4. Describe how the purpose/request works or will work. List key measurable goals
and objectives.

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5. Identify other funding sources for this purpose / request, include individuals
and organizations that contribute to the success of this request. Do not include
funders or in-kind contributors.

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6. If requested, would you make a presentation to the Grants Committee or Executive
board about your organization and request? YES or NO

7. Has this Group/Organization ever applied or received funds from the Peoria
Diamond Club? ______

(If yes, include Date, Amount and purpose of previous request)

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8. (Did you provide: (circle one)

Completed Application & Cover Sheet? YES No N/A

Letter signed by CEO/Director?. YES NO N/A

Projected budget? YES NO N/A

IRS 501{c)(3) & 509(a) status current YES No N/A

Copy of latest financial statements YES NO N/A

If you answered NO or N/A above, please explain

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