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Community Promotional Fund Application
APPLICANT INFORMATION:
Name of applicant: Mary Hailey
Name of arganization or grow represeniled The Arte Industrial Winen Clut Mailing address: P.o. Box 566 Barstow, ca 92312
760)
Contact phone number(s): Mary Hailey Naoni Douglas 987-2155 Non-Profit? Yes No If no, are you partnering with a non-profit:
PROJECT DESCRIPTION:
Amount requested: $ 1000.00
Nhat will the funds be used for? funds will be used
When will the activity take place? Saturday June 17, 2023 Where wil the activity take place? Sturnacle Park 1434 Sage dr. of People
Now hand Barstow are residents are involved with fris organization? of least 2 local How many spectators will watch this activity? 150-208 (Initervals) Please describe how this activity will benefit Barstow. If additional space is necessary, please attach additional sheets
To celebrabe in honor of the independence of
our black American community natial Wide.
Ie come together in the community of Barstadto
Sellowship in unity over a hot dog, or ete. It'
a wonderful time to meet and greet various peopte
running, laughing; and plai Seeing the Children.
Community Promotional Fund Application Page 1
Rev. August 2013
P. 2.
With this application, please attach the following:
1. A detailed budget stating the total cost of the activity or event, all sources and amounts of funding, and all expenses;
2. A description of the organization's or group's purpose or objective.
By signing below, I declare that I have read the City's Community Promotional Fund Policy and agree to all its terms and conditions. I understand that an incomplete application will not be accepted and that the organization or applicant will not be considered for funding. (If the application is being submitted on behalf of an organization or school, an additional signature is required.) Ramp tales
Signature of Applicant Applicant Name (printed) & Pate
School Principal or Organization
President/Director Signature
(if applicable)
Community Promotional Fund Application Page 2
Rev. August 2013