Mini Grants | FACF | Fremont, NE

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Mini-Grants Application Form

Please complete this grant application form for one-time discretionary grants of up to $1,500. If your request exceeds $1,500, please complete the quarterly grant application form here.

Legal Name of Organization (Required)

Address (Required)

City (Required)

State (Required)

Zip (Required)

CEO Name and Title (Required)

Contact Name and Title (if different from CEO) (Required)

Telephone Number (Required)

Fax Number (Required)

Federal Tax ID Number (Required)

Website (if available)

Email Address (Required)

Organization Mission Statement (Required)

Year Organization was Founded (Required)

Current Year Operating Budget (Required)

$

Name of Project (Required)

Start Date (Required)

End Date (Required)

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Proposed number of people directly served by the project in Dodge County (Required)

Proposed number of people directly served by the project in Other County (Required)

Please list the communities where this project will take place (Required)

This project falls into the following Fremont Area Community Foundation Interest area

Education
Arts and Culture
Civic Improvement
Social Services
Health & Recreation

Requested Amount (Must not exceed $1,500) (Required)

$

Total Project Cost (Required)

$

Please provide a brief description of the project, desired results (Required)

Please include the following attachments:

Project Budget (Required)

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Copy of the organization’s 501(c)3 designation letter, or application (Required)

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Copy of the first page of the organization’s most recent filed IRS 990 Form (Required)

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List of Board of Directors and officers (Required)

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Most recent financial audit or compilation, if available

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The Fremont Area Community Foundation publishes a quarterly nonprofit needs report for Donor-Advised Fund holders. If you would prefer that your project NOT be included in this report, please indicate your preference here. Otherwise we will assume we have your permission.

No, thank you.

Authorized Signature and Endorsement:

The Board of Directors of our organization has approved the submission of this proposal. If we receive a grant, we agree to use the funds as specified in this request. We will allow the Fremont Area Community Foundation to use the information provided in this request in its publications and news releases, and will mention the Foundation’s support in any publications, news releases, or other publicity related to the project.

I agree

Acceptance of this grant also entitles the Fremont Area Community Foundation to send a representative to one of your board meetings to present the grant check, hear a little more about your organization, and share information about the Foundation.