Saskatchewan Lotteries Community Grant Program. Guidelines & Application

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Saskatchewan Lotteries Community Grant Program Guidelines & Application Program Year: April 1, 2016 March 31, 2017 Deadline for Submission: April 30, 2016 Submit To: E-mail: sasklotteries@lloydminster.ca OR Mail/Drop-off: Saskatchewan Lotteries Community Grant Program Attention: Diana Ehelebe 2 nd Floor RCMP Building 5106 44 Street Lloydminster, AB T9V 0W2 For more Information: Contact the City of Lloydminster at 780-874-3710 Ext 2931 or sasklotteries@lloydminster.ca. www.lloydminster.ca/grants

PURPOSE & ELIGIBILTY The Saskatchewan Lotteries Community Grant Program is a partnership among Sask Sport Inc., SaskCulture Inc. and the Saskatchewan Parks and Recreation Association Inc. The grant program assists in the development of sport, culture and recreation programs by providing funds to non-profit community organizations operated by volunteers. The City of Lloydminster receives funds which are then distributed to local non-profit volunteer community groups to provide programs. The advancement of funds for the April 1, 2016 to March 31, 2017 fiscal year will be contingent upon confirmation of funding from Saskatchewan Lotteries Community Grant Program to the City of Lloydminster. The Saskatchewan Lotteries Community Grant Program is guided by the following: It provides access to sport, culture and recreation activities for all Saskatchewan people regardless of age, sex, ethnicity, economic status, physical or mental ability; It provides funds to community non-profit volunteer organizations in support of sport, culture and recreation programs; It allows communities to establish local priorities; and It stipulates that all participating groups, from administration to beneficiary, are responsible for ensuring complete and accurate accounting. PROGRAM OBJECTIVE The goal of the program is to get people involved in sport, culture and recreation activities by enabling communities to address the needs of local residents. A portion of the total grants funds issued by the City of Lloydminster must be used for programs aimed at increasing participation for under-represented populations within the City of Lloydminster, either in regular programs and/or by creating special programs to meet their needs. Examples of under-represented populations include indigenous people, seniors, women, youth at risk, economically disadvantaged, persons with a disability and single-parent families. PROGRAM CRITERIA Expenditures must be directly related to the delivery of a sport, culture or recreation program. The maximum funding level is 10,000 per program. The grant period is April 1, 2016 to March 31, 2017. The event/activity must take place, and expenditures must occur, within this grant period. Operation costs of facilities owned by the organization that are directly related to a program are eligible for 25% of the total grant for each program up to a maximum of 500 per program (including cleaning staff). Follow-ups verifying project expenditures must be submitted. Any program initiatives that are aimed at increasing participation in any under-represented populations should be clearly identified. Evidence of the direct involvement of under-represented populations in the planning, operating and evaluating of activities supported by the grant must be included in the follow-up report. Appropriate liability and participant s insurance is to be in place for events sponsored/ funded by the Community Grant Program, with evidence provided prior to funding. Groups receiving grants must publicly acknowledge Saskatchewan Lotteries and the City of Lloydminster within their activities and advertising. 2 of 9

The program is designed to provide funding for sport, culture and recreation programs. Therefore, the following expenditures are INELIGIBLE for grants: Construction, renovation, retrofit and repairs to buildings/facilities (this includes fixing doors, shingling roofs, installing flooring, moving/hauling dirt, etc.) Property taxes or insurance Alcoholic beverages Per Diems / Day Money Food or food related costs (this includes catering supplies, coffee pots, coffee, stoves, BBQ s, etc.) Membership fees in other lottery-funded organizations Prizes, cash, gifts, awards, honorariums, trophies, plaques and badges Out-of-province activities and travel (i.e. travel within Lloydminster or Saskatchewan is acceptable) Donations Subsidization of wages for full-time employees. Note: Eligible employment expenditures must be no more than 35 hours a week and no more than 90 days in a grant period (or 455 hours in a grant period), and are limited to gross wages and vacation pay (excludes CPP, EI, WCB, etc) Uniforms or personal items such as sweatbands and hats, including equipment for personal ownership. OBLIGATIONS OF GRANT RECIPIENTS Approved programs will initially receive 60% of the grant funds (contingent upon funding from Saskatchewan Lotteries to the City of Lloydminster). Confirmation of appropriate liability and participant s insurance for the program being funded must be provided before the initial grant installment. The estimated timeframe for first advances is July/August 2016. The remaining 40% will be distributed upon receipt of a satisfactory Project Report. Funds will be distributed to the extent they are supported by eligible receipts or financial statements. Grant recipients must submit a Project Report upon completion of the program, including: A completed Community Grant Project Report Form (available on the City of Lloydminster website www.lloydminster.ca/grants ). Copies of receipts and payroll records or audited financial statements prepared by a registered Certified Management Accountant/Certified Accountant/Certified General Accountant (CMA/CA/CGA) to verify expenditures. Payroll records must include time sheets and detailed paystubs. Note that Cheque Request forms, General Ledger printouts, purchase orders, petty cash vouchers, and cancelled cheques are not eligible for verification of expenses, unless supported by actual receipts. All eligible receipts must be dated within the grant period of April 1, 2016 March 31, 2017. Evidence of the direct involvement of under-represented populations in the planning, operating and evaluating of activities supported by the grant must be included. A description of how Saskatchewan Lotteries and the City of Lloydminster were publicly acknowledged as the source of funds for the program (samples may be requested). Complete reporting must be submitted directly to the City of Lloydminster 30 days following the end of the program or by April 30, 2017, whichever is earlier. Any organization not submitting the required reporting may be ineligible for future grant funding administered by the City of Lloydminster. Unused funds or funds used for purposes other than what was approved must be returned. The City of Lloydminster administers the grant program; however, final approval of the eligible expenses will be at the discretion of Saskatchewan Lotteries. Applications must be postmarked or e-mailed no later than April 30, 2016. Written notification of the grant application outcome will be provided July 2016. 3 of 9

APPLICANT INFORMATION Legal Name of Organization: Operating Name: (if different from above) Non-Profit Number: Mailing Address: Physical Address: (if different from above) Telephone Number: E-mail Address: (if applicable) CONTACT INFORMATION Primary Contact Person & Position: Phone Number(s): E-mail Address: ORGANIZATION OVERVIEW Provide a brief overview of your organization (i.e. mission, mandate, goals, programs, etc). PROGRAM OVERVIEW (for which funding is being applied for) Program Title: Funding Request Amount: Start and End Dates: What required category/categories does your program fall under? Sport Culture Recreation 4 of 9

Provide a detailed description of your program. Include objectives of the program, benefits to the participants, benefits to the community, and where the program will take place. Please provide sufficient detail to demonstrate how the program meets the objectives of the Saskatchewan Lotteries Community Grant Program. Identify the expected number of participants (i.e. per day, per week, minimum, maximum, etc.). Identify the intended target age groups of the participants (indicate as many as applicable). 0-10 11-20 21-30 31-40 41-50 50+ The Saskatchewan Lotteries Community Grant Program aims to increase participation for under-represented populations within communities through regular programming and/or special programs specifically meeting their needs. Which of the following under-represented populations will be included in your program? Please provide the estimated number of participants for each applicable category below. Note that actual figures will be required in the annual Follow-Up Report please ensure sufficient tracking is in place to obtain these figures. We do not expect participants from any of the under-represented populations noted below. Participation is expected from the following groups (identify estimated #): Indigenous People Economically Disadvantaged Seniors Persons with a Disability Women Single-Parent Families Youth at Risk 5 of 9

How will the above under-represented populations be involved in the planning, operations and evaluation of this program? Estimate how many volunteers are needed for this program and how they will be involved. Has this program been offered in the past? If so, what have been the successes and/or challenges? Identify partnerships with other organizations, if applicable, for this program and/or your organization. What outcomes do you hope to achieve by offering the program? How will you evaluate the results? 6 of 9

How will you publicly acknowledge Saskatchewan Lotteries and the City of Lloydminster as the source of funds for the program? Posters Word Of Mouth Newspaper Website Banners Speeches Newsletter Social Media Radio Station Promotional Bulletin Board Please include additional comments that the review committee should be aware of when reviewing your application. 7 of 9

PROGRAM BUDGET Please complete the following budget for the proposed program only, including as much detail as possible. Identify all sources of income, including self-generated revenue, donations, fundraising, registration fees, sponsorships, grants and other funding sources. Identify all anticipated expenditures for the proposed program (i.e. sports/music equipment, facility rental, facilitator/coach/contractor expense, admission fees, advertising, etc.). Please refer to the list of eligible and ineligible expenditures and categorize each expense accordingly, and provide as much detail as possible. NOTE: Copies of receipts and payroll records or audited financial statements are required to verify expenditures. Payroll records must include time sheets and detailed paystubs. Sources of Revenue For Proposed Program: Total Revenue Before Saskatchewan Lotteries Grant Request Saskatchewan Lotteries Grant Request (may not exceed Eligible Expenses below or grant maximum of 10,000) Total Revenue From All Sources Dollar Amount Expenditures for Proposed Program: Total Expenditures Eligible for Saskatchewan Lotteries Grant Ineligible for Saskatchewan Lotteries Grant Total Program Expenses 8 of 9

DECLARATION In making this application, we hereby represent to the City of Lloydminster s Saskatchewan Lotteries Community Grant program and declare that to the best of our knowledge and belief, the information provided is truthful and accurate, and the application is made on behalf of the named organization and with the Board of Directors full knowledge and consent. Furthermore, we agree to the following conditions: We have read the guidelines and agree to abide by all terms and conditions of the Saskatchewan Lotteries Community Grant Program. Confirmation of appropriate liability and participant s insurance for the program being funded must be provided before the initial grant installment will be issued. We agree to publicly acknowledge Saskatchewan Lotteries and the City of Lloydminster as sources of funds for the program. Grant funding, if approved, is based on the details provided in this application. The City of Lloydminster must be advised of any material changes to the program, and continued funding will be at the City s discretion. A Project Report is required within 30 days following the end of the program or by April 30, 2017, whichever is earlier, and is to be submitted directly to the City of Lloydminster. Any organization not submitting the required reporting may be ineligible for future grant funding administered by the City of Lloydminster. Unused funds or funds used for purposes other than what was approved must be returned. Late applications will not be accepted. Official Representatives (i.e. Chairperson & Treasurer): Name: Position: Signature Date Name: Position: Signature Date The personal information gathered will only be used or disclosed for the purposes for which it was collected or, in limited circumstances, in accordance with the Saskatchewan Local Authorities Freedom of Information and Protection of Privacy Act. 9 of 9