Georgia RIAC Grant Support – RPAC Event Request Form

Georgia RIAC Grant Support – RPAC Event Request Form
This form is due on the 15th day of the month PRIOR to your event taking place. (Ex: if your event is in December, this form is due no later than November 15th, but you can always submit it before the deadline). RIAC meets on the first Wednesday of every month.
Association Name
Date

MonthDayYear
Date
Association Executive/CEO

First NameLast Name
Association Executive/CEO Email
example@example.com
Association Executive/CEO Phone
Please enter a valid phone number.Format: (000) 000-0000.
Association President

First NameLast Name
Association President Email
example@example.com
Association President Phone
Please enter a valid phone number.Format: (000) 000-0000.
Association RPAC Chair (if applicable)

First NameLast Name
Association RPAC Chair Email
example@example.com
Association RPAC Chair Phone
Please enter a valid phone number.Format: (000) 000-0000.

Event Description
Event Name
Event Date

MonthDayYear
Date
Event Start Time
Event End Time
Location
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Expected Attendance
General description of the event (including how funds will be raised)
Example: Auction, Chili Cookoff, Liquor Pull
Amount requested from RIAC (Cannot exceed $10,000)
Goal you set for the event
Has the Board applied or plans to apply for an NAR RPAC Fundraising Grant for this event?
Has the board requested funds for this event in previous years? Ask your Local Advocacy Manager if you are unsure.
Previous year's request amount
What percentage of goal did the board attain last year?
Open 2024 GARPAC Board Receipts Year End Report for reference.
What is the board’s RPAC goal ($) for the current year?
Open 2025 GARPAC Goals Report for reference.
Please describe the success of the previous event, including final RPAC funds raised.

Event Financials
Projected RPAC investments
Ticket Sales
Other ticketing options (table purchases, VIP tickets, etc.)
Auction item purchases **
Other RPAC Investments
Specify Other RPAC Investments
Total Investments
Expected Event Expenses
Auction Items
Entertainment
Other Expenses e.g. decorations, prizes, printing
Specify Other Expenses
Subtotal (of the above three)
Venue
Food and Beverage
Expected Expenses of the Event
One Third Rule*
Total Investments
Subtotal
If TOTAL INVESTMENTS are 3X the SUBTOTAL 1/3RD will be met.
Anticipated Funds to Pay Expenses
Sponsorships
RIAC Grant Requested
NAR RPAC Fundraising Grant Requested
Board funds
Other Funds
Specify Other Funds
Total Anticipated Funds to Pay Expenses
*Adherence to the “One-Third Rule” established by the Federal Election Commission Act is required. Until the “One-Third Rule” is satisfied, additional requests will be tabled.

[The rule provides that the value of the prizes, merchandise, or entertainment distributed (exclusive of food, beverage and facility expenses) to contributors at a fundraising event may not exceed one-third of the total contributions made by contributors at the event. Stated conversely, the event must result in total contributions not less than three times the costs of prizes and entertainment.]

Signature Page
NOTES:
- To be eligible to submit future RIAC requests, you must complete the Georgia RIAC Event Evaluation Form and return it to GAR within 10 days after the event. Future requests will be rejected if you have outstanding event evaluations.
- RPAC fundraising efforts must comply with Georgia law as well as with the Federal Election Campaign Act, which is why we request a breakdown of how the RIAC funds will be/were spent.
- If there are any RIAC funds unspent, return them to GAR via EFT with an explanation.
Your Email Address
Used for confirmation and follow-up communications
Signature
Date

MonthDayYear
Date
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