Please upload a copy of your 501(c)(3) status OR a letter of agreement and 501(c)(3) documentation from your fiscal agent.
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1 SECTION 1: Eligibility Requirements About your organization My organization is a current non-profit 501(c)(3) Please upload a copy of your 501(c)(3) status OR a letter of agreement and 501(c)(3) documentation from your fiscal agent. UMCC-501-c-3-Determination-Letter1.pdf My organization provides social services aimed at promoting the welfare of others in Knox County and/or Waldo County, Maine Yes My organization works within one or more for the following focus areas: Food Housing Health & Safety Economic Security I understand that United Midcoast Charities funds operations and programming but does not fund capital projects or endowments. Section 2: Demographics Name of organization Name of Nonprofit EIN number of organization or fiscal agent Physical Address 87 Elm St, Suite 205 Camden, Maine United States Map It Mailing Address (if different from physical location) PO Box XXX Camden, Maine United States Map It Contact Name Megan Williams Title Executive Director
2 Phone (207) Section 3: Interim Grant Results Report Did you receive a grant from UMC in 2017? Yes 2017 UMC Grant Amount xx The UMC grant was for: Programming/Project Support If Programming/Project Support, what is the name of the program/project supported by the grant? The Best Project Ever Focus area that applies to this grant Food Housing Health & Safety Economic Security Number of people served by this grant so far In Knox County: Number of people served by this grant so far In Waldo County: List up to five accomplishments or progress toward meeting your goals and objectives 1. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, 2. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, 3. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, Have there been any delays or obstacles in meeting objectives? If so, please explain them. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, How much of your award has been spent to date? x Interim Expense Reporting
3 Expense (what has the grant been spent on?) Expense 1 Expense 2 Amount Spent If you have not used all of your 2017 funding yet, what is your plan for the remaining funds? Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, Section 4: Grant Request Information Grant funds requested from UMC this year: Type of funds requested Program/Project If Program/Project Support, what is the title of the program/project that will be supported by this grant? The Next Best Project Number of paid staff workers, regardless of hours x Number of volunteers for your organization Estimated total volunteer hours for your organization per year Estimated number of people served by your organization (if requesting operational funds) or by this proposal (if requesting programming/project funds) x Knox County Waldo County Section 5: Narrative Questions What is the mission of your organization?
4 adipiscing elit. Ut elit tellus, NEED STATEMENT: What issue does the organization plan to address with this grant, and what is the outcome? What demographic will be served? Ut elit tellus, Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, List Goals Objectives Goal 1 Objective 1 Goal 2 Objective 2 What specific activities will be used to achieve goals and objectives? How will you measure progress? Ut elit tellus, Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, How do the goals and activities provide measurable progress in one or more of UMC s areas of focus (Food, Housing, Health& Safety, and Economic Security)? Ut elit tellus, Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, What is the timeline for the use of these grant funds? Include fundraising strategies, funds raised to date and other pending requests for this proposal. Ut elit tellus, Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, Explain any collaborations for this grant and how they might increase the value of the proposal and/or prevent duplication of services.
5 Ut elit tellus, Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, Other information we should know or consider in relation to this request? Ut elit tellus, Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, Section 6: Required Documentation A proposal budget that shows how the funds in this grant will be used. If your application is for operating costs, include a currentyear approved budget for the organization showing the expected use of UMC funds. 2017budget.pdf An audited profit and loss statement, or a completed income and expense statement if you do not have audited financials Year-end.pdf List of your Executive Director, Key Program Staff, Board Chair and Board Members, and their community or professional affiliations, if possible. 2017_18_UMC_BODlist.pdf
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