Please work from the updated version of the project budget that you submitted with your signed contract.

CONTRACT BUDGET:

Total cash income budgeted: $

Total cash expenses budgeted: $

If this budget has changed significantly since you signed your contract, please summarize any changes below. If your budget has not changed significantly (increased or decreased more than 40%), you do not need to complete this section.

REPROJECTED BUDGET AS OF DATE OF THIS REQUEST:

Total cash income budgeted: $

Total cash expenses budgeted: $

II. Your supplemental financial support request

Total cash income budgeted

(from contracted or reprojected budget, as applicable): $ (A)

Total cash income, in-hand or committed: $ (B)

Please list these actual income sources, including Creative Capital:

1) $

2) $

3) $

4) $

5) $

Total cash income still needed (A minus B): $ (C)

Amount requested from Creative Capital (up to $5000): $ (D)

Supplemental financial support is intended to help cover strategic needs associated with project completion. Please describe in detail:

The specific strategic need(s) that this support would address:

The impact that this support from Creative Capital would have upon your overall project goals:

Please break down your request by cost, indicating the basis for each cost (for example, current actual cost, estimated cost based upon previous project, etc.):

Has the nature of your project changed significantly from your original project description? If so, please describe.

III. Your other fundraising efforts

Please list any pending sources of support for this project (for example, foundations that you have applied to but have not yet heard from). Please include the amount of each request.

1)

2)

3)

4)

Please list any possible sources of support for this project (for example, foundations or individual donors you've identified but have not yet approached). Please include the likely amount of each request.

1)

2)

3)

4)

Please list any funders who have declined your request for support. Please include the amount of the request, plus the reason that you were denied funding, if known. (We ask for this information because we want to be fully aware of the realities faced by individual artists as you fundraise for your projects.)

1) Reason:

2) Reason:

3) Reason:

4) Reason:

General Questions Regarding Artists Services

What Services has Creative Capital provided that you have found useful? Not useful?

Can you give us any suggestions for how to better serve our grantees in the future?

Additional Comments:

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