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<br />MIAMI-DADE COUNTY CULTURAL AFFAIRS COUNCIL <br />FY 1999-2000 COMMUNITY GRANTS PROGRAM ApPLICATION <br /> <br />Program Administrator: Andrea K. Dougherty <br />III NW I st Street. Suite 625 . Miami. FL 33128 <br />Phone: (305) 375.5829 · Fax: (305) 375-3068 <br />email: akd@co.miami-dade.fl.us <br /> <br />FY 1999-2000 COMMUNIT'( <br />GRANTS PROGRAM <br /> <br />CIIOO- <br /> <br />- <br />( I) Please check one: 0 First Quarter (I % I /99-1213 1/99) <br />o Second Quarter (0 I/O 1/00-03/31/00) <br /> <br />o Third Quarter (0<4/01/00-06130100) <br />o Fourth Quarter (07/01100-08131/00) <br /> <br />ORGANIZATION AND CONTACT INFORMATION <br /> <br />(2) Organization Name (exacdy as it appears on Artides of Incorporation): <br /> <br />(3) Applicant Institution Type: 0 Arts 0 Non-Arts <br />(4) FEI#: <br />(7) Required Pre-application Consultation: Date: <br />(8) Contact Name: <br />Contact Title: <br />Address: <br /> <br />(5) Year of Incorporation: <br />(6) State of Incorporation: <br />Time: <br /> <br />OMr. <br /> <br />o Mrs. <br /> <br />OMs. <br /> <br />o Miss <br /> <br />o Dr. <br /> <br />Phone (day): ( <br />Phone (other): ( <br />Fax: ( ) <br /> <br />) <br />) <br /> <br />City: <br />.- <br /> <br />(9) Project Title: <br /> <br />State: FL Zip: <br /> <br />Email: <br /> <br />(10) Actual Dates of Activities: <br />(II) Grant Start Date (month/day/year): <br /> <br />(12) Grant End Date(monthlday/year): <br /> <br />(13) Municipality in which project will take place (use codes): Primary: # _ _ <br /> <br />Secondary: # __ <br /> <br />01 Miami <br />02 Miami Beach <br />03 Coral Gables <br />04 Hialeah <br />05 Miami Springs <br />06 North Miami <br /> <br />07 North Miami Beach <br />08 Opa-Locka <br />09 Sout Miami <br />10 Homestead <br />II Miami Shores <br />12 BaI Harbour <br /> <br />13 Bay Harbor Island <br />14 Surfside <br />15 West Miami <br />16 Florida City <br />17 Biscayne Park Beach <br />18 EI Portal <br /> <br />19 Golden Beach <br />20 Pin<<rest <br />21 Indian Creek Village <br />22 Medley <br />23 North Bay Village <br />24 Key Biscayne <br /> <br />25 Sweetwater <br />26 V'Jrlinia Gardens <br />27 Hialeah Gardens <br />28 Aventura <br />291slandia <br />30 Unincorporated <br />31 Sunny Isles <br /> <br />(14) Miami-Dade Commiuion District: # _ _ <br /> <br />Florida State Senate District: <br /> <br />#_-- <br />#_- <br /> <br />Florida State House District: # _ _ U.S. Congress District: <br />(Please call the Miami-Dade County Elections Board at (305) 375-4600 for assistance with district inf'orrnation.) <br /> <br />(15) Primary Audience: 0 White, Not Hispanic 0 Hispanic 0 Caribbean 0 General (no specific emphasis) <br />(check only one) 0 Black, Not Hispanic 0 Asian 0 Other (specify): <br />(16) Expected Participation (number of individuals): Attending: Performing/Participating: <br />(17) Primary Population: 0 Children 0 At-Risk Youth/Adults 0 Persons with Disabilities <br /> <br />(check only one) <br /> <br />o Senior Citizens <br /> <br />o Minorities <br /> <br />o General (no specific emphasis) <br /> <br />FY 1999.2000 Comm...lty Grants Prorram AppIlcatlon <br /> <br />Page I of9 <br /> <br />CI-eO <br />