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NYC Council Member Jessica Lappin forwards the following Budget Request Form for fiscal year 2009 to any Roosevelt Island organization seeking funding. Keep in mind that the deadline for applying for these funds is April1, 2008. The following Roosevelt Island organizations have previously received funds through Council Member Lappin’s office:COUNCIL MEMBER JESSICA S. LAPPIN BUDGET REQUEST FORMManhattan District 5 Fiscal Year 2009Organization Requesting Funding: _______________________________________________________________________________Address: ______________________________________________________________________________ Zip: __________________Organization Head: __________________________________ Budget Contact Person: __________________________________Title: _____________________________________________ Title: _________________________________________________Phone: ____________________________________________ Phone: _______________________________________________Fax: ______________________________________________ Fax: _________________________________________________Email: ____________________________________________ Email: ________________________________________________EXPENSE Budget Request: $___________________________ CAPITAL Budget Request: $____________________________________Cost of Total Program: $ _____________________________ FEIN# ___________________________________________________Is the organization a 501C-3? YES NO If NO, please list conduit ___________________________________Purpose of Funds Requested: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Description of Organization: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________If your organization received funding from the City Council in FY 2007, please describe funding received, purposes, and any outcomes or results:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please return by April 1, 2008 to Council Member Jessica S. Lappinc/o Caroline Mello250 Broadway, Suite 1804New York, NY 10007Fax (212) 442-5503