Your Name
Your Email
Name of organization
Organization website
Organization full address including mailing address if different
Organization phone number
Name and title of organization CEO or Executive Director
Address of Organization contact person
Phone number of organization contact person
Email of organization contact person
Organization IRS status (Corporation, Non-profit, etc. ...)
Is your organization an IRS 501(c)(3) not-for-profit?
If not, please explain
Please list IRS 501(c)(3) nonprofit or Federal tax-exempt number
Project name (if applicable)
Amount of funds requested
Total budget for this project
Period this funding will cover
Summarize the purpose of the project for which your organization is requesting support
Summarize how the funds will be expended. List specific budgetary items
Summarize how this project will benefit the community
How will this project be continued in future years?
If this project is only partially funded by the Foundation, how will partial funding affect the usefulness of the project
In the event this project is not funded by the Foundation, or not fully funded, list alternative sources of funding considered
Is funding requested from any other source
Total funding requested from additional sources
Will Foundation funding for this project be used as matching funds in an attempt to obtain additional funds
Will Foundation funding for this project directly benefit individuals who are not residents of Manatee County
What is the size of your organization’s annual budget in Manatee County
How many full time employees does your organization employ in Manatee County
Does your organization receive any appropriations or funding from federal, state, or local governments
Did your organization receive funding from the Foundation last year
How will this benefit the Conquistador Historical Foundation?
Do you agree to the Foundation requirements set forth above?
Enter Code:
