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Applicants must fill in all appropriate information and supporting statements. All information must be provided for the grant request to be considered by the Foundation. 

This includes:

 

  • Name of organization and contact person

 

  • Address, city, state and zip code

 

  • Phone and fax numbers

 

  • E-mail and website address

 

  • Brief organization history and description of existing services 

 

  • Description of the proposed project or program 

 

  • Specific dollar amount and purpose for the grant requested from the Foundation and date payment is needed

 

  • All entities asked to provide financial support to the proposed project or program

 

  • Project or program budget

 

  • Plans to support the project or program after the grant period, including a statement showing projected income sources 

 

  • Plan to evaluate the project or program 

 

  • List of Board members and their financial participation 

 

  • Names and qualifications of staff involved with the proposed project or program                       

  • The organization's current operating budget and year-to-date financial statements

 

  • The most recent external audit and most recent IRS Form 990 return filed    

 

  • A copy of the latest verification from the Internal Revenue Service of tax-exempt status as an organization described in Section 501(c)(3) of the Internal Revenue Code and describing the organization’s status as a public charity under Section 509(a) of the Internal Revenue Code 

 

  • Certification by submitting individual 

 

  • A Supporting Organization Information Request Form