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MERRILL COMMUNITY FOUNDATION

2019 GRANT APPLICATION INSTRUCTIONS

Grant amounts are dependent upon the allocation of interest funds available from the Merrill Community Foundation each year. Grant applications are due on April 15, 2018 Grant awards will be announced on May 30, 2018 and all grant applicants will be notified as to approval or denial.

Your organization must be a 501(c) (3) or a unit of government 170(b). Agencies that qualify as a 170(b) includecounties, cities, and schools and do not need an IRS letter. If the applicant is not a 501(c) (3) or 170(b)organization, a fiscal agent is required who is 501(c)(3) or 170(b). The fiscal agent will be responsible for grant funds. Provide the name, address, phone, and EIN number of the fiscal agent, as well as a letter of support from your fiscal agent.

We ask that the Merrill Community Foundation be given credit in media releases. YOU MUST RETURN ANY PORTION OF THE GRANT MONIES NOT USED FOR THE ORIGINAL DESIGNATED PURPOSE. A project report, including copies of paid receipts, must be submitted within twelve months of receipt of the grant check.(Successful grant recipients will receive an agreement form) The agreement form indicates the grant recipient's agreement to use the funds for the purpose requested.

COMPLETED APPLICATIONS MUST INCLUDE THE FOLLOWING...

1. Cover sheet and Application Form not to exceed a combined total of three pages. 5 copies each.

2. Completed budget sheet not to exceed one page. Include letters of commitment for in kind contributions and other funding source. 5 copies each.5 copies each.

3. List of Board of Directors or Officers and their contact information. 5 copies each.

4. If you are sponsored by a Fiscal Agent, include their Federal IRS non-profit status letter. 5 copies each.

5. Please staple collated applications in the upper left corner of the entire application and supporting materials. 5 copies each.

Questions, or to request a word document form via email
contact: Sara Jane Hauff at 319-610-4548


APPLICATIONS MUST BE RECEIVED BY April 15, 2019 GRANTS ANNOUNCED May 1, 2019

MERRILL COMMUNITY FOUNDATION

2019 GRANT APPLICATION INFORMATION

The Foundation of Merrill Iowa was formed to coordinate and provide philanthropic support for community betterment projects in the community of Merrill. The Community Foundation of Merrill Iowa is an affiliate of the Iowa Community Affiliate Network, a collaboration of the Community Foundation of Greater Des Moines and the Iowa Area Development Group Community Foundation. Each year the Foundation will make grant awards to worthwhile projects located in the community of Merrill.

Foundation of Merrill’s areas of emphasis include:

Individuals * Fundraisers * Debt reduction or budget shortfalls * Politics/causes * Religious purposes (this does not exclude grants to religious organizations for non-religious purposes) * Equipment, unless it is essential for the program * Ongoing expenses, such as wages * Endowments.

Please note the following: If requested funds are for Capital Support, designate which funds refer to repairs or improvement to buildings. If requested funds are for a Special Project, designate which funds refer to a one time event, project or program.

You may access the application forms below.

ALL APPLICATTIONS MUST BE TYPED OR COMPLETED ON A COMPUTER AS A WORD DOCUMENT, NO HAND WRITTEN APPLICATIONS WILL BE CONSIDERED


To apply, request an application packet from:

Merrill City Hall

608 Main Street 712-938-2514

eMail city hall

or

Beverly Fagan

314 Main Street

Box 858

Merrill Iowa 51038

A third option is to highlight and copy all purple text below. Paste copied text into your word processor. Enter your data, print in black text, and submit by mail to:

Beverly Fagan

314 Main Street

Box 858

Merrill Iowa 51038


MERRILL COMMUNITY FOUNDATION

2019 GRANT APPLICATION FORM

2nd year awards will be $50 to $300

1. What is the title of your project? (3-4 word description) Examples: Community Event's, After school children's program etc.

2. Briefly describe your organization's history (year organized) and major accomplishments.

3. Describe the proposed project for which funds are requested, including the goals and specific measurable objectives and timetable to reach project goal and by whom, when, and where it will be implemented.

4. Identify community needs that will be met as a result of this project. Do other organizations in your community address this need? Have you attempted to collaborate with others who provide this service? If so, why are your
services needed?

5. What other funding sources have you attempted to acquire,but were unsuccessful? Indicate the desired impact of your project and how you will measure and evaluate the results of the project. Be specific regarding community needs/issues your project will address.

 

MERRILL COMMUNITY FOUNDATION

2019 Applying Organization Information

 

*Date of application

 

*Legal Name of Organization (as listed with IRS)

 

*Organization address City, State, Zip Employer ID # (EIN) if applicable

 

*Phone, Fax, Web Site

 

*Name of contact person regarding this application Phone E-Mail

 

*Type of funding sought

Capital Support_____

Program Support_____

 

*Project focus area:

 

*Children _____

 

*Youth _____

 

*Families _____

 

*Education _____

 

*Environment _____

 

*Health and human services: _______

 

*Community Betterment ______

 

*Arts and Culture _____

 

*Is your organization an IRS 501 © (3) not-for-profit?

 

Yes _____ No_____

 

*Is your organization a 170b unit of government? (City, County, School) Yes_____ No_____

*IF NO, you must have a fiscal agent. Please list name, address, phone and fiscal agent contact person _____________________________________

Fiscal agent’s EIN number _______________________

 

*What is your fiscal Calendar? (MO/YR) to (MO/YR)__________________________

 

*Population Served _______________

 

*Grant monies needed? (MO/YR) to (MO/YR) _____________________

 

*Total project cost $____________

 

*Total requested from Foundation $____________

 

*What % of total funds needed for the project has been promised or acquired? ______________%

 

The signature of the president or board chair of your organization confirms that this application is being made in good faith, is true and correct to the applicant’s belief and knowledge, and for the purpose described in this application.

 

SIGNATURE_________________________________________

 

DATE_____________________

 

CHECKLIST: Be sure you have included the following in your grant application. Your application will not be considered if it is missing any one of the following as described in the instructions.

 

( 5 Stapled and Collated sets )

 

_____ Cover Sheet ( 1 page ) and Application form (not to exceed 2 pages)

 

_____ Project Budget Sheet ( 1 page )

 

_____ Include letters of commitment for in-kind contribution and other funding sources.

 

_____ List of Board of Directors/Officers with contact information.

 

_____ Your organizations latest 501 (c) (3) IRS non profit status letter, or that of your fiscal agent.

 

_____ Score Sheet

 



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