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<br />E. <br /> <br />Financial/BudQet Information <br /> <br />1. <br /> <br />Total amount requested from DMF: <br /> <br />$10,000.00 <br /> <br />(Please complete the attached project budQet form, Appendix B, for the amount <br />being requested from Dakota Medical Foundation.) <br /> <br />The amount requested from DMF represents 11.2 % of the total project budget amount <br />of $89,000. (Please attach a total project budGet.) <br /> <br />2. <br /> <br />Please outline a proposed grant payment schedule according to your project's <br />cash flow needs. (Dakota Medical Foundation prefers to schedule payment dates <br />throughout the grant period, i.e. monthly, quarterly, or bi-annually versus <br />annually.) <br /> <br />The Parenting Resources Center would prefer to receive grant funds on a quarterly <br />payment schedule. <br /> <br />3. <br /> <br />Expected date project or expenditure of funds will begin: <br />July 1, 2004 <br /> <br />Expected date project will end or funds will be fully expended: <br />June 30, 2005 <br /> <br />4. <br /> <br />If Dakota Medical Foundation invests in your project, please describe how DMF's <br />grant award would be expended. <br /> <br />A DMF grant award would be expended to support parent education in Region V through <br />parenting classes, enhancing the parenting resources book and video library, fulfilling <br />the resource component of the program by addressing needs as they come to the <br />forefront and providing support to parents through information and referrals. (Please <br />refer to the attached project budget.) <br /> <br />5. Name other currently committed andlor potential sources of project funding and <br />the dollar amounts. <br />State of North Dakota - Dept of Human Services / Child Abuse Prevention <br />North Dakota State University Extension Service <br />Circle of Parents (Pending) <br />FM Area Foundation (Pending) <br />Dakota Medical Foundation (Pending) <br />North Dakota State University Extension Service <br />Cass County Government <br /> <br />********We are in the midst of budget discussions and grant writing and currently do not <br />have funding amounts for the fiscal year 2004-2005. <br />