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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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Cneouie A IrrJ(nl �"U C. <t1u I <br /> Part911 : Statements About .Actvlties . SeeDaae II,f -i7E ; nst;ac tins . : - - — — — - - - _ - <br /> 'es; <br /> Dunna the year. .:as ;:e org-rt¢ancn a cmo:ea : Inriuenca naoarim. Z=M. l- :o�,t ; eaisiation. :ric icing env <br /> auemot to imiuencs cucliC :atnlgn on a :aamaave matrer ar ferere^Cum % ' f '^'Pw.' _ri:ar -,'te t^ta1 exoerl a Caia - <br /> or Incarrea in conne=cn with rite :000vtng awes )3 - Nust eaua amount on line 38. <br /> `(t VI-n. or tine i of Part <br /> �rganizatioms their mase an �ecian urtaer se^-^on =01 (h ) by trtng Form �r 68 mtL., 0=13,ete Fart VI-M. Otho: <br /> organ¢atians ate^cing ^'es ' wnuvL wtraiete part /I-8 AND atfaCt a statement m ma a de abed desrnotion of - <br /> :he )aahying activities_ <br /> _ I <br /> Ounng the year. :tas the argantZation . meter airec'v or indirer^y, enaagea in arty o; the foiiowma acts with env <br /> SUDSiantialrtuiCittDF_ 2tis�rees. Cire^.,�5` s. ...mc�, esters. fey emoioyees . ,� .'rt <br /> meoers of th e:r rnmliies. Cr <br /> .vith any taxanle crcant«uon with wnie: any suet oerson is amliamo as an omcer. =ire <br /> SOC. 7i15.ee, ma10r1IV <br /> owner, or prtncaai berte*icary? (If the a.swer to env question is ^.fes, " ataal a cem= ea statement exotaininc the <br /> I r <br /> a Sale. excanae, cr !easno of orocerty% <br /> _— <br /> b -enaina or money cr a ,:, er exmns;cn of mit? <br /> c =umisnina of 000c<_. se-vtces. oraciides: ? <br /> d Payment of cmoensation (or zavrnerit or -eunotImemern of exc. I more ren Stood )? <br /> - . . . =d <br /> ransfer of anv part of ix ;n=me cr as_<_. m ? I <br /> Does the arganizacon n aKe ^:ants tr =clarsnlcs . ;eaOWsniCS . saxent :oans . z=7 i52e Note ce!ow . ; <br /> : o you nave sermon - -72 ( bi annuiry o :ori ;ter your emotoyees <br /> .'4ote: Attacn a statement to e_Cciain now ole 2'"Ca =]3cn eeter mines mar inaivicuals cr CfCrltZnDCnS Z".elVin0 grana - <br /> Cons Tom it In furtherance of It_s ctarrrenie =scams '9vatife to receive cavntents. - - <br /> Part 'N Reason for Non ->7rivare Foundation Status (See Daces 3 throuan 6 of `he ins:ruC:ions . i <br /> her' •^an =1011 Is not a onva'te founaaacn oe�use it Is: ( Please cec.< only ONE a:olieu to oox. . <br /> 1 A cnurcl. =rrventicn of cure;es. or association of cnurces. Se=on 170(b )( 1 )(A )(i). <br /> sclooi. SeWon 170(b ) ( 1 )(Al(ii). 'Also =meiere Parr V. ) <br /> A hosaitai or a voce alive noscllm service cri anlzaaon . Semon t70(b ) ( 1 )(A )(777 ). <br /> ertaprlmgoer�i. ; te, or ot covere^t or verrtmenrai unit S2�"Dn ' ( '70 (bi ) <br /> (A)(v ). <br /> A meaiCCai researc organization ace ateo in .^niuntmon wtih a nosatai. S>~ont70(b )( i ) (A )(ul ). Enter ':he hosaitars name. city , <br /> _ and state lop• 4 _ r:fl OrCanC�ticn aoeratec for the ceDebi cr a cilege or unrvers;rr ownea cr oDe r-2iea by a CCVEmmental unit. 2 man <br /> i 70 ( b )( t ) (A ) QV 1 . <br /> ( Also ccmoie*_ me Suoport Scneauie in Part OV,% i <br /> 1a ,n orcaniz`ticn mat normally rer.=^les a Sue entiai Dart Of its sucocrt Tam c' ccvemmenta; unit or Tam nim oene.ai ouclic. <br /> S2 mon Adso c:rrtc •er= dte Suaport Schedule In Part ; V-=_ . <br /> ^ h _ COmrnuni[V L*:.'St ze=on ) 7Olb l( ' : (A ) ( VI ) , , lyse camolece the SUODOrt Scneeuie In ren IV-, <br /> — � : - - ' 1 mere than __ . _ . , , . <br /> "eCe:cLS 7Cm at._Jr :es r etanec 16 =-aarrmc: e . 2i:c. . vn C'C'rs-Suoie= :.o c=r=;n eXt cncns . anc ( Z ) no mare then ZZ ilf Oo/ <br /> cr <br /> is Suc Dori TCm crc_s investment in.—me anc unre!aiea bus; ness taxaole !r ,^_.rne ! less se^_cn ° i 1 :ax ) .Tom cusnesses acctarec <br /> JV the arcanlZtfan c-gar .. Lne . 0 . a . z2? < ecnan a7a( a 7 ( L ) . . Also =Mc:E*r Tie Sucoarr .c. cnecuie In -art : V- =. - <br /> An creanizaDcn lot a ncL .^nTC71eG w env iscuaunea cersons ; otner :.'tan ,^„uncatlon managers ) anc succcrLs crcanizeDons <br /> ' escnhec In : ; 11 lines S m. roue;: _ ci - = - <br /> ave : cf . �) se on ci t ( c : ( � 1 , c_ . . . . .. e•i mee' ^, e :es ; sa = on __ , ` isl ( <" ; <br /> . . 52? <br /> - e � ::cwrnC _' "7`C- "aDG"1 cCCUt :rte SLJCC ^e V' <br /> � n <br /> - <br /> al vameisl or sucoc.,ec c can `;:c - ; s ; DI -. - - " ' - <br /> cr <br /> - - - cove <br /> . d An organradcr, art anize✓ anc coe- c -ea iC lose for 7uollc Merv . SeCon C :!a !(�l. ( See caaee O of `e ! n_s u =-ins <br /> -M Scneduie A ( Form 990 or 990 =) Z001 <br />
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