GRANT APPLICATION PROCEDURES What is the Tama County Community Foundation The Tama County Community Foundation, an affiliate of the Community Foundation of Northeast Iowa, is created by and for the people of Tama County. The Community Foundation’s main goals are to support Tama County and to attract additional funds to assist donors in creating lasting legacies through a variety of giving options within Tama County.
What We Support The Tama County Community Foundation will provide grants to improve life in Tama County, Iowa. We want to help develop communities that people want to live in, as well as to benefit rural areas of the county. Areas of Foundation giving are: arts & culture, community affairs & development, education, environmental protection, health, historic preservation and human service.
Eligibility to Apply for Funding
Applying organizations must be tax-exempt, non-profit entities classified by the IRS as 501(c) (3) organizations or government entities. If you have questions about eligibility or this classification, please contact our administrative office at 319.287.9106. NOTE: The Fiscal/Legal Sponsorship Agreement form is located on pg. 5 of this application packet. This must be filled out by organizations that do not have a current 501(c) (3) or equivalent status. *Fiscal/Legal Sponsors are legally and financially responsible for funds that are approved and granted from TCCF. This form need not be filled out by 501(c) (3) or equivalent organizations. There are no set of criteria that, if met, will guarantee funding. If the organization has received past funding from the Tama County Community Foundation, all grant reporting must be up to date and in good standing, or they will be considered ineligible to apply. CONSIDER APPLYING! We look for new ways to have a positive impact on Tama County through innovative and high-impact grants.
Applying for a Grant Applicants interested in seeking grants from the Tama County Community Foundation are asked to submit a completed grant application: The Grant Application is available online on the Community Foundation’s website: www.tamaccf.org, as well as all banks in Tama County, City Clerk offices and the Tama County Economic Development office.
Awarded applicants are required to: 1. 2.
Sign a Terms of Grant Agreement clarifying legal parameters for use of the grant. Submit a short written report within six months on the outcome of the funded project.
Applications must be postmarked by March 15, 2011.
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How to submit: Submit only 1-sided pages. Original must be paper-clipped (please NO staples); Applications must be typed. Handwritten, incomplete or late applications cannot be considered.
Required Submissions:
Letter of Intent/Cover Letter (summarize who you are & what you want to accomplish) Grant Request Form Project budget Applicant’s most recent Financial Statement 501(c )(3) IRS determination Letter or equivalent proof of charitable status (and Fiscal/Legal Sponsorship form, if applicable)
Submit ONE complete Original application to our administrative headquarters in Waterloo : TCCF (c/o CFNEIA) PO Box 1176 Waterloo, Iowa 50704
Send another ONE copy to our local office in Toledo: Tama County Community Foundation PO Box 22 Toledo, Iowa 52342
When are grants awarded? Application Deadline: March 15, 2011 Charitable grants from the Tama Community Foundation will be approved by June 15, 2011. All applicants will be notified of the results of the grant process by June 30, 2011. Grant awards will be presented at a ceremony in July.
If you have questions contact: Any local governing committee member, OR Our headquarters at (319) 287-9106 or csween@cfneia.org
Tama County Community Foundation Governing Committee Mandy Gehring, Gladbrook, Chair Ellen Young, Traer, Vice-Chair Arlene Vondracek, Clutier, Secretary/Treas. Roger Ochs, Chelsea Gerry Kopriva, Clutier Rick Krug, Dysart Kent Folsom, Dysart Linn Snell, Elberon Nancy Braasch, Elberon Greg Ochs, Garwin Lori Leytham, Garwin Dennis Modlin, Gladbrook
Steve Mahr, Lincoln Susan Holubar, Montour Joyce Wiese, Montour Sue Carnahan, Tama Robert Tyynismaa, Tama Ray Murray, Toledo Brian Sokol, Toledo Janice Bazal, Vining Midge Horton, Vining Lindi Roelofse, County
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GRANT REQUEST FORM Date:_____________________ Legal Applicant Requesting Funding/Fiscal Sponsor: _____________________________________________________ Organization Conducting Project (if different from Legal Applicant/Fiscal Sponsor): ___________________________ Project: __________________________________________________________________________________
__________
Project Leader Phone: __________________ E-mail: _____________________________________________________ Legal Applicant/Fiscal Sponsor Address:_______________________ City: _______________ State: ____ Zip: ______ Legal Applicant/Fiscal Sponsor Contact Person and Title: _________________________________________________ Legal Applicant/Fiscal Sponsor Contact Person Phone: __________________ E-mail: _______________________________ Total Annual Amount Requesting: ________________ Total Project Budget:___________________ Agency Budget: ____________ Timeframe for Project: ________________________ Fed. Tax ID#/EIN of Legal Applicant/Fiscal Sponsor: _______________ Type of Request: New Program/Project Other: _______________________ Type of Project:
Arts & Culture
Historic Preservation I.
Equipment/Materials
Community Affairs & Development
General Operations/Existing Program
Education
Environmental Education & Protection
Organization A.
II.
Capital
Briefly describe the purpose of your organization:
Project A.
Describe the Community Need/Problem being addressed by this project.
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Health
Human Services
B.
C.
Project Description. 1.
Briefly describe the project.
2.
Describe expected outcomes. (How will you know if the project has been successful?)
Targeted Population. 1. 2. 3.
III.
Number of youth to be served: _________________ Age Group: _______________________ Number of Adults: ________________ Geographic Area:_____________________________________________________
Financial Information. A.
How will the funds you are requesting be used?
B.
Other Funding Sources: Please list all other sources of funding you have secured AND list pending financial requests. Please include who you requested funds from, the amount you requested and if funding has been approved. Please include general fundraising activity, total amount of money raised to date, and in-kind services information.
C.
IV.
Plans for on-going funding.
Required Signatures certifying the accuracy of the attached information
_______________________________________ Project Leader (if different than below)
_________ Date
______________________________ Print Name
______________________________________ Authorized Representative of Legal Applicant
__________ Date
_____________________________ Print Name
See page 2 of this application packet for submission criteria and required attachments. Grant Request and
attachments must not exceed 10 total printed pages. Submit 1 complete Original to our Headquarters in Waterloo: TCCF, PO Box 1176, Waterloo, Iowa 50704 Submit 1 copy to our local office: Tama County Community Foundation, PO Box 22, Toledo, Iowa 52342
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Fiscal/Legal Sponsorship Agreement Date:____________ Fiscal Sponsor (Legal Applicant):____________________________________________________ Fiscal Sponsor Contact Person and Email address: __________________________________________ ________________________________________________________________________________________ Fiscal Sponsor Full Mailing Address:______________________________________________________ ________________________________________________________________________________________ Sponsored Organization Conducting Project:_______________________________________________ Project Name:___________________________________________________________________________ __________________________ (Legal Applicant/Fiscal Sponsor, hereafter referred to as The Sponsor) has agreed to serve as a fiscal/program sponsor for the ________________ (Organization conducting project, hereafter referred to as the Sponsored Org.) as outlined in the attached application and supporting materials. The Board of Directors of The Sponsor has passed a resolution adopting the Sponsored Org.’s project as a program or project consistent with the Sponsor’s purpose and mission. The Sponsored Org.’s financial activities will be accounted for as a program of The Sponsor for IRS auditing and financial reporting purposes. Since the Sponsored Org. is not recognized by the IRS as a charitable tax-exempt entity, The Sponsor must exercise full control over the Sponsored Org.’s financial administration, management and disbursement of funds resulting from this grant application. The Sponsor has delegated _____________________ (name of person/s) as responsible for fulfilling of these accounting and reporting functions subject to the ultimate authority of the Board of Directors of The Sponsor. The Sponsor is responsible for ensuring completion of timely reports and submission of necessary financial statements to the Community Foundation’s Administrative Office (contact info below). Failure to insure timely reporting on behalf of the Sponsored Org./Sponsor will also result in a loss of good standing. This agreement will be in effect from the date of a grant award to support the above-named project until the grant funds are expended and the final report has been submitted and accepted. We agree to the terms stated above in this agreement:
Legal Applicant/ Fiscal Sponsor Representative Signature:_____________________________________ Printed Name: _______________________________________________________Date________________ Project Leader/Sponsored Organization Representative Signature: ______________________________ Printed Name: _________________________________________________________Date_______________ *Attach to this agreement the Fiscal Sponsor’s 501(c)(3) Tax-Exempt Determination Letter or comparable proof of charitable exemption. (i.e. a letter from a City, confirming their status as a government entity. Contact our Foundation Headquarters Office with questions, or for examples of a letter from a City.)*
CFNEIA * PO Box 1176 * Waterloo, Iowa 50704 * csween@cfneia.org * www.cfneia.org
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