HomeMy WebLinkAboutC-8577-8 - Cultural Arts Grants - FY 18-19 - Class Act Music Educationr-,
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iJI GRANT AGREEMENT
CO BETWEEN THE CITY OF NEWPORT BEACH AND
PACIFIC SYMPHONY
v
This Grant Agreement ("Agreement") is entered into this 14th day of November,
2018 ("Effective Date"), by and between the City of Newport Beach, a California municipal
corporation and Charter City ("City"), and PACIFIC SYMPHONY, a California nonprofit
corporation located at 17620 Fitch, Suite 100, Irvine, CA 92614-6081 ("Grantee"). City
and Grantee are at times individually referred to as "Party" and collectively as "Parties"
herein.
RECITALS
A. It is the policy of the City Council that the City's budget specifically allows the City
Council to direct revenue towards non-profit agencies, community groups,
community events, or enhancement projects with worthy projects or programs
which the City Council deems beneficial to the residents' quality of life.
B. Grantee requested a grant from the City for Class Act Music Education Program
("Grant Proposal").
C. The City Council determined the Grant Proposal is for a worthy project that will
benefit the City's residents' quality of life.
D. The City Council approved a grant in the amount of Five Thousand Dollars and
00/100 ($5,000.00) ("Grant Funds") to Grantee pursuant to certain conditions
regarding expenditure, reporting, and accounting requirements.
NOW, THEREFORE, the Parties agree as follows:
1. GRANT
1.1. City awards to Grantee Grant Funds in the amount of Five Thousand Dollars
and 00/100 ($5,000.00) as requested by Grantee in the Grant Proposal attached hereto
as Exhibit A and incorporated herein by reference, or such other amount as authorized
by the City Council.
1.2. Grant Funds shall be disbursed by City to Grantee as follows (select one):
® At the time of execution of this Agreement.
PACIFIC SYMPHONY Pae 1
2. TERM
The term of this Agreement shall commence on the Effective Date and shall
continue in full force and effect until October 2, 2019, unless terminated earlier as
provided herein.
3. RESTRICTIONS ON USE OF FUNDS
3.1. The Grant Funds are subject to the following expenditure conditions ("Approved
Uses"):
3.1.1. The Grant Funds shall be expended solely for the purposes provided
in Exhibit A;
3.1.2. The Grant Funds shall not be used for any activity that would violate
City, state or federal statutory or decisional law such as regulations affecting non-profit or
tax exempt organizations exempt from taxation pursuant to Section 501(c)(3) of the
Internal Revenue Code; and
3.2. Grantee further warrants to City that the Grant Funds will be spent solely for
the Approved Uses and the Grant Funds shall be used by Grantee during this
Agreement's term otherwise the Grant Funds shall be returned to City, as provided in
Section 5 below.
4. REPORTING AND ACCOUNTING REQUIREMENTS
4.1. At all times during the term of this Agreement, Grantee shall maintain true,
proper, and complete books, records, and accounts (collectively, "Books and Records")
in which shall be entered fully and accurately all transactions taken with respect to the
operations of Grantee under the Grant Proposal and the expenditure of the Grant Funds.
Grantee shall maintain the Books and Records in accordance with Generally Accepted
Accounting Principles.
4.2. If the Grantee has been audited by an independent auditor or has been the
subject of a compliance audit/examination by a grantee or regulatory agency during the
past three years, audit reports and management letters indicating compliance violations,
fraud, illegal acts, material weaknesses in internal control structure or reportable
conditions, in connection with such audits shall be delivered to the City thirty (30) days
prior to the effective date of this agreement. If no audits or events as described above
have occurred during this period, the Grantee shall provide City a written assertion that
no audits or similar examinations have occurred during the three (3) year period and an
assertion that the Grantee is not aware of any events or conditions, described above, or
other information that might reasonable impact City's decision to fund the grant as
requested.
4.3. City reserves the right to designate its own employee representative(s) or its
contracted representative(s) with a Certified Public Accounting firm who shall have the
right to audit Grantee's accounting procedures and internal controls of Grantee's financial
systems as they relate to the Grant Proposal and to examine any cost, revenue, payment,
claim, other records or supporting documentation resulting from any items set forth in this
PACIFIC SYMPHONY Page 2
Agreement. Any such audit(s) shall be undertaken by City or its representative(s) at
mutually agreed upon reasonable times and in conformance with generally accepted
auditing standards. Grantee agrees to fully cooperate with any such audit(s).
4.4. This right to audit shall extend during the length of this Agreement and for a
period of three (3) years or longer, if required by law, following the date of any Grant
Funds tendered under this Agreement. Grantee agrees to retain all necessary
records/documentation for the entire length of this audit period.
4.5. Grantee shall, upon conclusion of the event, furnish the City with a Balance
Sheet and Income Statement describing the receipt and disbursement activities of
Grantee with respect to the Grant Funds. In its sole and absolute discretion, the City may
also require Grantee to submit: (i) quarterly check registers and descriptions of each
disbursement; (ii) budget -to -actual -results; and (iii) a statement of position describing the
assets and liabilities associated with the Grant event. All reports, including a post -event
evaluation, shall be due to the City no later than forty-five (45) days following the
conclusion of the event. In the event that an independent audit is conducted, Grantee
shall forward a copy of the audited report to the City for review, including any Management
Letter, Report on Internal Controls, or Reportable Conditions letter generated during the
course of the audit.
4.6. Grantee agrees to exercise prudent financial management processes including
proper oversight of all assets, budget preparation, and timely reporting including budget -
to -actual -comparisons.
4.7. All Approved Uses shall be performed by Grantee or under Grantee's
supervision. Grantee represents that it possesses the professional and technical skills
required to perform the services required by this Agreement, and that it will perform all
services with a standard of care and in a manner commensurate with the community
professional standards and with the ordinary degree of skill and care that would be used
by other reasonably competent practitioners of the same discipline under similar
circumstances.
4.8. If Grantee has supported Political Action Committees(s) (PACs) during the past
three (3) years, the Grantee shall hire an independent auditor to perform limited, agreed-
upon testwork procedures to provide City assurance that City sponsored event profits did
not subsidize the funding of Political Action Committees (PACs) and event proceeds were
adequately segregated from funds used to support PACs. Agreed upon procedures may
include a review of a detail list of the past three (3) years of PAC contributions and
expenditures, including:
a. An identifying donor number, date and amount of each reported
contribution; and
b. A detail of expenditures sufficient enough to determine that the
expenditures were solely for PAC -related expenses; and
c. Any retained earnings or fund balance at the end of each fiscal year.
PACIFIC SYMPHONY Page 3
Substantive documentation for the contribution and expenditure should be available upon
request. City shall approve the agreed-upon testwork procedures prior to the
commencement of fieldwork.
5. USE OF GRANT FUNDS
5.1. The Grant Funds shall be used solely by Grantee for the Approved Uses and
for no other use. In the event that the Grant Funds are not used for the Approved Uses
or are not expended by or before September 26, 2019, Grantee shall notify the City in
writing, and shall be obligated to return the Grant Funds to City within thirty (30) days.
5.2. The City's grant contribution shall only be used for non -secular purposes.
Grantees shall not use the City's grant contribution, or any portion thereof, for any purpose
that violates local, state, or federal law, including, but not limited to, the Establishment
Clause.
6. INDEMNIFICATION
6.1. To the fullest extent permitted by law, Grantee shall indemnify, defend and hold
harmless City, its City Council, boards and commissions, officers, agents, volunteers, and
employees (collectively, the "Indemnified Parties") from and against any and all claims
(including, without limitation, claims for bodily injury, death or damage to property),
demands, obligations, damages, actions, causes of action, suits, losses, judgments,
fines, penalties, liabilities, costs and expenses (including, without limitation, attorney's
fees, disbursements and court costs) of every kind and nature whatsoever (individually,
a Claim; collectively, "Claims"), which may arise from or in any manner relate (directly or
indirectly) to this Agreement (including the negligent and/or willful acts, errors and/or
omissions of Grantee, its principals, officers, agents, employees, vendors, suppliers,
consultants, subcontractors, anyone employed directly or indirectly by any of them or for
whose acts they may be liable or any or all of them).
6.2. Notwithstanding the foregoing, nothing herein shall be construed to require
Grantee to indemnify the Indemnified Parties from any Claim arising from the sole
negligence or willful misconduct of the Indemnified Parties. Nothing in this indemnity shall
be construed as authorizing any award of attorney's fees in any action on or to enforce
the terms of this Agreement. This indemnity shall apply to all claims and liability
regardless of whether any insurance policies are applicable. The policy limits do not act
as a limitation upon the amount of indemnification to be provided by Grantee.
7. GRANTEE INDEPENDENCE
In the performance of this Agreement, the Grantee, and the agents and employees of
Grantee, shall act in an independent capacity and are not officers, employees or agents
of the City. The manner and means of performing the Approved Uses are under the
control of Grantee, except to the extent they are limited by statute, rule or regulation and
the expressed terms of this Agreement. Nothing in this Agreement shall be deemed to
constitute approval for Grantee or any of Grantee's employees or agents, to be the agents
or employees of City. Grantee shall have the responsibility for and control over the means
of performing the Approved Uses, provided that Grantee is in compliance with the terms
PACIFIC SYMPHONY Page 4
of this Agreement. Anything in this Agreement that may appear to give City the right to
direct Grantee as to the details of the performance or to exercise a measure of control
over Grantee shall mean only that Grantee shall follow the desires of City with respect to
the results of the Approved Uses.
8. PROHIBITION AGAINST TRANSFERS
Grantee shall not assign, sublease, hypothecate or transfer this Agreement or any of the
services to be performed under this Agreement, directly or indirectly, by operation of law
or otherwise without prior written consent of City. Any attempt to do so without written
consent of City shall be null and void.
9. NOTICES
9.1. All notices, demands, requests or approvals to be given under this Agreement
shall be given in writing and conclusively shall be deemed served when delivered
personally or on the third business day after the deposit thereof in the United States mail,
postage prepaid, first class mail, addressed as hereinafter provided.
9.2. All notices, demands, requests or approvals from Grantee to City shall be
addressed to the City at:
Attn: Library Services Director
City of Newport Beach
Library Services Department
1000 Avocado Avenue
P.O. Box 1768
Newport Beach, CA 92658-8915
9.3. All notices, demands, requests or approvals from City to Grantee shall be
addressed to Grantee at:
Attn: Luisa Cariaga
PACIFIC SYMPHONY
17620 Fitch, Suite 100
Irvine, CA 92614-6081
10. TERMINATION
10.1. Termination for Cause. Grantee shall be in default if Grantee fails or refuses
to perform any duty required by the Agreement or performs in a manner inconsistent with
the terms, conditions and restrictions in this Agreement. In such event, City shall give
Grantee, thirty (30) days written notice to cure, if the default can be cured and City shall
be entitled to terminate this Agreement if Grantee has not cured the default within the
thirty (30) day cure period. City shall be entitled to immediately terminate this Agreement
if the default cannot be cured through corrective action. If terminated for cause, Grant
Funds shall be returned to the City pursuant to Section 5. This Agreement is made on an
annual basis, and as such is subject to non -renewal at its termination.
PACIFIC SYMPHONY Page 5
10.2. Termination without Cause. City may terminate this Agreement at any time
with or without cause upon seven (7) days written notice to Grantee, any remaining Grant
Funds in Grantee's possession at the time of termination shall be returned to City
pursuant to Section 5.
10.3. Specific Performance. Grantee agrees that the City has the legal right, and all
necessary conditions have been satisfied, to specifically enforce Grantee's obligations
pursuant to this Agreement.
11. STANDARD PROVISIONS
11.1. Recitals. City and Grantee acknowledge that the above Recitals are true and
correct and are hereby incorporated by reference into this Agreement.
11.2. Compliance With all Laws. Grantee shall at its own cost and expense comply
with all statutes, ordinances, regulations and requirements of all governmental entities,
including federal, state, county or municipal, whether now in force or hereinafter enacted.
11.3. Waiver. A waiver by either Party of any breach, of any term, covenant or
condition contained herein shall not be deemed to be a waiver of any subsequent breach
of the same or any other term, covenant or condition contained herein, whether of the
same or a different character.
11.4. Integrated Contract. This Agreement represents the full and complete
understanding of every kind or nature whatsoever between the parties hereto, and all
preliminary negotiations and agreements of whatsoever kind or nature are merged herein.
No verbal agreement or implied covenant shall be held to vary the provisions herein.
11.5. Conflicts or Inconsistencies. In the event there are any conflicts or
inconsistencies between this Agreement and the Grant Proposal or any other
attachments attached hereto, the terms of this Agreement shall govern.
11.6. Interpretation. The terms of this Agreement shall be construed in accordance
with the meaning of the language used and shall not be construed for or against either
party by reason of the authorship of the Agreement or any other rule of construction which
might otherwise apply.
11.7. Amendments. This Agreement may be modified or amended only by a written
document executed by both Grantee and City and approved as to form by the City
Attorney.
11.8. Severability. If any term or portion of this Agreement is held to be invalid, illegal,
or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions
of this Agreement shall continue in full force and effect.
11.9. Controlling Law And Venue. The laws of the State of California shall govern
this Agreement and all matters relating to it and any action brought relating to this
Agreement shall be adjudicated in a court of competent jurisdiction in the County of
Orange, State of California.
PACIFIC SYMPHONY Page 6
11.10. Equal Opportunity Employment. Grantee represents that it is an equal
opportunity employer and it shall not discriminate against any contractor, employee or
applicant for employment because of race, religion, color, national origin, handicap,
ancestry, sex or age or any other impermissible basis under law.
11.11. No Attorney's Fees. In the event of any dispute or legal action arising under
this Agreement, the prevailing party shall not be entitled to attorney's fees.
11.12. Counterparts. This Agreement may be executed in two (2) or more
counterparts, each of which shall be deemed an original and all of which together shall
constitute one and the same instrument.
[SIGNATURES ON NEXT PAGE]
PACIFIC SYMPHONY Page 7
IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed
on the dates written below.
APPROVED AS TO FORM:
CITY ATTORNEY'S OFFICE
Date: 2A / Lo 18
By: -ha r
Aaron C. Harp GOIAS
City Attorney dMA
ATTEST: ��JJ
Date: 01• , f!g
bl�-
Leilani I. Brown
City Clerk
Attachment: Exhibit A: Grant Proposal
CITY OF NEWPORT BEACH,
A California municipal orporation
Date: ld-1 -1
By:
Gra <. Leung
Cit Manager
GRANTEE: PACIFIC SYMPHONY,
California nonprofit corporation
Date: ti -t �)-t?
By:
Jlcgnne Leatherby
Chief Executive Officer
Date: 11 - I q'- :q&
Susan Anderson
Secretary
[END OF SIGNATURES]
PACIFIC SYMPHONY Page 8
Exhibit A
Grant Funds shall be expended solely for "Class Act Music Education Program."
No Grant Funds may be used to fund any political activities.
PACIFIC SYMPHONY Page A-1
NEWPORT BEACH CITY ARTS COMMISSION
2018-19 CULTURAL ARTS GRANT APPLICATION
(Applications must be typed or word -processed- you may reformat on the computer as long as it
appears the same: i.e. use Times New Roman 12 point and the same pagination.)
Name of Organization
Legal Name (if different)
17620 Fitch, Suite 100
Mailing Address
Federal Tax ID No.
Irvine, CA 92614-6081
City Zip
Luisa Cariaea, Director of Institutional Giving 714-876-2369
Contact Name Telephone
714-755-5789 LCariaea(a,PaciricSymphony.ora www.PacificSymphony.org
FAX E-mail Web Site
Area Served
Have you received a City of Newport Beach Cultural Arts Grant before? Yes If so, when? 2016-17
Year organization was founded 1978 Number of paid staff 53 # of active volunteers 2,415
Total amount requested: (from request line of project budget) S 5,000
Estimated number of people in Newport Beach the proposed project(s) will serve: 1,524
CULTURAL ARTS GRANT APPLICATION
Briefly describe below your organization's purpose, mission, and goals
Pacific Symphony's mission is to inspire, engage and serve Orange County through exceptional
music performances and education and community programming. The organization was founded in
1978 to furnish classical music for the region. Its overall goals are to: 1) Establish the organization as a
beacon of artistic achievement and Orange County's artistic ambassador; 2) Attract, engage and serve a
larger and more diverse audience in the county and the surrounding region; 3) Engage its diverse
community to inspire curiosity, improve well-being and to connect with citizens through a deeper
appreciation and love of classical music; and 4) Develop an optimal mix of philanthropic, earned and
capital resources to ensure long-term capacity to achieve strategic goals.
The orchestra annually presents over 100 concerts and presentations for the public, serving
275,000 residents and visitors. Its education and community engagement programs provide interactive
music enrichment for K-12 students, vulnerable populations and disadvantaged residents. In alignment
with a new strategic plan, the Symphony has advanced efforts for greater national and international
visibility by making its invitational debut at Carnegie Hall last April, touring to five metropolitan cities
in China last May, and nationally broadcasting a concert on PBS Great Performances in June 2018.
2. Identify and describe why there is a need in the Newport Beach Community for your proposed
project/program. Include a quantitative description of the need and on what you based your findings (i.e.
"Based on a study done by the PTA, there are one hundred children in the 4th -6th grades at Newport
Elementary who have had no training with musical instruments." ) Describe how you have determined that
your organization is the best organization for the proposed project/program.
Class Act offers the rare participation and leadership of Pacific Symphony musicians, who serve
as teaching artists, coaches and mentors. Musicians make students feel privileged and special, and
inspire them to attain their academic and artistic goals. Students gain life skills through music education,
and receive the many benefits of studying the arts, proven to augment student academic achievement. A
2017 study at the Brain and Creativity Institute of USC shows that exposure to music and music
instruction accelerates the brain development of children in the areas responsible for language
development, sound, reading skills and speech perception. These elements are essential for student
academic success and STEM proficiency.
Three Newport Beach elementary schools are participating: Andersen and Harbor View (each
starting their 9th year in Class Act) and Newport Coast (entering its 10`h year). The multiple -year
engagement of children has ensured the delivery of the many academic and developmental benefits of
music learning. Based on research proving that involvement in the arts is of great value, there is a
continuing need for music for Newport Beach students. A total of 1,524 students and educators will be
served through the project. Class Act is designed and refined to meet the decreasing number of available
arts programs in the Newport -Mesa School District, which have been reduced due to budget cuts to the
arts. Newport Beach schools rely on Pacific Symphony to provide quality music education for their
students. Class Act remains the only arts education program in the county furnishing professional union
Pacific Symphony musicians in the classroom, serving as mentoring artists to schoolchildren.
3. Describe the specific project/program that will be funded by a cultural grant. Include how the
proposed project/program will be implemented and outline a schedule or project timeline, with
planned dates and locations. Identify individuals and groups involved, particularly artists and
performers, and describe their roles and responsibilities. Describe the background and qualifications
of your organization and key personnel to be involved in the program. Remember: the City funds
only projects and programs- not operating expenses. These projects and programs must promote
community involvement and awareness of the arts in Newport Beach.
Is this a new or existing X project/program?
Grant funds are respectfully requested for the Class Act Music Education Program in three
Newport Beach schools for 2018-19. Since 1994, Class Act has filled the growing local need for quality
music education using the arts as a means to enhance academic achievement and enrich school
communities. Class Act trains and places individual professional Pacific Symphony union musicians
into Orange County -based schools. Musicians work as teaching artists in year-long residencies focused
on the fundamentals of music through age-appropriate classroom instruction.
Class Act runs from September to June, with participating schools forming a team consisting of
the principal, teachers, parent coordinators, school volunteers and the Pacific Symphony musician. The
Symphony designs a Common Core curriculum -based theme, workshop materials and lesson plans for
all schools by September. The 2018-19 composer of the year is Peter Tchaikovsky with the theme
"Symphonic Storytelling." Materials are delivered to classroom teachers from September to December
during training workshops where they learn to integrate music into all areas of learning. Student
activities and arts workshops with the Symphony musician run from January to May. Youth Concerts
and Bravo Assemblies occur in May and June. Evaluation is conducted to assess improvements. Staff
gauges program effectiveness throughout the year to monitor that goals and objectives are being met.
Class Act participants include the entire student body at Andersen, Harbor View and Newport
Coast Elementary Schools, as well as school teachers, principals, parent coordinators, administrators and
volunteers. There are eleven Pacific Symphony musicians who participate in Class Act, a program
which serves 32 Orange County schools in total. Each school is assigned one professional union
musician, which alters every year. Three of the eleven musicians inaugurated Class Act in 1994, with
the remaining eight long-time members of the orchestra and/or experienced Class Act teaching artists.
The program is led by Vice President of Education Susan Kotses, who has 1 I years of experience with
the Symphony and in the education community. Class Act utilizes a staff of 7 who manage, coordinate
and oversee all program components and activities. Since its beginning, Class Act has served over
280,000 students, teachers and principals in Orange County, over a 24 -year history.
4. Define or describe the segment of the population in Newport Beach that you intend to serve by your
project/program. Include such things as age, location, numbers served, etc.
In 2018-19, Class Act will serve 1,524 residents of three Newport Beach elementary schools:
Andersen Elementary with 385 students, Harbor View Elementary with 451 students, Newport Coast
with 622 students; and in total 63 teachers and 3 principals. Each school serves Kindergarten to 6th grade
students, ages 5-11. All three schools have partnered with Class Act for a number of years, and all three
were the beneficiaries of funds from this grant in 2016-17.
5. Complete the project budget form. Address only the budget for the specific project, not your annual
operating budget. For multi -project proposals, please duplicate and fill out a budget for each project.
Please annotate the budget at the bottom if there are details (such as a breakdown of personnel or a
marketing budget) critical to the proposal.
PROJECT BUDGET Funding from the Funding from
EXPENSES -Personnel City of Newport Beach Other Sources
Artistic 2,700 23,000
Administrative 600 8,215
Technical Production
EXPENSES -Operating
Facility Exp./Space Rental
Marketing
Production/Exhibition Exp.
Touring/Presentation Exp.
Educational Materials 1,700 4,000
Transportation
Equipment
Other (note 10% orgreater)
GRAND TOTAL $5,000 $35,215
6. Describe the expected quantifiable outcomes of your project/program and how you will evaluate the
results. Be very specific in addressing the ways that you will determine that your project/program met
the needs that you identified and accomplishes the goals you set out to achieve (i.e. you provide 50
hours of musical instruction and instruments to the 100 children at Newport Elementary school as
measured by music store rental receipts and logs of instructors.)
The overall desired outcome is for K-6 children to improve their academic achievement through
music education in the classroom at each school. The overarching outcome for teachers is to improve
their music aptitude in order to teach the arts more effectively in the classroom, and augment student
learning in music. The quantifiable outcomes for the 1458 students and 63 teachers in 2018-19 are:
A total of 80% or 1,167 students out of the estimated 1,458 will demonstrate increased
knowledge about the Class Act composer of the year (Tchaikovsky) and his music. Outcomes are
measured through pre- and post -program testing, questionnaires and teacher surveys.
2. A total of 948 students out of the 1,458 total will manifest a desire to further engage in music,
representing 65% of all Class Act students. Results are measured through student follow-up
polls, surveys and enrollment in subsequent school and community music programs.
3. A total of 85% or 54 of the 63 Class Act teachers will increase their capacity to teach the arts
more effectively and better support the Common Core in their classroom. These results are
quantified through teacher and principal surveys, individual interviews, one-on-one follow-up
meetings and teacher focus groups.
7. Attachments Requested
Please do not .rend material in excess of what is reauesled: it will not be seen by the Arts Commission.
• A list of Board Members and their affiliations
• A recent list of individuals, corporations and foundations that provide organizational support- not to
exceed one page.
• If you are a 501(c) (3) organization attach a copy of your IRS determination letter (or your fiscal
agent's) indicating tax exempt status.
• One brochure and/or one press clipping. Do not send photos, videos, CDs or any other extraneous
material. It will not be presented to the Arts Commission.
8. Please complete this operating budget form for 2018/19 and 2019/20. This is not the
project/program budget for which you are applying, but your overall organizational budget.
You may annotate at the bottom if there are details critical to the proposal.
OPERATING BUDGET
2018/19 Budget current 2019/20 Budget (projected
LIncome cash onl
Contributed 12,106,662 12,221,841
Earned 9,129,823 9,102,849
Total Income 21,236,485 21,324,690
II.Ex enses
16,067
77,050
Program
14,482,420
14,489,877
General and Administrative
1,754,553
1,769,079
Marketing and Development
4,983,445
4,988,684
Total Ex enses
21,220,418
21,247,640
III.Operating Surplus/Deficit
(Income minus Expenses)
16,067
77,050
IV.Fund Balance at Beginning
16,430
32,497
of Year
V.Accumulated Surplus
32,497
109,547
(Deficit)
(Add lines III and IV)
VI.In-Kind Contributions
0
0
(attach schedule if greater than
10% of total income)
9. I verify that the information submitted in this application is true and correct to the best of my
knowledge.
Name John Forsvte Title President
Signature
Date September 21. 2018