| 5.
Signatures
Your application must be signed by your executive director
and your board chair or his/her designee before it can
be considered.
6. List of Appendices
(to be submitted with
all applications)
Current Internal Revenue Service
letter which states that your organization is tax-exempt
and publicly supported under Section 501(c).
If
your original letter was issued before 1969, include
a recent confirmation letter from the IRS;
A copy of your most recent board-approved
financial statements for the current
fiscal year, showing
budget to actuals;
A
copy of your most recent audit. If the audit is not
for the most recent completed fiscal year, submit a
board approved, unaudited, year-end financial statement
showing expenditures and sources of revenue received;
Current annual operating budget
for your organization;
Board approved project budget
including:
- Projected
income;
- Direct
and indirect expenses;
- Budget
narrative (as needed to explain line items);
- Total
amount and sources of funds received, committed or
pending from other funding sources;
List of current organizational
donors;
Organizational chart, including
the total number of FTE's;
List of current board members
and officers;
A copy of your most recent Annual
Report, if available;
Final report (if the grant year
has ended) OR progress report (if the grant year has
not ended) on the last grant funded
by the Foundation, if applicable. Your report should
include the following information:
- A
financial report documenting that the grant funds
were used for the purpose intended, and a copy of
the final program budget with actuals;
- A
program progress report briefly describing the activities
carried out under the terms of the grant, as well
as any changes that occurred that differed from the
original proposal;
- A
summary of outcomes that were achieved, in terms of
real change in the lives of your constituents.
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