This document is a funding request form for a neighborhood council. It requests information such as the requester's name, committee name, payment details, and signatures. It asks if the requester is on the neighborhood council board, if the request is for recurring payment or a 1099 payment, and if the vendor is out-of-state. The form requires a public benefit statement describing how the funds will benefit the neighborhood. It provides areas for approval/denial by treasurer and neighborhood council board vote.