Okoboji Foundation Grant Application 2022

Okoboji Foundation Grant Application

Application Deadline: March 1st
*** Please note you cannot save your application as you go. You must fill out the application completely in one sitting. You can print off the PDF version of the application from our website to work through and then submit your final application on-line. *

Yes, I understand that I am not able to save my work and must complete this form in one sitting.
Did you read the Okoboji Foundation Grant Guidelines found on the Foundation website at https://okobojifoundation.org/grant-application/? *

Yes No
2022 Grant Guidelines
Do you, or your fiscal sponsor, have an unpaid grant outstanding with the Okoboji Foundation? If you don't know, please feel free to contact the Foundation office at 712-332-7177.

Yes No
Organizations and those acting as fiscal sponsors cannot have more than one grant from the Okoboji Foundation. Please call the office for further direction at 712-332-7177.
Date of Application *

Month Day Year
Date
Application Submitted by: *

First Name Last Name

Organizational Information
Legal Name of Organization as listed with the IRS *
Organization Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Organization Phone
Please enter a valid phone number.
Organization Website
Name of contact person regarding this application

First Name Last Name
Contact Phone
Please enter a valid phone number.
Contact Email
example@example.com
Is your organization an IRS 501(c)3 or 170b unit of government? *

Yes No
Employer Identification Number (EIN) *
If you are not a 501(c)3 or a 170b unit of government you must have a fiscal sponsor. Please list name, address, phone, fiscal sponsor contact person and EIN number.

Fiscal Sponsor Name
Street Address      City   State   Zip
Area Code   Phone Number
Email
EIN
Level of Funding sought

Community Needs Grant ($500-$24,999) Leadership Grant ($25,000 or more)
Amount Requested

Request Summary
Organizational Mission Statement *

0/150
Name of Project *
Please provide a 2-3 sentence summary of your grant project request and impact. *

0/100
Total Project Cost *
Amount Requested of Okoboji Foundation *
Percentage of total cost requested from Okoboji Foundation *
Estimated number of people directly served by this project annually *
Target Demographics *
Project Completion Date *

Month Day Year
Date

Recognized Need
Prioritized Needs - Does your project address one or more of the Top 4 focus areas of the Okoboji Foundation? (Check all that apply.)

Arts & Culture Economic Development Lake Quality & Environment Outdoor Experiences None of these
Prioritized Needs - What specific need does your project meet and why is it important? Possible Points = 10 *
0/150
Project Description & Goals - Provide the issue and/or opportunity addressed by your project, along with project goals, objectives, and timeline. Possible Points = 10 *

0/250
Beneficial Partnerships
Partnerships - Is there Community support (volunteer and financial) for this project? Are you collaborating with any other nonprofits for this project? Possible Points = 5 *

0/175
Funds from other sources - Why are dollars needed from the Okoboji Foundation (vs. your own budget and/or individual donors)? What other funding sources will participate or are being sought? What funds have been raised to date? Possible Points = 15 *

0/200

Organizational Budget

Possible Points = 15 Please complete both the Organizational and Project budget to receive points for this section.
Name of the organization that will administer this grant. *
What is the TOTAL Organization's budget for the current fiscal year? *
You may attach a budget narrative with further explanation of organizational budget if necessary.

Cancel of

If other, please specify.

If other, please specify.
Total Expense Difference (Total Income less Total Expense) *
Comments or additional information for review and consideration of your organizational budget.

	Amount
US, County, or City Government Grants
County Endowment Funds or other Foundations
Corporations
Community Campaigns (i.e. Good Neighbor Fund)
Individual Contributions
Fundraising events and products
Membership income
In-kind support
Investment Income

	Amount
Government Contracts
Earned income (service fees, ticket sales, etc.)
Other (please specify below)

	Amount
Salaries & wages
Insurance, benefits, and other related taxes
Consultants and professional fees
Building loan payments, rent
Utilities
Equipment & supplies
Advertising & Marketing
Telephone, internet, communication costs
Postage, shipping, delivery
Printing & copying
Travel
Depreciation
In-kind expenses
Other (please specify below)

Project Budget

Include revenues and expenses for this project proposal only. The line items included in the income section may not all apply to your proposal. Please list at 0.

If other, please specify.

	Amount
Other Foundation or Government Grants
Sponsorships
Community Campaigns (i.e. Good Neighbor Fund)
Contributions
Fundraising events and activities
Membership income
In-kind support
Investment Income

	Amount
Government Contracts
Earned income (service fees, ticket sales, etc.)
Other (please specify below)

Project Expense/Cost *

	Item	Amount
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense
Expense

You may attach a budget narrative explaining project expense/cost in more detail if desired.

Cancel of
How much is being asked of the Okoboji Foundation in relationship to total project cost (percentage of total cost?) *
Comments or additional information for review and consideration of our project budget.

Lasting Positive Impact
If your project receives only partial funding from the Okoboji Foundation, how will this affect your ability to complete the project? *

0/100
Past Grant Recipient - Has your organization received other grants form the Okoboji Foundation in the past? If yes, please provide brief description of prior projects(s) funded.
Widespread Community Involvement/Economic Impact Development - How many people will directly benefit from this project annually? Will your project bring visitors to the area or provide community resources attractive to prospective employees to impact economic development? Will this project promote widespread community use, foster volunteer participation & citizen involvement? Possible Points = 15 *

0/350
Ongoing Funding - If the project is expected to continue beyond the grant period, describe plans for ensuring continued funding. (i.e. maintenance, upkeep, etc.) Possible Points = 5 *

0/150
Lasting Impact - What is the lasting positive impact of your project? What is the estimated "life expectancy" of the project, equipment, or facility based on industry standards for replacement? Possible Points = 15 *

0/350
Visual Recognition & Point of Pride - HOW and WHERE will the Okoboji Foundation receive clear, visual recognition for our partnership in your project? Possible Points = 10 *

0/175

Required Attachments

Your application MUST include one copy of each item below. Please limit attachments to 3 pages or less. No letters of support. If you have questions please call the Okoboji Foundation office at 712-332-7177 or email info@okbojifoundation.org.
Latest Federal IRS Tax-exempt status letter OR signed 'Letter of Intent' to act as a fiscal sponsor *

Cancel of
List of Board of Directors and affiliations (ex. Joe Smith - Physician; serves on A & B boards) *

Cancel of
Submission
The board of the grantee organization approves submission of this grant request and certifies that monies received from the Okoboji Foundation will be used solely for the project stated in this application. *

Yes. The board approves.
Board Chairman Name

First Name Last Name
Board Chairman Phone
Please enter a valid phone number.
Board Chairman Email
example@example.com
Should be Empty:

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Okoboji Foundation Grant Application

Organizational Information

Request Summary

Recognized Need

Beneficial Partnerships

Organizational Budget

Project Budget

Lasting Positive Impact

Required Attachments

Submission