3135-0112 Revenue Source Information (RAOs only)

Blanket Justification for NEA Funding Application Guidelines and Reporting Requirements

Revenue Source Information (RAOs only)

Blanket Justification for NEA Funding Application Guidelines and Reporting Requirements for Government Agencies

OMB: 3135-0112

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OMB No. 3135-0112
Expires 11/30/2016

Revenue Sources Information
To be completed by Regional Arts Organizations only.

Name of Regional Arts Organization:

Revenue Sources for the Past and Current Fiscal Years
Previous Fiscal Year

Current Fiscal Year

FY

FY

NEA Partnership Agreement

$

$

Other Federal

$

$

SAAs -- Direct Unrestricted1

$

$

SAAs -- Direct Restricted Regional2

$

$

SAAs -- Direct Restricted Non-Regional3

$

$

SAAs -- In-Kind4

$

$

Private and Corporate Contributions

$

$

Earned Income

$

$

SUBTOTAL

$

SAAs – Indirect Contributions5

$

GRAND TOTAL

$

1
2
3
4
5

0

$

0

$

0

$

Cash contributions (or dues) paid directly to the organization for unrestricted support of operations, programs, and services.
Direct cash contributions or contracts for support of specific multi-state programs or services to a member state.
Direct cash contributions for support of specific programs and services that are not multi-state.
Non-cash third-party contributions in support of the organization's programs or services.
Cash contributions not made directly to or through the organization's accounts but which support its programs or services.

0


File Typeapplication/pdf
File TitleGuidelines for State Arts Agencies
AuthorIMD
File Modified2014-06-12
File Created2011-04-07

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