Assisting Charitable Endeavors (ACE) Grant Application

Assisting Charitable Endeavors (ACE) Grant Application

Montana State Fund supports Montana-based 501(c)(3) non-profit organizations that strive to improve the quality of life for Montana citizens. Respond to the information requested below.
Date

MonthDayYear
Date
Name of non-profit organization*
Is the non-profit a policyholder of MSF?*
*Asked for data collection/tracking purposes only; non-MSF policyholders are eligible to apply.
Has the non-profit received ACE grant funding from MSF in the past?*
*Asked for data collection/tracking purposes only.
If yes, when? And for how much?
*Asked for data collection/tracking purposes only.
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Name of Contact Person*
Title of Contact Person*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Description of Organization*
Please Attach a Copy of 501(c)(3)*

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Amount Requested*
Minimum grant request of $250 on all applications.
Source of Matching Funds*
Attach documentation of matching funds, including a letter clarifying source of funds as a dedicated matching funds grant. *

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Date of Event (if applicable)

MonthDayYear
Date
Please describe the non-profit's need and reason for requesting a grant. *
Grant requests from organizations with a religious connection may be funded if the grant will be used for a secular rather than a religious function. Please include documentation for our review verifying your function if you are an organization in this category.

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Please describe details of the proposed project with an itemized material list including cost breakdown (or estimated cost, if necessary).*
Itemized Material List

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How did you hear about the ACE program?*

WebsiteMSF EmployeeSafety Management ConsultantAgentOther
Montana State Fund does expect that any funds awarded through the ACE program will be properly used in the manner specified in the grant application. We will require you to provide us with a final report and accounting of the use of the funds within 30 days of completion of the project.
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