides -ca; ;r. Vme =, a-_i-yesr <br /> :wner5nic Interest <br /> : <szr✓ <br /> Ja <br /> J <br /> lr r <br /> ar Information Reaaraing Transfers Assac: atea with Personal Benefit CJntra =s z _ <br /> a1 _<a the or>an(✓on. _,ulna the Year. .-ecelve Tarr Tunas. :P2GV er jnc:re=j. _ _ _v aremttrc- cina cersc,^a: cense- <br /> - r.—t _ <br /> al � i❑ tt a cas <br /> .�an � uc:, . aunng Erle near . oay arernlums . ]Ire^: Of ;i. ^'.?�/ . Zn a srOnai oe. " - p <br /> 'i �cC. . ' ?5 X •i0 <br /> JOTe : . ( '/ es ' c ( bl . .iie =crm 8870 and Form - 720 ( see : nsu-u=cnsl . — <br /> Jncer Cer..��,jj��_ .. ce^. as trio have esamtnea - s o.-. .. <br /> �'' / _.—.:nC eccatr=ar6:ana C' __ -.es u.^ s:a:2c. e. ._ '_^.e Ces c . -J Krc.v�ec^ 2 <br /> iC – en:• C ` < le . .-orreC. artO c7m I e. 2ec:z even Cr C:eC,"er ' — _ '-an omcer - -sea en cJ n!c.^e.;on o <br /> v me or _-Rt name atilt" = e. <br /> Wearers ' ate <br /> -=zrers ZiN TIN ( See v2n. . nsc <br /> 3TC _Ic.^aw a J Z ; err- — <br /> • �cr ` r, s _ l =mc«rv�^ > _ WOG QQ C ` C <br /> i - rm's name Icr yours � t �_RE . r_ Z r ail mmAT • - _: TAT C] I�� � � � � - - ^ , Q <br /> 1sa ' , ty 11 1sefi-.�notove_c ). 3111 "UM .1 DR . — — <br /> aao.Tess. ana —? VEi20 BEACH , :wL _ " a63 � h <br /> �r <br />
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