Notice of Intent to Apply
2020-2021 Community Investment Funding Cycle
Organization Name
*
Contact Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Website
*
Is your organization recognized as a 501(c)(3) tax exempt organization by the IRS?
*
Yes
No
Attach a copy of your organization's IRS Determination Letter 501(c)(3)
*
Browse Files
Cancel
of
Your organization's fiscal year is:
i.e. July 1 - June 30
The date your last audit was completed:
-
Month
-
Day
Year
Date
Comments, if your organization has not been audited within 7.5 months of the most recent fiscal year end.
During the application process, you will need to submit the following for your organization, please check any you will NOT be able to submit:
*
Audit for most recently completed fiscal year
990 for most recently completed fiscal year
Board Roster
My organization has each item listed above on file and will submit with grant application.
If awarded, you will also need to submit the following for your organization (please check any you will NOT be able to submit):
*
Conflict of Interest policy
Privacy policy (in regards to Website)
Bylaws and Articles of Incorporation
My organization has each item listed above on file and will both certify to this during application process and submit upon request, if approved for funding.
Please describe briefly the PROGRAM for which you are seeking funding:
*
2-3 Sentences, include target audience and project # to be served.
Under which United Way Impact Area do you plan to apply?
*
Education
Financial Stability
Health
I am not sure
Please indicate the dollar amount you plan to request:
*
Submit
Should be Empty: