Common Cents Application for Donation

Common Cents Application for Donation

The Common Cents Board meets the first week of March, June, September and December. Applications are due by noon of the first day of these months.
Common Cents, a 501(c)3 non-profit entity operated separately from Red River Communications, awards funds to local non-profit and community organizations and offers emergency & medical assistance for local individuals.

Common Cents is funded by our customers when they round up their bills to the next dollar. These tax-deductible contributions average $0.40 per month.
Nearly 60% of our customers contribute to Common Cents.

The board of directors meets quarterly to review applications; if you are interested in applying, please complete the online application.

Common Cents Program Details:
- Local non-profits and community organizations who serve Red River Communications' service area are eligible to apply.
- The purpose of the request must be for a tangible project. Operating expenses and recurring expenses are not eligible.
- A maximum of $2,500 per calendar year can be awarded to an organization.
- Proof of fundraising efforts, non-profit status and cost documentation are required. Applications without this information will not be considered.
- Individuals requesting funds for emergency or medical purposes must be customers of Red River Communications.
- Ineligible or imcomplete applications will not be considered.
A separate volunteer Board of Directors of Red River Communication’s members oversees the Common Cents fund. It meets quarterly to review applications and approve donations. Thank you, board members, for your time and talents!

Do any of the following apply to the applicant?
Do any of the following apply to the purpose of this request?

Organization/Individual Information
Does this request come from an individual or an organization?

Organization Information
Organization Name
Main Contact Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Is the organization exempt from payment of income tax?
If yes, please attach a copy of Form 501(c) 3 from the IRS.

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Does this organization receive taxpayer funds?
If yes, please explain the taxpayer funds and amount you receive annually:
How many individuals, families, groups or towns served within Red River Communications' service area within the last year? (Please reference redrivercomm.com/find_services to see current service area)
Does your organization serve OUTSIDE the Red River Communications service area? (Please reference redrivercomm.com/find_services to see current service area)
If yes, please explain below:

Donation Request Details

Please complete each question completely.
State purpose of the request. A tangible project is required. (include as many details about the project as possible):
Anticipated Project Expense:
REQUIRED - Quote or bids received from contractor/supplier for materials or labor (needs to an official quote/bid):

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REQUIRED - Project Expense Breakdown:

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Funds needed for Project Completion:
Amount Requested from Common Cents ($2,500 maximum per calendar):
Money on Hand for Project:
List sources of funding and amount of funds raised thus far for this project/request, i.e. i.e. personal donations, raffles, events, grants received or applied for:
Other Documents:

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Other Documents:

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Individual Emergency or Medical Assistance Requests:

Please answer each question completely.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Is the applicant a member of Red River Rural Telephone Association (DBA Red River Communications)
Amount Requested from Common Cents:
State purpose of the request (include specific use of funds):

Disclaimers and Submit Application
The information contained in the statement is to obtain funding from Red River Communications' Common Cents grant program on behalf of the undersigned.

Each undersigned understands that the information provided herein is used in deciding to grant funding, and each undersigned represents and warrants that the information provided is accurate and complete and that Red River Communications' Common Cents Board of Directors may consider this statement as continuing to be accurate and correct until a written notice of a change is provided. Red River Communications' Common Cents is authorized to make all necessary inquiries to verify the accuracy of the statements made herein.

The applicant agrees to share information provided herein with other organizations/agencies by Red River Communications' Common Cents Board of Directors and to return the funds if said project is not completed.
First and Last Name of Signee/Organization Representative
If organization, Title of Representative
If for individual, name of person submitting on behalf of this individual
Signature
Has your organization received Common Cents funds within the last two years?

Thank you for inquiring about the funding through the Common Cents program.

Unfortunately, based on your response, your organization or project is ineligible for a Common Cents award.

Should be Empty:

Common Cents Application for Donation

Organization/Individual Information

Organization Information

Donation Request Details

Individual Emergency or Medical Assistance Requests:

Disclaimers and Submit Application