Organizational Grant Application

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1 Organizational Grant Application History Founded by brothers Luke and Matt Bonner in early 2013, Rock On Foundation (ROF) is a 501(c)(3) nonprofit organization that serves to increase community artistic and athletic opportunities. In the past, ROF has provided funds to support: -Municipal public basketball court renovations. -Community music school financial aid programs. -Development of an after school art program. -Life skills basketball camps for underprivileged youth. -Police Activities Leagues. Grant requests should not exceed $5,000. Grants are distributed based on Rock On's available funds. Eligibility To be eligible for a grant from ROF, all organizations must have 501(c)(3) nonprofit status from the Internal Revenue Service and be based in the state of New Hampshire. Municipalities are also welcome to apply. Funding requests must serve to increase community athletic or artistic opportunities. ROF does not discriminate based on age, gender, or level of ability, but does require applicants to demonstrate true financial need for their request. ROF's Grants Committee complies with ROF's Anti-Discrimination and Anti-Harassment Guide, and its Conflict of Interest bylaws. Grant Deadlines Grant applications are reviewed on an annual basis. Grants are accepted starting February 1. The deadline for grant submission is 11:59 PM ET April 5. Completed applications must be received by the above deadlines in order to be reviewed in that grant cycle. Submission Grant Applications can be submitted via our website at rockonfoundation.org/grants or ed to grants@rockonfoundation.org with the subject line "Organizational Grant."

2 Contact Information Date of Application Full Legal Organization Name Is there another name? (DBA) Street Address City State Zip Code Organization Website Contact Information for the organization's executive officer (Executive Director, CEO, President, etc.) Name Title Phone Number Contact Person's Name (if different) Title Phone Number

3 Organization Information Federal Tax ID Number 501(c)(3)? Yes No Year Established Total # of Board Members Total # of paid part-time staff members # of participants impacted by program Total # of paid full-time staff members Avg number of volunteers per yr Frequency/duration of contact with participants Organizational Mission Statement (350 character limit) Brief description of organization (500 character limit) Briefly describe the organization's target audience and geographic area of service, scope of current programs, and how they are aligned with the stated objectives of the ROF. (500 character limit)

4 Is financial need or limited access a consideration for those assisted by your organization? If so, how do you determine the need? (500 character limit) Grant Request Program/Project name Date of request Requested amount Percent of total budget Purpose of the request (choose a category--program, operations, capital, etc.) Provide a brief description of your organization's current situation and why you are requesting the grant. Include specific challenges and opportunities facing your organization. (1,000 character limit)

5 Describe more specifically how your organization will use the funds (1000 character limit) Describe your evaluation plan for the program. Please be specific about who will evaluate, expected dates for assessment, criteria for judging success--i.e. dollars saved, problems solved, etc. (500 character limit)

6 Financial Information Please provide the following information to the best of your ability from your latest fiscal year and from your current budget. In addition, you may attach your current organizational budget or program budget as related to the grant request. Revenue Total revenue from the most recent fiscal year of your program Program's current annual budget Organization's current annual budget Fees and earned income Funding from government sources Foundation grants Contributions from private sources Other TOTAL ANTICIPATED ANNUAL REVENUE Describe any other funding sources for the program/ project (500 character limit)

7 Expenses Total expenses from the most recent fiscal year of your program General and administrative Program services Fundraising and development Property, plant, equipment Other Describe any other expenses for the program/project (500 character limit) Describe any significant changes in your organization's income and expenses during the current fiscal year or projected into the next fiscal year (500 character limit)

8 If insufficient money is raised, how will that affect the program or the proposed project? (500 character limit) Previous grants received from Rock On Foundation Date Amount Purpose Organizations who have received grants from ROF must submit a report recapping use of past grant before any new grant funds will be distributed.

9 Terms, Conditions and Release By applying for an organizational grant from the Rock On Foundation, you hereby agree to the following terms and conditions. The Rock On Foundation stipulates that: A. Grant amounts and selections will be decided by the appointed Grants Committee. The Grants Committee will comply with Rock On Foundation s Anti-Discrimination and Anti-Harassment Guide, and its Conflict of Interest bylaws. B. Applications not submitted by the deadline or in a form that is required by this contest will not be considered eligible for a grant. Further, should your organization receive a grant from Rock On Foundation, you agree to grant Rock On Foundation a nonexclusive, worldwide, royalty free, perpetual license to A. Use mention of your organization and programs in publications in connection with the Rock On Foundation. B. Use mention of your organization and programs elsewhere in association with reporting of the Rock On Foundation. C. Rock On Foundation may also use mention of your organization and programs in other promotional and advertising material in support of its non-profit objective of increasing the presence of, and opportunities in, the arts and athletics. Such use includes, on the Rock On Foundation website, social media platforms, and possible brochures and other promotional materials. You also agree that: A. The Rock On Foundation reserves the right to reject any application without showing cause (in which case, Rock On Foundation may not use that submission for any purpose without the specific separate permission of the artist). B. Rock On Foundation reserves the right to extend the application deadline if need be. C. This Agreement may not be amended except by written agreement between the parties. Certification I certify that I am authorized to submit this grant request on behalf of the organization that will operate on the proposed project. Name Title (ED, CEO, etc.) Signature Name Title (Board Officer) Signature If you have any questions, please contact grants@rockonfoundation.org.

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