09-21-2021 Penserga CSF Request Add-OnW0,11<-0/1 ""�'PL
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EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
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R15-055
Date of Request: 9/21/2021
Requested by Mayor/Commissioner Commissioner Ty Penserga
Amount Requested $500.00
Recipient/Payee: Boynton Beach Bulldogs
Description of project, program, or activity to be funded: Activities related to the Boynton Beach
Bulldogs football team.
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $2,000.00.
The balance of funds available for the requesting Member of the Commission is $2,000.00.
Accordingly:
X There are funds available as requested
❑ There are insufficient funds available as requested
Dated: By: /
City/Clerk
Part III -Eligibility Evaluation
P Public funds will not be used to improve private property unless there is a clear public
need, purpose and benefit.
C� kThe recipient/payee provides services within the City.
V The public purpose is beneficial to the entire community served by such donation.
Dated: ob By:
Reque77
a City Commission
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EXHIBIT "A"
Ike
R15-055
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: 09/21/2021
Requested by Mayor/Commissioner: Commissioner Ty Penserga
Amount Requested $500.00
Recipient/Payee: Boynton Strong Community Outreach
Description of project, program, or activity to be funded: Funds will provide Boynton
Strong the ability to do activities that assist residents of Boynton Beach.
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $2,000.00.
The balance of funds available for the requesting Member of the Commission is
$1,500.00.
Accordingly:
X There are funds available as requested
❑ There are insufficient funds available as reques ed
Dated: By:
,. City 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
C' The public purpose is beneficial to the entire community served by such donation
Dated: A' By:
Requesting er o Commission
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6►"11 pleAqsejepu R15-055
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQUEST FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: 09/21/2021
Requested by Mayor/Commissioner: Commissioner Ty Penserga
Amount Requested $1,000.00
Recipient/Payee: Citrus Cove Elementary School
Description of project, program, or activity to be funded: Funds will be used for activities
related to the Musical Theatre Program.
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $2,000.00.
The balance of funds available for the requesting Member of the Commission is
$1,000.00.
Accordingly:
X There are funds available as requested
❑ There are insufficient funds available as requested
Dated: By:
City Clerk
Part III -Eligibility Evaluation
E 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
D"""The public purpose is beneficial to the entire community served by such donation
Dated: By: A
Reqin ommission