ࡱ> 362 ibjbj22 y PikPiki $$f       b! ~^"~~ W ~  ~  V e60fm!!u!uZ@4N0  ,f~~~~! i:  NEW JERSEY DEPARTMENT OF AGRICULTURE APPLICATION FOR CHARITY RACING DAY MONEY The undersigned hereby applies for funds to be used for the care and placement in new homes of retired racehorses during the calendar year 2026.  ORGANIZATION________________________________________________ ADDRESS______________________________________________________ CITY_________________________________________________________ STATE ________________________________ ZIP CODE_______________ TELEPHONE __________________________________________________ VENDOR FEDERAL ID NUMBER _____________________________________ SIGNATURE_____________________________ DATE _________________ Description of how the funds will be used, specifically how they will benefit retired racehorses and the New Jersey Equine Industry, including estimates of the number of animals and/or people positively impacted because of the funds. Description of organization and its mission Please return this application by March 15,2026 to the New Jersey Department of Agriculture, P.O. Box 330, Trenton, New Jersey 08625 - att. Equine Programs New Jersey Department of Agriculture Affidavit of Performance The undersigned hereby acknowledges the receipt of _________________ on or about _______________ from the New Jersey Department of Agriculture to be used for the Horse Park of New Jersey or organizations that care for retired racehorses. The undersigned attests that these funds were expended for the following programs: The following is an itemization of all expenditures directly incurred with the use of the Charity Racing Day money. ATTACH PAID INVOICES, CANCELED CHECKS OR OTHER RECEIPTS which show your total expenditure. (Attach additional sheets as required) Organization _______________________________________________________________ Address __________________________________________________________________ City _________________________________ State __________________ Zip __________ Signature _________________________________________ Title ____________________ Subscribed and sworn to before me this __________________ day of __________________ 20 ____ ____________________________________________________ Notary Public of New Jersey Return this form before December 31,2026 to NJ Department of Agriculture, Division of Markets, P.O. Box 330, Trenton, New Jersey 08625-0330. 'PQ$ % c d ! ` a t ~ ʾ"hhU5CJOJQJ\^J"hh~W5CJOJQJ\^Jjh~WUmHnHuhBCJOJQJ^Jh\#CJOJQJ^Jh<'CJOJQJ^Jhi]CJOJQJ^J"hi]h~W5CJOJQJ\^Jh~WCJOJQJ^J2'PQ$ % c d ! ` a  & F `P`Pd$a$gd)y _ ` a b c $a$ _ ` a b c _>?*+ʾϴiϴʰ—ϴʰ—䴳ϴ"ʰ—5Cϴ^"'5Cϴ^"5Cϴ^< >?*+MNNihih~WOJQJaJhI4OJQJ^JaJhBOJQJ^JaJhOJQJ^JaJhIOJQJ^JaJh~WOJQJ^JaJ90PBP/ =!"#$% Dp< 00PBP/ =!"#$% Dpx2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH H`H Normal1$7$8$H$_HaJmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List <& < Footnote Reference.O. _0^`0PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vzt7.??Źڨd/L+[梃 _¯UjyA_/֖j-A %4\/%ި+K|h(Kmgk):b| H$Y 9DZ.6)A2&`RV!*_[`dI+^DL-)>qfoΟ~_'ҨrQrW_ƿw!pƦ7/_zqԵbp@m ?ItDl,(CjLQc׎O9!N@Iw{Xe3b|`:2˭A9Tn$ءy@Q&Q3,;sg8v%= CN4I ~> zHzw0u $J}*;(wL|$C޳q-!1,hEX>ZN yݾKt l&;HPm%6sq !&}] ~@Lw?%q d98@7C̜mia_Y㩓b8F vB{cNQqsu;6~@VƾzXU+f:OllD,E|=mVePاcGxe_+gj=HSԳ;{yи½|mHmA`0D_cU\+w/ 9MOJK:WnǯIUsffn`<"K*2:&w4]3۸cB/br;}̸uF̘G}ҙ3>-=k&ڂE%睸 |Te6pp1GZ&L~AdNPjĢP gFFz٫[ euRTVxC'c*ibQTz:"dC%1!4ZŲR?rՔ)Zf\5GμMO20V4'|:xt&Ԯiv +nD?TWq]_7.u)S 4?⦾@3;S,8;^K=7>̌cC ^$77&%Bn"cy@I K?L'CWc%WSc#^w}ܓ߭ei)$ Z`%v]:Blqwae&De*2JǐYG4OPQRlnຠtSi832IQ QrZ.afٽ\HYʚU6iaT&ly*o]M̹Qh2/woQoPSJŪ[lDY&`Riڊ0z۶ܫ/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!wG theme/theme/theme1.xmlPK-! ѐ'Q theme/theme/_rels/themeManager.xml.relsPK]L ai ! !;  i  Ni 8@(  t  s *? 3"?B S  ?i 0*rk k =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsState9*urn:schemas-microsoft-com:office:smarttagsplace k k t~    h k t~     k !!*X @ 0^`0OJQJo(CUJo"<' P'!N#NR\W]i]u\#&~WI#)yI40Z\BI'{i k @i @UnknownG.[x Times New Roman5Symbol3. .[x ArialCNComic Sans MSC. Aptos Display3. AptosG WP MathASymbolA$BCambria Math" hvsgwsgJ'gg! xxre e 3Q @P?&2!xxq $NEW JERSEY DEPARTMENT OF AGRICULTURE Lynn MathewsDashko, Cindy [AG] Oh+'0  (4 T ` l x(NEW JERSEY DEPARTMENT OF AGRICULTURELynn Mathews Normal.dotmDashko, Cindy [AG]4Microsoft Office Word@F#@I@$@Hg ՜.+,0 hp  State of New Jerseye  %NEW JERSEY DEPARTMENT OF AGRICULTURE Title  !#$%&'()+,-./0145O8M:;<=>?@ABCDEFGHIJKLNRoot Entry FV7@1Table!WordDocument y SummaryInformation("DocumentSummaryInformation8*MsoDataStoreVVJ2FCRL52LO==2 VVItem PropertiesOVN4K14EOUUZQ==2 VVItem  9'Properties @ DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. metaAttributes"/>  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89qCompObjr