A capital expenditure is defined as an item, or group of items, with a life expectancy of more than three
years and a total cost of more than $500. Examples include computers, instruments, equipment, such as
lighting or sound equipment, new construction or the renovation of a cultural facility. (WAC reserves the right to
restrict funding of any item(s) regardless of cost that do not provide a significant public benefit)
If your projected expenses include capital expenses, please complete this form in addition to completing
the application. Requests for capital expenditures must meet all of the requirements outlined in the grant
guidelines and ALL of the following requirements. Please attest that each statement is true by checking the
box next to the statement:
The gra
nt is for a one-time or special need clearly justified by a longer-term public benefit.
The appl
icant can demonstrate a 2:1 financial match (comprised of cash and/or donated
goods or services):
The item
or group of items is not being purchased for a library, local cultural council,
municipal agency, religious organization, or school.
If your request meets these requirements, please answer the follow questions:
1. Please
demonstrate that you have the required matching funds by completing the below budget:
List the specific income sources you have already identified in the full budget that will be spent on
the capital expenditure. Matching Funds Required must equal Total Matching Funds.
Total Cost of Capital Expenditure
Maximum LCC Funding Allowed for this Expense*
*Maximum LCC Funding Allowed for this Expense: WAC will only fund up to one-third of the total cost of a capital expense.
For example, if the capital expense will cost a total of $3,000 to purchase, WAC will only fund up to $1,000 for the expense.
Sources of Matching Funds:
2. Why is t
his one-time/special purchase necessary?
(200 characters)
3. What l
onger-term public benefit will the item or group of items provide?
(200 characters)
4. Who will have access to the item or group of items and how will the item(s) be used? (200 characters)
SUPPLEMENTAL QUESTIONS FOR CAPITAL EXPENDITURES
