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Organization
or
Arts Related Business______________________________________________
Working
Artist_________________________________________
Director/Proprietor_______________________________
Phone_________________________
Address____________________________
Town, ________________, Zip_______________
E-mail________________________________
Web Site________________________________
STAFF/Employees;
number of paid full time employee/s_______
number of paid part
time employee/s______
number of paid seasonal employee/s_______
Are you a Volunteer
Organization? _____
number of Volunteers (not special events)______
Are you a 501(c) (3)?
______
Are you located within the Adirondack Park Blue Line?_____
Approximate number of individuals served,
Annual___________ and /or seasonal___________
Approximate amount of
total salary and employee benefits $________________
Approximate Annual
Operating Budget $_______________ |