step 1

GRANT PROPOSAL SUMMARY




step 2

GRANT NARRATIVE


step 3

Names and qualifications of persons responsible for implementing the program

Full Name Job Title Years with HOME Resume Attached
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes


step 4

BUDGET NARRATIVE (Max Length 300 Words)


step 5

PROGRAM/PROJECT BUDGET SUMMARY


step 6

INCOME SOURCES AND EXPEDITURES

FUNDER/SOURCE
Corporation, Individual
FUNDING TYPE
Grant, Loan, Donation, etc.
DATE FUNDS RECEIVED $ AMOUNT OF FUNDS RECEIVED HOW FUNDS WAS/WILL BE USED


REQUESTS FOR FUNDING FOR THE CURRENT YEAR AT THE TIME OF APPLICATION

FUNDER/SOURCE
Corporation, Individual
FUNDING TYPE
Grant, Loan, Donation, etc.
DATE REQUEST SUBMITTED $ AMOUNT REQUESTED PURPOSE FOR FUNDS Pending Approved
Yes Yes
Yes Yes
Yes Yes
Yes Yes
Yes Yes


step 7

BOARD MEMBER LIST AND QUALIFICATIONS


step 8

Complete the Board Resolution form below. Ensure it is signed by the authorized representatives.

RESOLUTION OF THE BOARD OF DIRECTORS OF

BE IT RESOLVED that, Executive Director of is hereby authorized and empowered for and on behalf and in the name of this corporation to enter into the following transaction:
Grant/contract with The Perry's Foundation, Inc. up to the requested amount of $ BE IT FURTHER RESOLVED that said officer is further authorized to execute any document as shall, in her sole discretion and judgment, be appropriate and desirable to accomplish the foregoing and containing such terms as she in her sole judgment deems advisable.




I certify that I am duly acting and qualified Secretary of and that:

  • has either applied for the 501(c)(3) exemption that is pending, or is a 501(c)(3) Corporation duly organized and existing under the nonprofit corporation laws of the State of Texas that all franchise and other taxes are not delinquent; that no proceedings are pending for forfeiture of its Charter or for its dissolution, voluntarily or involuntarily; that it is duly qualified to do business in the State of Texas and is in good standing with such state; that there is no provision in the Articles of Incorporation or Bylaws of said nonprofit corporation limiting the power of the Board of Directors to pass the resolution set out above and that the same in conformity with the provisions of said Articles and Bylaws; and
  • The above foregoing constitutes a true and correct copy of a resolution duly adopted at a meeting of the Board of Directors of said corporation held on at which meeting a quorum was present and voted in favor of said resolution and said resolution has never been modified or rescinded and is still in full force and effect.


Date:


,President/Chairman of the Board


, Secretary


step 9

Please complete and attach the Agreement to Implement Project/Program form executed by the executive or program director and the board president.

Agreement to Implement Project/Program if Funded

If awarded a grant, we will submit an interim report including an accounting of how we used the grant funds midway through project/program completion. We will submit a final report at the completion of the project/program.



To be signed by the program/project manager or executive director:



Executive Director/Program Manager



Date



To be signed by the board president:



Board President Authorization



Date


step 10

Please review your application thoroughly and print a copy for your records. Please note, The Board Resolution Form and the Agreement to Implement Project/Program if Funded form, must be signed. After you obtain the signatures on these two forms, upload the forms along with the other requested forms on the next page


step 11

ATTACHMENTS

Please attach the following documents to complete the form submissions.

Financial statements:

  • Operating Budget
  • Balance Sheets/Cash Flow Statements
  • Statements of support
  • 990 Form



Statement from the organization’s board of directors:

  • Resolution of the Board of Directors
  • Agreement to implement the project if funded

IRS 501(c)(3) determination notice

notice stating that the organization is tax-exempt
or
a copy of the organization’s fiscal agent’s 501(c)(3) with a letter from that organization stating its willingness to
serve.

Marketing Collateral: Brochures, promotional postcards, etc.

Resumes: (if any)


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