3135-0112 NEA Organization & Project Profile Form

OMB Number: 3135-0112
Expiration Date: 11/30/2007

Organization & Project Profile
* Applicant (official IRS name):

fdsaffdsafdsafdfd

The National Endowment for the Arts collects basic descriptive information about all applicants and their projects. The information below will help the Arts Endowment to comply with the Government Performance and Results Act (GPRA) and will be used to develop statistical profiles of the projects that it funds to report to
Congress and the public. While your responses will not be a factor in the review of your application, this form is a required part of all application packages.

PART 1
This section collects information about the applicant. If you are a parent organization or the lead member of a consortium, your responses should relate to your organization, not the group or component on whose behalf you are applying.

* A. ORGANIZATIONAL STATUS: Select the one item which best describes the legal status of the organization:
● 02: Nonprofit organization

❍ 05: State government

❍ 07: County government

❍ 08: Municipal government

❍ 09: Tribal government

❍ 99: None of the above

* B. ORGANIZATIONAL DESCRIPTION: The following codes work in conjunction with the Organizational Discipline codes in C. below.
(e.g., select "Performing Group" here and "Theater" below to indicate that your organization is a theater company).
Select the one item which best describes the organization:
● 49: Artists' Community, Arts
Institute or Camp

❍ 32: Community Service Organization

❍ 12: Independent Press

❍ 03: Performing Group

❍ 27: Library

❍ 15: Arts Center

❍ 14: Fair or Festival

❍ 13: Literary Magazine

❍ 47: Presenter/Cultural Series
Organization

❍ 16: Arts Council or Agency

❍ 30: Foundation

❍ 11: Media-Film

❍ 17: Arts Service Organization

❍ 10: Gallery/Exhibition Space

❍ 45: Media-Radio

❍ 26: College or University

❍ 38: Government

❍ 46: Media-Television

❍ 28: Historical Society/
Commission

❍ 08: Museum-Art

❍ 29: Humanities Council or
Agency

❍ 19: School District
❍ 48: School of the Arts
❍ 50: Social Service Organization

❍ 09: Museum-Other

❍ 18: Union or Professional Association

❍ 07: Performance Facility

❍ 99: None of the above

* C. ORGANIZATIONAL DISCIPLINE: Select the one item which best describes the organization's area of work in the arts (not the project for which it is applying):
● 07: Crafts

❍ 10: Literature

❍ 03A: Opera

❍ 11: Interdisciplinary

❍ 01: Dance

❍ 09: Media Arts

❍ 08: Photography

❍ 14: Multidisciplinary

❍ 06: Design

❍ 02: Music

❍ 04: Theater

❍ 99: None of the above

❍ 12: Folklife/Traditional Arts

❍ 03B: Musical Theater

❍ 05: Visual Arts

❍ 13: Humanities

Tracking Number:

OMB Number: 3135-0112
Expiration Date: 11/30/2007

Organization & Project Profile

(continued)

* Applicant (official IRS name): fdsaffdsafdsafdfd

D. ORGANIZATIONAL RACE/ETHNICITY (OPTIONAL): Select the one item which best describes the predominant racial/ethnic identity of
the organization. If at least half of the board, staff, or membership belongs to one of the listed racial/ethnic groups, use that designation. If no
one group predominates, select "General":
❍ N: American Indian or Alaska
Native

❍ B: Black or African American
❍ H: Hispanic or Latino

❍ A: Asian

❍ O: Native Hawaiian or Other
Pacific Islander

❍ G: General

❍ W: White

E. ACCESSIBILITY (OPTIONAL): Check as applicable to indicate if the organization's board or staff includes an older adult
(65 years of age or older) or a person with a disability (a physical or mental impairment that substantially limits one or more major life
activities); otherwise leave blank.
✔ Older Adults
❏

✔ Individuals with Disabilities
❏

PART II
This section collects information about the project.
* A. PROJECT DISCIPLINE: Select the one item which best describes the project discipline or subject matter:
❍ 07: Crafts

❍ 09: Media Arts -

❍ 03B: Musical Theater

❍ 11: Interdisciplinary

❍ 01: Dance -

❍

09B: Audio

❍ 03A: Opera

❍ 14: Multidisciplinary

❍

01A: Ballet

❍

09A: Film

❍ 08: Photography

❍ 99: None of the above

❍

01C: Modern

❍

09C: Video

❍ 04: Theater -

❍

09D: Technology/
Experimental

❍

❍ 06: Design
❍ 12: Folklife/Traditional Arts
❍ 10: Literature

❍ 02: Music ❍

02B: Chamber

❍

02C: Choral

❍

02F: Jazz

❍

02D: New

❍

02I: Orchestral

04E: Theater for Young
Audiences

❍ 05: Visual Arts

B. PROJECT RACE/ETHNICITY (OPTIONAL): Select the one item which best describes the predominant racial/ethnic identity of the project.
If the majority of activities are intended to involve or act as a clear expression or representation of the cultural traditions of one particular group, or
deliver services to a designated population listed below, choose that group. If the activity is not designated to represent or reach any one particular
group, select "General":

❍ N: American Indian or Alaska
Native
❍ A: Asian

Tracking Number:

❍ B: Black or African American
❍ H: Hispanic or Latino

❍ O: Native Hawaiian or Other
Pacific Islander
❍ W: White

❍ G: General

Organization & Project Profile

OMB Number: 3135-0112
Expiration Date: 11/30/2007

(continued)

* Applicant (official IRS name): fdsaffdsafdsafdfd

* C. ACTIVITY TYPE: Select the one item which best describes the main activity of the project:
● 04: Artwork Creation
❍ 05: Concert/Performance/
Reading
❍ 06: Exhibition
❍ 08: Fair/Festival
❍ 09: Identification/ Documentation
❍ 16: Recording/Filming/ Taping

❍ 28: Writing About Art/
Criticism

❍ 15: Professional Support:
Artistic

❍ 18: Repair/Restoration/ Conservation

❍ 29: Professional Development/Training

❍ 22: Seminar/Conference

❍ 19: Research/Planning

❍ 25: Apprenticeship

❍ 33: Building Public Awareness

❍ 02: Audience Services
❍ 36: Broadcasting
❍ 24: Distribution of Art

❍ 17: Publication

❍ 34: Technical Assistance

❍ 20: School Residency
❍ 21: Other Residency
❍ 31: Curriculum Development/
Implementation
❍ 30: Student Assessment
❍ 35: Web Site/Internet Development
❍ 99: None of the above

❍ 12: Arts Instruction

❍ 13: Marketing
❍ 14: Professional Support: Administrative

D. PROJECT DESCRIPTORS: Select up to four items that represent a significant aspect of the project:
✔
❏ 9F: Accessibility

✔
❏ 9L: Arts for Youth

❏ 9O: Arts for Older Adults

❏ 9E: Arts for "At Risk" Persons
(Adults or Youth)
❏ 9Q: Arts and Health/Healing

✔
❏ 9D: Arts for Inner-City Communities
❏ 9C: Arts for Rural Communities

✔
❏ 9M: Presenting
❏ 9A: Computer/Digital Technology

❏ 9I: International Activity
❏ 9B: Touring

* E. ARTS EDUCATION: Select the one response that best characterizes the extent to which this project involves arts education:
(i.e., systematic educational efforts with measurable outcomes designed to increase knowledge of and/or skills in the arts):
● 99: None

50% or more with activities primarily directed to:

❍ 02: Some, but less than 50%

❍ 01A: K-Grade 12 Students
❍ 01D: Adult Learners
❍ 01C: Pre-Kindergarten Children
❍ 01B: Higher Education Students
❍ 01: Multiple Groups of Learners

Tracking Number:

Organization & Project Profile

OMB Number: 3135-0112
Expiration Date: 11/30/2007

(continued)

* Applicant (official IRS name): fdsaffdsafdsafdfd

For items F. and G. below, your figures should encompass only those activities and individuals directly affected by or involved in your project during the "Period of
Support" that you have indicated for your project (with one exception for broadcasts as noted in help tip for that item). Leave blank any items that are not applicable or for which you do not have actual figures or reasonable estimates.
F. PROJECT ACTIVITY:
432,432 # of artwork(s) to be created

432,432 # of artworks to be identified/documented

432,434 # of concerts/performances/readings

432,432 # of artists' residencies

432,432 # of lectures/demonstrations/ workshops/
symposiums

324,343 # of schools (pre-K through grade 12) that will
actively participate

432,432 # of exhibitions to be curated/presented

432,432 # of organizational partners

432,423 # of books and/or catalogues to be published

432,432 # of apprenticeships/internships

432,432 # of artworks to be conserved/restored to save
or prevent from decay or destruction

324,324 # of hours to be broadcast on radio, television,
or cable

G. PARTICIPANTS/AUDIENCES BENEFITING:
432,432,432 # of artists

432,432,432 Total # of individuals benefiting

432,432,434 # of teachers

432,432,434 For radio, television, and cable broadcasts,
total audience

432,432,432 # of children/youth

Tracking Number: