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Indian River County Healthy Start Coalition, Inc. <br /> r Healthy Families Indian River Program <br /> s Children's Services Advisory Committee Grant 2006-07 <br /> I. BUDGET FORMS <br /> X 1 . Financial Budget Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 13 <br /> 1 . Budget Narrative Worksheet 4 pages B- lA, 1B, 1C, 1D <br /> 2. Total Agency Budget 1 page B-2 <br /> 3. Total program Budget 1 page B-3 <br /> 4. Funder Specific Budget 1 page B-4 <br /> 5 . Explanation for Variances 2 pages B-5A, 5B <br /> J. FUNDER SPECIFIC/ADDITIONAL SHEETS <br /> These additional sheets can be found attached to the TLC Newborn Grant <br /> with the exception of the Healthy Families Taxonomy and Goal Testing <br /> _ Materials <br /> 1 . List of Current Officers and Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 2. IRC Healthy Start Coalition Financial Audit — Year ending June 30, 2005 <br /> 3. IRC Healthy Start Coalition IRS Form 990 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 4. IRC Healthy Start Coalition Balance Sheet and Operating Budget . . . . . . . . . <br /> 5 . Staff Organizational Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 6. 501 (c)3 IRS Exemption Letter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 7. Articles of Incorporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 8. Agency Bylaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 9. Agency policy regarding Affirmative Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 10. Not for Profit Agency Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 11 . Authorization for Release of Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 12. Nepotism Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> X 13.Taxonomy Definition for Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 <br /> X 14. Goal Testing Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Ages & Stages Questionnaire, PSI <br /> 2 <br />