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i <br /> ' og Boys & Girls Club of Indian River County, Inc. — Sebastian Branch <br /> Grant Application to the Children 's Services Advisory Committee <br /> I . BUDGET FORMS <br /> X 1 . Budget Narrative Worksheet . . . . . . . . . . ell 15 <br /> X2 . Total Agency Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . 19 <br /> X 3 . Total Program Budget. . . . . . . " , , , , , * . . . . . . . . . logo " I 1 * 116 , 11010 10 , 611 , <br /> 20 <br /> X 4 . Funder Specific Budget. . . . . . . . . , " , , , , * * 111 . . . . . . , 1 * 00 * 009 * 00 . pop . . ogo , go <br />* " * . . . . . . . . . 21 <br /> X 5 . Explanation for Variances — Total Program Budget . . . . . . . . . . 1 & , * , * 11 lot f l o o l l . . . . . <br /> 22 <br /> X 6 . Explanation for Variances - Funder Specific Budget . . . . . . . . . . . . . . . . . . . . . . . . . 9 6 0 0 . . . <br /> 23 <br /> J. FUNDER SPECIFIC/ADDITIONAL SHEETS <br /> (Copied once in White for all three programs submitted to CSAC for funding.) <br /> X 1 . List of current officers and directors J- 1 <br /> 2 . Latest Financial Audit Report & Management Letter that conforms with the J-2 <br /> X AICIP Audit GUIDE <br /> X 3 . Most recent IRS Form 990, including all schedules J- 12 <br /> 4 . Most recent Internal Financial Statement (i . e . : Balance Sheet and Operating J-29 <br /> X Budget <br /> X 5 . Staff Organizational Chart J-31 <br /> X 6 . Cost Recent Annual Report (if available) J-32 <br /> X 7 , 501 (C) (3 ) IRS Exemption Letter J-58 <br /> X 8 . Articles of Incorporation J- 62 <br /> X 9 . Agency ' s Bylaws J-76 <br /> X 10 . Agency ' s written policy regarding Affirmative Action J- 84 <br /> X 11 . Proof of Goals and Outcomes Workshop Attendance J- 85 <br /> X 12 . Addendum No . 1 J- 86 <br /> K. APPENDIX <br /> (Copied once in White for all three programs submitted to CSAC for funding.) <br /> X 1 , NOT FOR PROFIT AGENCY CERTIFICATION K- 1 <br /> X 2 . Indian River County Authorization for Release of Information K-2 <br /> X 3 . Sworn Statement K- 5 <br /> X 4 . Proof of Liability Insurance K- 14 <br /> r� -` FSG' <br /> i <br />