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Boys & Girls Club of Indian River County, Inc. — Sebastian Branch <br /> Grant Application to the Children's Services Advisory Committee <br /> J. FUNDER SPECIFIC/ADDITIONAL SHEETS (On White Paper) <br /> X 1 . List of current officers and directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . J- 1 <br /> 2 . Latest Financial Audit Report & Management Letter that conforms with the <br /> X AICPA Audit Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 6 . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . J-2 <br /> X 3 . Most recent IRS Form 990, Including all schedules ' . 111 . # 1 116 , all 06 1 1 1 * 10 * 1 1 11 1 1 I ' ll J- <br />13 <br /> 4 . Most recent Internal Financial Statement (i . e . : Balance Sheet and Operating <br /> XBudget) . . . . . . . . . 0 * 00eesseses 000 # 00 Sao " I * 1 , 10 , 61 , 91066 1 * to 64 , 00000 * 000 0 * 000 0000 0 * 0 * a <br /> 0 0 0000 J-36 <br /> X 5 . Staff Organizational Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . J- 39 <br /> X 6 . 501 (C)(3 ) IRS Exemption Letter . . . . . . . . . . . 069 * 000 go@ 0 DOE 06 mpg . . . . 0 . . . . . . J-40 <br /> X 7 . Articles of Incorporation . . . . . . . . . * 0 * 068 be * 000 0 * 4 * 00 * * go , 0 0 , 0 . . . . . . . . <br />. . . . . . . . . . J-41 <br /> X 8 . Agency ' s Bylaws . . . 0 4 6 a 6 1 1 1 1 1 a I 1 0 1 J- 50 <br /> X 9. Agency ' s written policy regarding Affirmative Action . J-64 <br /> X 10 . Parent & Member Surveys for South County and Sebastian . . J-65 <br /> X 11 . Parent & Member Surveys for YVC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . J-74 <br /> X 12 . Most Recent Annual Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . J-79 <br /> K. APPENDIX: Supporting Documentation <br /> X 1 . Not for profit agency certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . : . . K- 1 <br /> X 2. Indian River County Authorization for Release of Information . . . * , * * * * K-2 <br /> X 3 . Sworn Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . K-5 <br /> X 4 . Proof of Liability & Worker' s Compensation Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . K- 14 <br /> 3 <br />