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					Howard County Arts Council
Baltimore City Arts and Cultural Grant Program FY 2011


Application Calendar

             February 2010               Grant applications available online at
                                         www.hocoarts.org
             April 16, 2010              Deadline for applications. Please submit the
                                         original plus twelve copies (a total of thirteen).
                                         Organizations must meet this deadline to
                                         continue the process.

             September 10, 2010          Earliest Announcement of Grant Award or
                                         Rejection.

             July 14, 2010               FY 2010 Final Report Due.

             July 15, 2011               FY 2011 Final Report Due


Please direct inquiries to:

             Howard County Arts Council
             8510 High Ridge Road
             Ellicott City, MD 21043
             410-313-2787         TDD: 711          FAX: 410-313-2790
             www.hocoarts.org           info@hocoarts.org

             Fax or email copies of this application will not be accepted.


Staff:       Coleen West, Executive Director
             Wendy Meetze, Deputy Director
             Beth Forbes, Center & Program Coordinator
             Kimberly Jensen, Development Coordinator
             Mary DeZinno, Grants & Special Projects Coordinator
             Amy Schwartzbaum, Community & Web Relations Assistant
             Dan Vellucci, Visitor & Information Services Assistant




                                            1
  Large print copies of this application are available upon request.

 If you need assistance in using this publication, please contact the
                   Howard County Arts Council at:

                            410-313-2787

            TDD: 711, Maryland Telephone Relay system

                         FAX: 410-313-2790

                      Email: info@hocoarts.org

A hardcopy of this application is available upon request at the Howard
                     County Arts Council office


                            Office Hours:
                          Monday – Friday
                         9:00 AM – 5:00 PM




                                  2
HOWARD COUNTY ARTS COUNCIL BOARD OF DIRECTORS*

               President: Brian S. Walter
              Vice President: Susan Porter
              Secretary: Barron Stroud, Jr.
                Treasurer: Steve Poynot

                     Sam Andelman
                      Denée Barr
                   Jonathon Blonchek
                  Edmund “Skip” Coale
                     Sandra French
                     Krysta Huxford
                       Tim Kelley
                    Michael Mobley
                     Elaine Newhall
                      Tom Payne
                      Paul Skalny
                      Betsy Stark
                    Rebecca Weber



               COMMITTEE ON GRANTS*

                   Barron Stroud, Jr.
                         Chair
                  Stroud & Priest, LLC

                     Sam Andelman
                   Nightmare Graphics

                   Jonathon Blonchek
                    Youth on Board

                     Sandra French
                    Education Liaison

                     Michael Mobley
    Executive Director Jim Rouse Entrepreneurial Fund

                     Tom Payne
             Howard County Public Schools

                    Lawrence Siegel
                       Architect

                     *As of 12/3/09


                            3
                 ARTISTIC REVIEW PANEL*

                        Eva Anderson
                Founder Eva Anderson Dancers

                          Mo Dutterer
                       Silhouette Stages

                         Vern Falby
                       Peabody Institute

                        Paul Glasgow
Coordinator, Department of Art, Photography, and Interior Design
            Community College of Baltimore County

                      Marilyn Rhodovi
                         President
           Annapolis Chorale & Chamber Orchestra

                          Lee Stevens
                     Retired Band Director
                     Atholton High School

                       Debra A. Weible
            Assistant Director of Institutional Giving
             Clarice Smith Performing Arts Center

                        Lisa Yanguas
                        Choreographer




                         *As of 12/3/09




                                4
Baltimore City Arts and Cultural Grant Program FY 2011

General Information                  The Howard County Arts Council (HCAC) is a private, non-profit
                                     organization whose goal is to serve the citizens of Howard County
                                     by fostering the arts, artists and arts organizations. HCA C is
                                     governed by a board of directors who serve elected terms of two
                                     years.

                                     To carry out its mission, HCAC awards operating and special
                                     project grants to eligible organizations. HCA C is authorized by
                                     the Howard County Government to administer three grant
                                     programs: Howard County arts organiz ations, artists-in-residence
                                     in Howard County schools, and certain key Baltimore City arts and
                                     cultural organizations. HCA C is available to provide technical
                                     assistance in completing grant applications. Call 410-313-2787.



HCAC Re sponsibilitie s
                                      Develop and maintain a grant process in accordance with
                                       criteria established by the Maryland State Arts Council
                                       (MSAC) and set forth by Howard County Government.
                                      Develop procedures for submission and funding of proposals.
                                      Review and evaluate proposals for grants funds.
                                      Select recipients and award grants .



Purpose of the Baltimore City Arts
And Cul tural Grants Program          To foster excellence, diversity, and vitality in arts and cultural
                                       offerings for Howard County residents.
                                      To broaden opportunities for Howard County audiences,
                                       artists and arts organizations and to promote regionalism.
                                      To increase the availability of arts activities in Howard County.
                                      To promote countywide awareness of arts resources and
                                       opportunities.



Qualifications of Applicant
                                       Applicant organization must be incorporated as non-profit,
                                        501(c)(3) tax-ex empt organizations, in good standing with
                                        both the State and Federal governments.
                                       Applicant organization must be incorporated as an arts or
                                        cultural organization as documented within your articles of
                                        incorporation, and whose primary purpose is producing or
                                        presenting through public programs and services.
                                       Applicant organization must provide significant services to the
                                        citizens of Howard County
                                       Applicant organization must be soundly managed and
                                        financially accountable, and may be asked to provide proof
                                        thereof.
                                       Applicants' activities must be open to the general public.
                                       Applicant must comply with Title VI, Section 601, of the Civil
                                        Rights Act of 1964, whic h states that no persons on the
                                        grounds of race, color, or national origin, shall be excluded

                                                  5
                                   from participation in, be denied the benefits of, or be
                                   subjected to discrimination related to the arts.
                                  Applicant must comply with Title IV, Section 1681, of the
                                   Education Amendments of 1972, and the Age Discrimination
                                   Act of 1975, and Section 6101, which prohibit discrimination
                                   on the basis of age or sex.
                                  Applicant must comply with section 504 of the Rehabilitation
                                   Act of 1973, as amended, and the Americans with Disabilities
                                   Act of 1990 which states that no otherwise qualified person
                                   shall, solely by reason of his or her handicap, be excluded
                                   from participation in, be denied the benefits of, or be
                                   subjected to discrimination related to the arts.
                                  Applicant organizations must hold their activities in spaces
                                   accessible to the disabled. Also, activities must be altered to
                                   meet the needs of the visually and hearing impaired upon
                                   appropriate notification of need.

                                In addition to the above criteria, please be aware that the use of
                                copyright material in programs or promotional materials is strictly
                                prohibited. Copyright law protects a work, in whatever medium,
                                unless it has been placed in the public domain. Owners of
                                copyrights hold exclusive right to the reproduction and distribution
                                of their work; therefore, unauthorized use and distribution of
                                copyright ed works is illegal.


Applications                       Applications must be submitted on the grant applic ation form.
                                   Applicants may submit one application only.
                                   Applications must be typewritten.
                                   Applicants must submit the original application plus twelve
                                    copies (a total of thirteen) by April 16, 2010 at 4PM. HCA C
                                    may request clarification or revisions
                                   Applicants may be asked to clarify application.
                                   Late applications will be rejected and incomplete applications
                                    will be returned.
                                   All required attachments and supplemental information must
                                    be included.
                                   Please direct all questions regarding preparation of these
                                    forms to HCA C at (410) 313-2787.


Deadlines                       The deadline for submi ssions i s April 16, 2010 at 4PM for the
                                original applications plus twelve copies for a total of thirteen
                                (13) copie s. Applications must be received no later than 4PM
                                on April 16, 2010.


Review Process & Notification   The Artistic Review Panel will review applications and make its
                                recommendation to the HCA C Committee on Grants. The
                                Committee on Grants will present thes e recommendations to the
                                HCA C Board of Directors for approval. Organizations will be
                                notified by mail as to the disposition of the application after a final
                                vote by the Board of Directors. All decisions of the HCAC Board
                                of Directors are final. If approved for funding, the organization
                                must submit the signed Letter of Agreement before grant funds
                                are released.




                                             6
Conflict of Interest              To ensure that all HCA C review panels are free from conflicts of
                                  interest and the appearance of such conflicts, panelists are
                                  required to disclose any current or prospective affiliations they or
                                  their immediate family members have with an actual or potential
                                  applicant. “Affiliations” applies to employment, board
                                  memberships, independent contractual relationships, substantial
                                  contribut or relations hips, or other relations hips. In addition,
                                  panelists are required to disclose any past or current adversarial
                                  relationships with actual or potential applicants. HCAC panel and
                                  board members are not permitted to participate in discussions or
                                  votes relating to any applicant with whom they have an affiliation
                                  relating to any applicants competing with that applicant.



Restrictions and Accountability   Grants may not be applied to capital improvements, purchase of
                                  land or real property, tuition assistance, refreshment costs, travel,
                                  fundraising, or pre-existing expenses, debts, or obligations
                                  incurred by the organization.

                                  The Howard County Government may request to examine or audit
                                  all pertinent books, records, and accounts of grant recipients.



Fraud and Misrepresentation       If awarded, the grant funds shall be used only for purposes
                                  outlined in grantee’s grant application on file with HCAC. Grantee
                                  certifies that all of the information and representations contained
                                  in the application are and remain true and complete in all mat erial
                                  respects. Should it come to the attention of HCAC that any
                                  materials submitted by the grantee are fraudulent or
                                  misrepresent ative in any manner, this agreement is null and void
                                  and the grantee acknowledges that any remaining grant funds not
                                  yet disbursed are forfeited and that the grantee is responsible for
                                  reimbursing HCAC for funds already disbursed.



Reporting                         At the end of the granting period, a detailed final report on the use
                                  of the approved funds for the project must be filed with the HCA C.
                                  A professional financial audit for the fiscal year in which the grant
                                  was awarded must also be filed. Additionally, please attach
                                  publicity materials along with the final report and indicate where
                                  the Howard County Arts Council and Howard County are
                                  acknowledged in those materials. Future applications will not be
                                  considered unless the final report is submitted.


Attribution                       If a grant is awarded, all programs and publicity related to the
                                  grant, including broc hures, news releas es, programs, and other
                                  materials must give credit to the Howard County Arts Council and
                                  the Howard County Government. When no printed information is
                                  used, oral credit must be given.

Changes                           Grant recipients must notify the HCAC in writing if a significant
                                  change is made in any HCA C funded program. Unus ed funds
                                  must be returned to HCAC.


                                               7
Budget Size and
Matching Requirements    HCAC’ s grant program is a competitive proce sse s. Receipt
                         of a grant award does not imply or guarantee the amount of
                         future awards or whether future awards will be made. No
                         grant may exceed half of the total cash budget of the applicant’s
                         proposal or 25% of the total HCA C Baltimore City grant funds
                         available. Grant applicants are eligible to apply for up to a 25%
                         increase from the prior year’s grant award. Capit al funds may not
                         be used as matching funds in the budget. HCAC does not fund
                         budget deficits, capital expendit ures, or purchases of permanent
                         equipment, travel, or fundraising activities.

                         In determining the amount of the grant request and the required
                         match:
                          General Operating Grants must be based on total cash
                             expenses.
                          A financial statement from the most recent completed fiscal or
                             calendar year, signed by the organization’s fiscal officer or
                             certified public accountant, must accompany the application.
                          In-kind donations may not be us ed by any organization in
                             meeting the required match, although in -kind donations
                             should be det ailed in Question 20 of the application.
                          Grant request must be calculated on actual cash expenses for
                             FY 2009, NOT the current year.

                                 Grant award      Match required for each grant dollar
                                 $0 - $1,000                      1/1
                                 $1,001 - $3, 000                 2/1
                                 $3,001 - $6, 000                 3/1
                                 $6,001 - $9, 000                 4/1
                                 $9,001 - $12,000                 5/1
                                 $12,001 to maximum               6/1


Arti stic Review Panel   To assist the Arts Council in its decision-making, a peer group
                         made up of artists and academics, is appointed. Its function is to
                         review applications, make funding recommendations to the HCA C
                         Board of Directors, and offer policy recommendations.


Review Criteria          The review of grants is based on the following criteria:
                          Artistic or Cultural Merit.
                          Service to Howard County residents.
                          Ability of applicant to carry out the activities based on
                            evidence of sound fiscal and administrative management.

                         At a minimum, each of the following questions will be addressed
                         by the Artistic Review Panel when the application is reviewed.
                         This information is included to assist the applicant organiz ations in
                         preparing the application.

                         I. Arti stic or Cultural Merit
                                    1. What is the artistic or cultural product?
                                    2. What are the long-range artistic or cultural objectives of
                                       the applicant organiz ation?
                                    3. What are the stated goals to be achieved?
                                         8
        4. What indications are there that the project will have a
           quality level appropriate to the objectives of the
           organization?
        5. What indications are there that the funding will further
           the artistic or cultural objectives of the organization?
        6. Are the activities appropriate to the purpose of the
           Howard County Arts Council grant program?

II. Service to Howard County Re sidents
     A. Expand Opportunities in the arts
         1. Do the applicant organization’s programs and
         activities broaden opportunities for Howard County
         residents in the arts and culture?
     B. Audience Development
         1. Who is the intended audience?
         2. What is the projected size of the audienc e? How did
              the applicant organiz ation arrive at this number?
         3. What will be done to attract a Howard County
              audience?
         4. How many Howard County residents attended similar
              efforts by the applicant organization in the past?
         5. How does the organization serve a Howard County
              audience and, if applicable, indicate what proportion
              of the endeavor will be carried out in Howard County.
C. Diversity
         1. What attempt has the applicant organization made to
         encourage organizational diversity in all areas, including
         audience development, board participation, artists,
         programs, and administrative management? By diversity,
         we mean the inclusion of people of different ages, gender,
         race, culture, abilities and economic status.

III. Ability of the applicant to carry out the activities
     A. Technical Merit of Proposal
          1. Is the application complete?
          2. Does the narrative clarify goals?
          3. Is the budget correct?
          4. Is the writing clear, concise and g rammatically
              correct?
          5. Is the application appropriate to one of the
              categories?
     B. Organizational Strength/ Implementation
          1. Does the organization have a clearly stated mission
              statement?
          2. To what degree do regular programs and services
              meet the mission?
          3. Does the actual performance of the organization over
              the past year, as described in the grant application,
              reflect well-t hought out and well-executed programs?
          4. Does the record of the applicant demonstrate that the
              proposed activities will be completed during the grant
              period wit h the funds requested?
          5. Does the record of the applicant demonstrate that the
              grant funds will be managed successfully?
          6. Who comprises the administrative staff and what are
              their skills and qualifications?
          7. Could the applicant organization continue the
              endeavor should it lose an administrative principal?


            9
                         8.   Does the organization have an effective, efficient and
                              resourceful strategy for implementing upcoming arts
                              programs?
                         9.   Does the applicant have a budget that reflects a
                              stable organization? Does the budget clearly alloc ate
                              resources efficiently and effectively to accomplish the
                              proposed project and that specifically demonstrates
                              how HCA C monies will contribute to the project?

                     C. Financ e
                         1. Are costs realistic?
                         2. Is the addition/subtraction correct?
                         3. Is the requested financing within the guidelines for the
                             percentage of total budget?
                         4. Although donated in-kind goods and servic es do not
                             qualify towards matching funds, are they specified in
                             the grant application?
                         5. Does the applicant’s previous grant record
                             demonstrate that the requested funds will be used as
                             intended?
                         6. Are the financial records of the applicant organization
                             complete and understandable for the last two years?
                         7. Does the application indicat e sound financial planning
                             and management?
                         8. Has the application adequately documented the
                             estimated costs of the project?
                         9. If appropriat e, was the applicant organization realistic
                             in projecting costs and revenues in the preceding two
                             years?
                         10. What proportion of the organization’s total expenses
                             is to be met from HCA C funding?
                         11. Does the applicant maintain diverse funding sourc es?
                         12. During the preceding two years, what total funds were
                             obtained from other sources ?
                         13. What other sources of funding are being solicited to
                             support this application?
                         15. Is the previous year’s final report to HCAC filed and
                             complete?


Di sclosure   As a private 501(c)3 that receives public funds, HCA C is committed
              to provide equal opportunity in all facets of its operation without
              regard to race, sex, age, color, religion, or national origin. HCA C
              also affirms its policy of equal opportunity for individuals with physical
              or developmental handicaps. HCA C complies wit h Title V I, Section
              601, of the Civil Rights Act of 1964; Title IV, Section 1681, of the
              Education Amendments of 1972, and the Age Discrimination Act of
              1975, Section 6101; and with section 504 of the Rehabilitation Act of
              1973, as amended, and the Americans wit h Disabilities Act of 1990.




                              10
Appeals Proce ss   The Howard County Arts Council takes care during the entire
                   grants review process to be as thorough as possible to ensu re fair
                   and equitable distribution of grant monies. Therefore, simple
                   dissatisfaction with the denial of an award or with the amount of
                   the award is not sufficient reason for appeal. Reconsideration of a
                   grant award will take place only if there has been a procedural
                   impropriety or error. This means one of the following:
                    A decision based on review criteria other than those stated in
                       the guidelines.
                    A decision based on a recommendation of a panelist with
                       undisclosed conflict of interest.
                    A decision based on mat erial provided to panelists and/or
                       HCA C Board members that was substantially incorrect,
                       inaccurat e, or incomplete despite the applicant having
                       provided the staff with correct, accurate, and complete
                       application information by the applic ation due date.

                   Di ssati sfaction with the denial of an award or with the amount
                   of the award is not sufficient reason for appeal.

                   Given this information, should an applicant feel there is legitimate
                   reason for appeal, the applicant must write a letter to the HCAC
                   Executive Director stating the grounds for appeal within fifteen
                   (15) days of the postmark date of the notification. The Committee
                   on Grants will review the appeal and make a recommendation.
                   Based on that recommendation, the Board of Directors will make
                   a final decision. The applicant will receive written notification on
                   the determination of the appeal within 45 days of the receipt of the
                   letter of appeal.




                               11
                                                                                   For Office Use Only
                                                                                 App. #:
HOWARD COUNTY ARTS COUNCIL                                                       Rec’d:
8510 High Ridge Road                                                             Request:
Ellicott City, MD 21043
410/313-2787

                                  GENERAL OPERATING GRANT
                                             FY 2011
                                  (JULY 1, 2010 - JUNE 30, 2011)

Please read all instructions before completing this application. The original application plus twelve (12)
copies (total of 13 copies) must be submitted by April 16, 2010 at 4 PM. After your application is
reviewed, you may be asked to clarify or augment information. Incomplete or incorrectly completed
applications will be returned.

1. Applicant Organiz ation _______________________________________________________________

2. Applicant Street Address _____________________________________________________________

3. City ____________________________ 4. State __________ 5. Zip ________________

6. Primary Contact Person ________________________ ______ 7. Title ________________________

8. Phone (office) __________________________ 9. E-mail ____________________________

10. What is your organization’s mission statement?




11. What are the primary goals of your organization for the upcoming grant period? Include specific
artistic, cultural, educational, and organizational goals and describe any new FY11 activities planned to
help achieve these goals. Please attach an additional 8½”x11” sheet if necessary.




                                                      12
12. In an outline-summary in the spac e below indicate (a) your specific programs, services, and activities;
(b) the specific audiences for each; (c) your efforts for increased diversity at all levels of your organizatio n
(programs, admin, audience, etc.); and (d) your efforts to provide opportunities for artists*.
 * Even if your organization is not primarily focused on the arts, you likely utilize artists to design exhibits and
participate in special projects and development activities, such as family days. Please be specific.




13. Describe specifically those parts of your organization’s programs that serve Howard County residents
    and how you reach out to them. Attach one additional 81/ 2” x 11” sheet if necessary.




                                                           13
14. To date, approximately how many Howard County residents did your organization serve in FY2010?
__________ In the space below, pleas e explain your met hod of determining this figure.




15. Please specify the number of Howard County residents served in FY2010 to date through the following
types of programs (where applicable):

                                                  # Served               School/Site name(s)
                                                                         Attach additional pages if
                                                                         necessary.
        Subscribers                               ________
        Single Ticket Buyers/Admissions           ________
        Members                                   ________
        Student Educ ational Tours                ________       _____________________________
        Student Performances                      ________       _____________________________
        Student Concerts                          ________       _____________________________
        Student Workshops                         ________       _____________________________
        Teacher Workshops                         ________       _____________________________
        Community outreach sites
        (i.e. senior cent ers, libraries, etc.)   ________       _____________________________
        Other (please specify)                                   _____________________________
        __________________________                ________       _____________________________
        __________________________                ________       _____________________________

16. Please identify the number of individuals who live or work in Howard County that currently serve your
organization in the following capacities:
        Board Members                     __________
        Committee Members                 __________
        Employees                         __________
        Artists                           __________
        Volunteers                        __________
        Interns                           __________

17. Please estimate the anticipated Howard County audience for FY 2011 __________________.




                                                     14
18. Describe the long-term goals for your organization. How will the proposed funding be used to advance
your organizational objectives?
                                     DO NOT EX CEED THIS SPACE




                                                   15
19. List other organizations to whic h you have applied or intend to apply for funding of $10,000 or more in
    FY 2011. Note the amount you are requesting and the status of the request. If necessary, attach an
    additional sheet of paper.

Organization                     Amount Requested          Status (pending, funded, or declined)

__________________________________________________________________________________
__________________________________________________________________________________
____________________________________ ______________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


20. Describe below non-cash donations (in-kind services, space, materials, printing, etc.) given to your
    organization. If necessary, attach an additional sheet of paper.

        Organization                     Type of Donation                  Estimated Amount
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
21. A. Please attach one copy of the following materials to your application. If these materials are not
     attached, your application will be returned.
         1. IRS 501(c)(3) Determination letter. We will keep your organization’s IRS 501(c )(3) on file, so it
            will not be necessary to submit, unless there is a change in the organizations non-profit status.
         2. Most recent financial statement for fiscal year 2010 (Quarterly or monthly), including income
            and expenses.
         3. Financial summary statement or audited statement for fiscal year 2009, signed by a
            professional accountant or your organization’s fiscal officer. Submit only if it was not submitted
            with your FY 2009 Final Report
         4. Names and addresses of current board of directors.
         5. A copy of the organization’s board resolution or minut es confirming board officers signed by
            the organization’s Secretary
         6. Resumes of principal administrative and artistic staff.
         7. A separate list of school and other groups from Howard County served and attendance figures
            for FY2010.
    B. Please attach three copies of the following materials to your application. If these materials are not
    attached, your application will be returned. Please note where the Howard County Arts Council and
    the Howard County Government are acknowledged.


                                                      16
          1.   Copies of catalogues, reviews, programs, brochures, or promotional materials related to the
               organization’s arts activities during the past fiscal year.
                                         GENERAL OP ERATING BUDGET

EXP ENS ES                                 FY 2011 Projected       FY 2010 Estimated        FY 2009 Actual

22.   Salaries-Artistic                    _____________           _____________            ____________
23.   Salaries-Tec hnical                  _____________           _____________            ____________
24.   Salaries-Administrative              _____________           _____________            ____________
25.   Space (rent and utilities)           _____________           _____________            ____________
26.   Printing & Postage                   _____________           _____________            ____________
27.   Marketing/Advertising                _____________           _____________            ____________
28.   Office Supplies                      _____________           _____________            ____________
29.   Program Costs                        _____________           _____________            ____________
30.   Insurance
31.   Other**
      _______________________              _____________           _____________            ____________
      _______________________              _____________           _____________            ____________

32.   Sub-total expense s                  _____________           _____________            ____________
33.   Travel                               _____________           _____________            ____________
34.   Capital expenses                     _____________           _____________            ____________
35.   Fundraising                          _____________           _____________            ____________

36. TOTAL EXP ENSES                        _____________           _____________            ____________

REVENUES

37. Admissions                             _____________           _____________            ____________
38. Contracted services
    (tuition, workshop fees, etc.)         _____________           _____________            ____________
39. Memberships                            _____________           _____________            ____________
40. Int erest on accounts                  _____________           _____________            ____________
41. Individual contributions               _____________           _____________            ____________
42. Corporat e support                     _____________           _____________            ____________
43. Foundation support                     _____________           _____________            ____________
44. State grants                           _____________           _____________            ____________
45. Federal grants                         _____________           _____________            ____________
46. City/County grants                     _____________           _____________            ____________
47. Cash on hand
    & carry over**                         _____________           _____________            ____________
48. Other revenue**
    _______________________                _____________          _____________               ____________
    _______________________                _____________          _____________               ____________
    _______________________                _____________          _____________               ____________
49. HCAC grant request*                    ___________   actual award __________      actual award_________
50. Sub-total Revenues                     _____________          _____________               ____________
51. Capital revenues                       _____________          _____________               ____________
52. Fundraising
53. TOTAL REV ENUES                        _____________           _____________            ____________

If your organization is increasing or dec reasing its budget by 20% or more in any line, please explain, by
line on a separate sheet of paper, the reasons for increas e or decrease. Please elaborate on the specific
areas of growth for the upcoming year in question 11.
Request cannot exceed 1/2 of total expenses.
* GRANT REQUES T: FY 2011 request MUS T be calculated on actual cash expenses (line 32) for FY2009,
less travel and capital expenses. HCA C does not fund deficits, capital expenses, or purchases of
permanent equipment, travel or fundraising.
** Please explain source of these funds.

                                                       17
54. I certify that all information contained in this application and thes e attachments is true and accurate.

        Authorized signature _________________________________ Title _______________________

        Typed name of signer __________________________________ Date ____________________


All applications and supplemental information must be sent or hand delivered to:

                                        Howard County Arts Council
                                          8510 High Ridge Road
                                          Ellicott City, MD 21043




NON-DISCRIMINATION STATEMENT
Title IV of the Civil Rights Act of 1964 provides that:

“No pers on in the United States shall, on the grounds of race, color, or national origin, be excluded from
participation in, be denied the benefits of, or be subjected to discrimination under any program or activity
receiving federal financial assistance.” (Section 601)

We have read the above statement and fully comply with its provisions.


                                           Authorized signature _________________________________


                                           Organization ________________________________________


                                           Date _______________________________________________




                                                          18
                                                                                         For Office Use Only
                                                                                       Grant #:
                                                                                       Rec’d:
                                                                                       Award:
                              HOWARD COUNTY ARTS COUNCIL
                         Baltimore City Arts & Cultural Grant Program
                                   FY 2011 FINAL REPORT

Please type all information. This report is must be submitted no later than July 15, 2011. A professional
audit must also be filed as soon as it is available. Additionally, please attach publicity materials along with
the Final Report and indicat e where the Howard County Arts Council and Howard County are
acknowledged in those materials. Future applications will not be considered unless the final report is
submitted. After your Final Report is reviewed, you may be asked to clarify or augment information.

1.      Organization Name ________________________________________________

2.      Primary contact person ____________________________________________

3.      Title ____________________________________________________________

4.      Phone (office) ______________________ E-Mail _________________________

5.      Please list the goals stated in your proposal and to what extent they were
        achieved. Do Not Exceed This Space

        Goals(s):




        Achievement(s):




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6.    Compare the actual number of people served with the number anticipated in your
      application.

      a.)      Total number of individuals:
               Actual ________ Anticipated ________

      b.)      Total number of Howard County individuals*:
               Actual ________ Anticipated ________
               *Please explain your methodology in determining these figures:

      c.)      Total number of artists*:
               Actual ________ Anticipated ________
      * Even if your organization is not primarily focused on the arts, you likely utilize artists to design exhibits and
      participate in special projects and development activities, such as family days. Please be more specific
      regarding artists.


7.    Please describe your organization’s general contributions to the Baltimore region.




8.    Please describe specifically those parts of your organization’s programs that serve
      Howard County citizens.




9. Please indicate the number of volunteers from Howard County that are involved with
your organization and how many hours of service they provide.
Number of Board Members ___________
Number of Non-Board Volunteers ___________
Total Number of Volunteer Hours ___________




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10.    Financial Statement

Cash Revenues                                        Cash Expenses

Admissions            __________________             Salaries – Artistic    __________________

Contracted Services                                  Salaries – Technical __________________
(tuition, workshops, etc.)________________
                                                     Salaries – Admin.      __________________
Memberships           __________________
                                                     Rent/Utilities         __________________
Interest              __________________
                                                     Printing/Postage       __________________
Indiv. Contibutions   __________________
                                                     Marketing/Advertising __________________
Corp. Contributions   __________________
                                                     Office Supplies        __________________
Foundations           __________________
                                                     Program Costs          __________________
Federal Grants        __________________
                                                     Insurance              __________________
State Grants          __________________
                                                     Other __________       __________________
City/County Grants    __________________
                                                     _______________        __________________
Cash-on-Hand/
Carry Over            __________________             _______________        __________________

HCAC Grant            __________________             Subtotal Expenses __________________

Other*_________       __________________             Travel                 __________________

______________        __________________             Fundraising            __________________

Subtotal Revenues __________________                 Capital Expenses       __________________

Capital Revenue       __________________             TOTAL Expenses         __________________

Fundraising           __________________

TOTAL Revenues        __________________

*Please list the sources of “Other”



11.    I certify that this financial statement is correct and represents the actual revenues and
       expenses for this organization’s program for FY2011.

       Date____________ Signature________________________________________

                         Please return to the HCAC by July 15, 2011.
                      HCAC, 8510 High Ridge Road, Ellicott City, MD 21043

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