Merrill Iowa Foundation

Merrill High 1912
Merrill High School(1912 photo)

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MERRILL COMMUNITY FOUNDATION

2018 GRANT APPLICATION INSTRUCTIONS

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

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 recipients’ 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.

Please submit your completed application packet by mail or hand deliver to:

Beverly Fagan

314 Main Street

Box 858

Merrill Iowa 51038

Questions contact: Sara Jane Hauff at 319-610-4548

APPLICATIONS MUST BE RECEIVE BY April 15, 2018 GRANTS ANNOUNCED May 30, 2018

MERRILL COMMUNITY FOUNDATION

2018 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.

When filling out Cover Sheet 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 online at the ollowing web site: www.merrilliowa.info

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

MERRILL COMMUNITY FOUNDATION

2018 GRANT APPLICATION FORM

1st 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

     

    2018 COVER SHEET

     

    Date of application_____________

     


    Organization Information

     

    Name of organization legal name (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 (check one) Capital Support _____

     

    Program Support ______

     

    Project focus area (check the most appropriate: 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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