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Colleen Eddy Elk River Public Arts Committee <br />Printed On: 15 October 2020 FY21 Project Grant Rnd1 11 <br />Grant Amount Requested from CMAB* <br />Cannot exceed $5,000 of eligible expenses. Round up to the nearest dollar. <br />$5,000.00 <br />In-Kind Contributions* <br />Enter the total amount of In-Kind Contributions included in the Budget form. Enter "0" if not applicable. <br />$0.00 <br />TOTAL PROJECT EXPENSE* <br /> Must match Total Expenses in budget form. <br />$10,000.00 <br />For 501(c)3 ORGANIZATIONS ONLY <br />Person In Charge of Organizational Issues <br />i.e. Executive Director, Business Manager, Board President <br />Enter the following information: <br />Name <br />Title <br />Phone Number <br />Email Address <br />Colleen Eddy <br />Economic Development Specialist <br />763-635-1041 <br />Board Officer Contacts <br />List names, title and email address or phone numbers for all board officers. <br />For APPLICANTS USING A FISCAL AGENT ONLY <br />FISCAL SPONSORSHIP <br />Applicants without nonprofit designation must include a fiscal agent agreement that includes the components <br />listed in this SAMPLE Fiscal Agent Agreement. <br />Fiscal Agent Organization <br />Provide the name of the organization serving as the fiscal sponsor for this grant application. <br />City of Elk River