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2. Guidelines and Instructions

   Applications must be received by Wednesday, February 15, 4:30 PM. Applications received after the above date and time will not be considered nor will extensions be permitted.

   The following documents are required and must be included in all applications:

   1.  Copy of the last audit or financial statements. If audited financials are not available, please provide a copy of the organization’s most recent IRS Form 990 tax return. 
   2. Organization budget for current year, including income and expenses.
   3. Board of Directors including addresses and phone numbers.
   4. A copy of the organization’s (or the fiscal agent’s) current IRS determination letter indicating 501(c)(3) tax-exempt status. 
   5. A copy of the organization’s Certificate of Good Standing from the Maryland Department of Assessments and Taxation. 
   6. A copy of the organization’s most recent annual report (if applicable). 
   7. If this request includes partner organizations, please provide a copy of a Memorandum of Understanding, support letters, or a description of the roles and responsibilities for each organization that is signed by all parties (if applicable). 

   If you have questions or any concerns, please contact us by email at communitygrants@annapolis.gov.

6. SECTION 1
8. Organization Name*
10. Contact*
11. Title*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone Number*
20. Fax Number
22. Email Address*
24. Federal ID #*
26. Incorporation Date*
27. 501(c)(3) Registration Date*
29. Project Title*
31. Project Location*
33. Amount Requested*
35. Other Funds*
37. Total Project Amount*
39. Is this a first time request?*

    1. Yes
    2. No
40. If "No" and you received funding in FY23, what was your award amount?*
42. CERTIFICATION

    First and Last Name of Chief Executive Officer

    *

    By entering First and Last Name of Chief Executive Officer I certify that I have reviewed this application and that to the best of my knowledge and belief, all the information provided in this application is true.

43. Date of Submission*
    Date of Submission
45. Title*
47. Address*
49. City*
50. State*
51. Zip Code*
53. Phone Number*
54. Fax Number
58. Email Address*
62. SECTION 2

    PERFORMANCE HISTORY (complete this section if you have been awarded a City of Annapolis Community Grant in the past)

    Please type N/A in each blank if you are a first time applicant

64. What year was your most recent grant award?
65. What was the amount of your award?
67. Please briefly outline the purpose of the award and evaluate your outcomes or progress towards your goal.
69. Additional material/photos may be uploaded as necessary
70. More material to upload
74. SECTION 3

    FY2024 GRANT REQUEST (all applicants should complete this section in its entirety)

    A. EXECUTIVE SUMMARY 

    Provide a brief summary of your project. Please be sure to include the following items: purpose of the project, number of people to be served, and how the city grant funds will be used. Your response should be concise and limited to 300 words. The executive summary for each applicant will appear in council documentation when Community Grants are discussed for the FY2024 budget.

76. Please limit the response to 300 words or 1500 characters.*
78. B. RATIONALE

    Identify the specific priority(ies) that your project and/or organization are hoping to address from Chapter 6.16.060 (B):

    1. Provides services that sustain and empower youth, families and individuals to move towards an improved quality of life and self-sufficiency;
    2. Provides programs that preserve and enhance a community's character;
    3. Provides programs that contribute to a vibrant economy; or
    4. Promotes programs that are integral to community revitalization, economic development and environmental sustainability.
80. Please limit the response to 100 words or 300 characters.*
82. C. PLAN DETAILS

    Please give a detailed description of the program or project for which you are applying for grant funding.  Include specifically the demographic you are hoping to reach including the expected participants and services that will be provided.  Describe the methodology you will follow for implementation and then evaluation.  Please give as many details as you think will be necessary for the evaluation team to fully understand your project and organization.  Additional materials/photos may be uploaded as necessary.   

84. Your project description*
88. SECTION 4

    BUDGET 

    Please download and complete the budget chart for this project including all budget items, the total budget for each item and the funds that are being requested for each line item.

    https://www.annapolis.gov/DocumentCenter/View/25235/Project-Budget-PDF

90. Budget Chart

    Once you fill out the Budget Chart, please upload it here.

94. SECTION 5

    DOCUMENT UPLOAD LIST

96. Recent (within 6 months) Certificate of Good Standing from the Maryland Department of Assessments and Taxation (Call 410-767-1340) to obtain a Certificate)*
97. List of the names of your Board of Directors, with addresses and phone numbers*
99. Copy of your latest audit or financial statement or Federal Tax Form 990*
100. Current operating budget *
102. IRS tax-exempt determination letter*
103. Annual Report (if applicable)
105. MOU (if applicable)
Leave This Blank:


107. 1. Receive an email copy of this form.
108. Email address

     This field is not part of the form submission.

109. Submit

* indicates a required field