2026 Grant Application
Organization Information
Organization Name:
*
DBA (if applicable):
EIN (Tax ID Number):
*
Is your organization a registered 501C3? (Yes or No):
*
FDACS Registration (Florida Department of Agriculture and Consumers Services):
*
Please provide appropriate documentation if your organization is EXEMPT
FDACS Exemption Letter
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Mailing Address:
*
Organization Physical Address:
*
City, State, ZIP:
*
Website:
Primary Contact Name:
*
Title:
Email:
*
example@example.com
Phone Number:
*
Format: (000) 000-0000.
Organizational Capacity
Number of Board Members:
*
Number of Employees - Full Time:
*
Number of Employees - Part Time:
*
Percentage of Board Members Who Made Financial Contributions in the Last 12 Months:
*
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Organization Overview
Mission Statement: (50 word maximum)
*
0/50
Population Served: (100-word max)
*
0/100
Current Programs: (200-word max)
*
0/200
Funding Request
Amount Requested: $
*
Project/Program Name:
Project Description: (200-word max)
*
0/200
Project Timeline: (If Applicable)
Start Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Geographic Area Served: (City/County/Region)
*
Project Impact & Outcomes
What need does this project address? (150-word max)
0/150
Expected outcomes of this project: (100-word max)
0/100
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How will the success of this project be measured? (100-word max)
0/100
Estimated number of individuals this project will serve:
Are there additional funding sources for this project?
*
Financial Information
Annual Operating Budget: S
*
Please attach the following:
Board of Directors - Names & Officer Roles Only (No biographies)
Current Year Organizational Budget vs Actual Report (within 60 days of application date)
Prior Year Organizational Budget vs Actual Report
Current Balance Sheet (within 60 days of application date)
Prior Year Balance Sheet
Prior Year Income Statement
Year To Date Income Statement (within 60 days of application date)
Most recent form 990
IRS 501(c)(3) Determination Letter
Florida Department of Agriculture and Consumer Services Certification
Board of Directors File Upload
*
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Current Year Budget File Upload
*
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Prior Year Budget File Upload
*
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Current Balance Sheet File Upload
*
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Prior Year Balance Sheet File Upload
*
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Prior Year Income Statement File Upload
*
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Year to Date Income Statement File Upload
*
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Most Recent Form 990 File Upload
*
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IRS 501(c)(3) Determination Letter File Upload
*
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Note: Organizations that solicit charitable contributions in the state of Florida are generally required to be
registered with the Florida Department of Agriculture and Consumer Services (FDACS).
Project Budget
Please attach Project Budget
Brief Budget Description: (100-word max)
0/100
Additional Information (optional)
Other Funding Sources as it pertains to this project (secured or pending): (75-word max)
0/75
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Additional Comments: (100-word max)
0/100
Certification & Signatures
By signing below, the undersigned certify that the information provided in this application is true and accurate to the best of their knowledge. Funds may not be used for political activity, lobbying, or purposes outside the approved project scope. The organization agrees to use any awarded funds solely for the purposes described and to comply with all reporting requirements of the Bear Family Foundation.
Executive Director Name:
*
First Name
Last Name
Signature:
*
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Board Chair Name:
*
First Name
Last Name
Signature:
*
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grant Reporting
A representative of the Bear Family Foundation may request a site visit of your organization.
Organizations receiving funding from the Bear Family Foundation may be asked to submit a brief report describing how funds were used and the impact of the program or project. This report may include program outcomes, number of individuals served, and a brief financial summary.
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