Form IMLS CARES Act 202 IMLS CARES Act 202 IMLS CARES Act 2020 Program Information Form

IMLS PROGRAM INFORMATION FORM

Section 1. Organizational Financial Information

1. Please complete the following table for the Organizational Unit for the three most recently completed fiscal years.

Fiscal Year	Total Revenue*	Total Expenses**	Surplus or Deficit

* For nonprofit tax filers, Total Revenue can be found on Line 12 of the IRS Form 990.

** For nonprofit tax filers, Total Expenses can be found on Line 18 of the IRS Form 990.

2. If you had a budget surplus or deficit greater than 10% of your annual operating budget for two or more of the three fiscal years listed above, please explain the circumstances of this surplus or deficit in the box below.

3. Were there any material weaknesses identified in your prior year’s audit report?

Yes

No

Not applicable

A material weakness is a deficiency, or combination of deficiencies, in internal control, such that there is a reasonable possibility that a material misstatement of the entity's financial statements will not be prevented, or detected and corrected on a timely basis. If yes, please explain in the box below.

4. Has your organization had an A-133 audit in the past three years?

Yes

No

Section 2. Agency-Level Goals

Select the IMLS agency-level goal that best aligns with your proposed project. Refer to Transforming Communities: IMLS Strategic Plan, 2018-2022 for details.

Promote Lifelong Learning

IMLS supports museums and libraries in providing learning opportunities for people of all ages, backgrounds, abilities, and interests.

Build Capacity

IMLS strengthens the training and capacity of museum and library staff to serve their communities.

Increase Public Access

IMLS supports museums and libraries in their efforts to increase access to information and ideas through stewarding collections and employing technology to reduce barriers and enable discovery.

Section 3. Eligibility

Select the set of eligibility criteria under which you are applying to this funding opportunity. Please see Section C1 of the Notice of Funding Opportunity for details.

Museum Entity

Library Entity

Federally Recognized Indian Tribe

An organization that primarily serves and represents Native Hawaiians