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Christ Fellowship Church Boynton Campus - Commissioner Cruz R15-055 R22-140 EXHIBIT "A" COMMUNITY SUPPORT FUNDS REQUEST FORM Part I - Summary of Request (to be completed by City Clerk) Date of Request: September 7, 2023 Requested by Mayor/Commissioner: Commissioner Cruz Amount Requested: $1,000 Recipient/Payee: Christ Fellowship Church Boynton Campus Description of project, program, or activity to be funded: Part II - Availability of funds The annual appropriation of funds available to the requesting Member of the Commission listed above is $6,000. The balance of funds available for the requesting Member of the Commission is $3,000. Accordingly: ✓ There are funds available as requested There are insufficient funds available as req -s -. Dated: 7 By. if Off_, 111411_•••••-' Maylee D: Jesus, Ci Clerk Part III-Eligibility Evaluation ✓ Public funds will not be used to improve private property unless there is a clear public need, purpose and benefit ✓ The recipient/payee provides services within the City ✓ The public purpose is beneficial to the entire community served by such donation Dated: By: Requesting Member of the City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2022-2023\Comm Cruz\Christ Fellowship.doc