Grassroots Arts Grant : COVID-19 Revisions Grassroots Arts Grants: COVID-19 Budget Revision 1Organization Information2Request Description3Project Questions4Budget Information5Certification Name of Applicant Organization*Fiscal Year End Date* MM slash DD slash YYYY Website Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Person's Name* First Last Contact Person's TitleEmail* Cell Phone* Grant Amount Requested*Project Start Date*No earlier than July 1, 2020 MM slash DD slash YYYY Project End Date*No later than May 31, 2021 MM slash DD slash YYYY 1a. Project Title*120 character max1b. Enter a one sentence description of your project:*250 character max Project BudgetPlease provide a projected budget for your proposed activity utilizing the format below. If this is an operating grant this budget will be your FY20 annual budget.Total Project ExpensesPersonnel: Administrative Staff*Personnel: Artistic Staff*Personnel: Technical/Production Staff*Outside Fees and Services: Artist Contracts*Outside Fees and Services: Other Contracts*Space Rental*Travel*Marketing*Remaining Project Expenses*If you entered an amount for Remaining Project Expenses, please describe what those include below.Total Project Expenses*Grant Request AllocationThis will tell us which of the above project expenses you plan to pay with this Grassroots Arts Grant.Personnel: Administrative Staff*Personnel: Artistic Staff*Personnel: Technical/Production Staff*Outside Fees and Services: Artist Contracts*Outside Fees and Services: Other Contracts*Space Rental*Travel*Marketing*Remaining Project Expenses*If you entered an amount for Remaining Project Expenses, please describe what those include below.Total Grant Request*Be sure this matches the amount of your grant request on page 2 of this application!Project Expense SummaryTotal Project Expense*Be sure this matches the total project expense you entered earlier on this page!Total Grant Request*Be sure this matches the amount of your grant request earlier on this page!Total Applicant Cash Contribution*This is the amount your organization will be putting toward the project from other grants, donations, or assets. The matching requirement has been suspended for FY20 grants due to COVID-19, but it is information we need for our reporting.Project Income SummaryAdmissions*Contracted Services Revenue*Other Earned Revenue*Private Support: Corporate*Private Support: Foundation*Private Support: Individual*Private Support: Other*Government Support: Federal*Government Support: State/Regional*Not including this Grassroots Arts Grant request.Government Support: Local*Applicant Cash*This is assets you already have on hand.Total Grant Request Amount*In this application!Total Project Income*This number should equal the Total Project Expense amount entered earlier on this page. CertificationWe understand that failure to respond to any of the above items may adversely affect the consideration of this application. We certify that we are committed to the completion of the proposed project in compliance with legal requirements and granting procedures. We certify that the information contained in this application, including attachments and supporting materials, is true and correct to the best of our knowledge.* We Agree Name of Authorizing Official*Position of Authorizing Official*Name of Contact Person*Position of Contact Person*Today's Date* Month Day Year EmailThis field is for validation purposes and should be left unchanged.