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CITY OF <br />,l �SLESz <br />�_ <br />2. How many City of Sunny Isles Beach residents are served by your organization? <br />Click or tap here to enter text. <br />3. Does any other organization, agency, governmental entity, or group provide you <br />with funding or in-kind donations? Click or tap here to enter text. <br />If so, please state the name(s) and the amount(s) / type of in-kind: Click or tap <br />here to enter text. <br />If yes, please provide a detailed budget breakdown with funding sources. Click or <br />tap here to enter text. <br />4. Have you requested funds or an in-kind donation from the City of Sunny Isles <br />Beach previously? If yes, please provide amount, purpose, and date of donation, <br />or provide the reason for denial: Click or tap here to enter text. <br />5. Is this funding request to assist in meeting a required match to fund existing <br />programs or services, or for new services? Click or tap here to enter text. <br />If yes, please explain in detail: Click or tap here to enter text. <br />ADDITIONAL DOCUMENTATION <br />Please attach the following documents to complete your application: <br />✓ List of all Owners/Directors/Principals <br />✓ Sunny Isles Beach Lobbyist Registration form <br />✓ Organizations most recent tax returns <br />I hereby certify that I have read, understand, and agree to the charitable in-kind <br />donation request guidelines contained herein, and that the information provided is true <br />and correct. I understand that the approval and denial of all charitable in-kind donation <br />requests is in the sole discretion of the City of Sunny Isles Beach City Commission and <br />that if the request is approved a charitable in-kind donation agreement is required prior <br />to the distribution of any funds. <br />I acknowledge that this application becomes a public record and may be subject to <br />Florida's Sunshine Law. Florida has a very broad public records law. Most written <br />communications to or from city officials regarding city business are public records <br />available to the public and media upon request. <br />Click or tap here to enter text. <br />Printed Name and Title of Organization's Authorized Representative <br />Signature of Organization's Authorized Representative <br />15 <br />602 <br />