The goal of Good¢ents is to help build a stronger community. To meet this end, the Good¢ents Board of Trustees has developed general funding criteria. Funds may not be used for political or religious purposes, payment of utility bills, organized labor activities, fund raising, fund drives, advertising or ongoing operational expenses, including payroll. Please see the Good¢ents FAQs for a complete listing of the criteria. Grant applications may be submitted at any time, however, applications will only be reviewed quarterly. Consult the Good¢ents page for quarterly deadline dates. Stop ... If your organization does not hold a 501(c)(3) status, has received Good¢ents funding within the past 12 months or if your organization received 501(c)(3) status from the IRS less than 1 year ago, your organization is not eligible for funding at this time. If you have questions regarding the Good¢ents Program, call the Good¢ents message center at (907) 452-1151 or (800) 770-4832 or email GVEA Good¢ents. Messages will be returned within 1 business day.Organization Application Packet Checklist Please provide all items listed Application (signed and dated) Cover Letter (with details explaining the project that a potential grant would be used for) A budget or bid for the amount requested, with justifications and itemized details Current organizational budget Most recent IRS Form 990, 990-EZ or 990N Copy of the IRS form affirming 501(c)(3) status (must have been awarded at least 1 year prior to this application’s date) IRS Form W-9 Copy of most recent financial statements List of officers and directors and their addresses General InformationName of Organization(Required) Date Established (mm/dd/yyyy)(Required) Month Day Year Physical Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Website Contact Person(Required) Phone(Required)Email(Required) General objectives of the organization(Required)Previous grants received from Golden Valley Electric FoundationClick the + button to add a new rowPurposeDateAmount Add RemoveGrant Amount Requested(Required)Brief description of project or program for which funding is requested(Required)(Provide a brief summary statement from the required cover letter, which describes the project and request.)Other sources of funding to be applied to this projectClick the + button to add a new rowSourceAmount Add RemoveGeneral QuestionsIs this a new project/program within an established organization?(Required) Yes No Is this grant a supplement to an established project/program?(Required) Yes No How many GVEA members will benefit from this project/program(Required)Does the organization have tax-exempt status under section 501(c)(3) of the IRS Code?(Required)(If yes, please provide IRS application for nonprofit status, IRS Form 1023) Yes No Number of full-time equivalent paid employees(Required)Will this grant involve additional employees?(Required) Yes No How many?(Required)Is this organization a United Way Agency?(Required) Yes No Does this organization receive funding from United Way?(Required) Yes No Is this organization affiliated with any religious organizations?(Required) Yes No Have you applied or will you apply for state or federal funds?(Required) Yes No Please explain fully, including amounts, which may be available from those sources(Required)Will this be a continuing project?(Required) Yes No Please explain the source of funds for operation in subsequent years(Required)How do you plan to evaluate the success of your project/program?(Required)(If selected for a grant, a progress report may be required for fund distribution)Any other pertinent information, which would aid in the evaluation of your grant request(Required)Date the funds from this grant, if awarded, would be needed (mm/dd/yyyy)(Required) Month Day Year The following attachments must accompany this application: A cover letter (no longer than 2 pages) describing your project or program for which you are requesting funds. A budget or bid for the amount requested, with justifications and itemized details. Current organizational budget (if not available please explain). Most recent Form 990, 990-EZ or 990N submitted to IRS. Copy of the IRS form affirming 501(c)(3) status (must have been awarded at least one year prior to this application’s date). A completed copy of the IRS Form W-9. Financial statements of the organization must include, at a minimum, the Balance Sheet and Profit and Loss for the most recent fiscal year-end, and the Balance Sheet and Profit and Loss for the current fiscal year-to-date. If audited financial statements are available, please submit those. Otherwise, in-house financial statements are acceptable. If any of the above information is not available, please attach a statement explaining why it is not available. Failure to provide the above information, or a letter of explanation why the information is not available, will result in the application being deemed to be incomplete and no funds will be awarded. List of officers and directors and their addresses. List officers and directors and their addresses(Required)Click the + button to add a new rowNameRoleAddress Add RemoveRequired Documents (Please send as one PDF)(Required)1) Cover Letter (with details explaining the project that a potential grant would be used for) | 2) A budget or bid for the amount requested, with justifications and itemized details | 3) Current organizational budget | 4) Most recent IRS Form 990, 990-EZ or 990N | 5) Copy of the IRS form affirming 501(c)(3) status (must have been awarded at least 1 year prior to this application’s date) | 6) IRS Form W-9 | 7) Copy of most recent financial statements | 8) List of officers and directors and their addressesMax. file size: 300 MB.Note: The information contained in this application is for the purpose of obtaining funding from the Golden Valley Electric Foundation on behalf of the undersigned. Each undersigned understands the information provided herein is used in deciding grant funding, and each undersigned represents and warrants that the information provided is true and complete. The Foundation may consider this statement as continuing to be true and correct until a written notice of a change is provided. Golden Valley Electric Foundation is authorized to make all inquiries deemed necessary to verify the accuracy of the statements made herein. Please take note of the following: Should your organization receive funding, the amount and purpose of the grant will be made public. You may also be asked for a photograph for public relations purposes. If your award is for more than $5,000, then your organization may, at the sole discretion of the Good¢ents Board of Trustees, also be required to provide the Foundation with an ongoing progress report. This report should include information to substantiate the use of funds awarded, such as copies of invoices, pictures of equipment purchased and/or a statement describing specifically how the funds were used. This report will be due within 12 months from receiving this award. If awarded funds are not expended within one year, the award will be canceled unless specifically extended by the Good¢ents Board of Trustees. Unused funds are to be returned to the Good¢ents program. The Board of Trustees makes donations from funds collected through the Good¢ents Program. These funds are voluntary contributions from participating GVEA members. By signing, you give permission to have information about your project reported to the membership of GVEA.SignaturesFor this application to be given consideration by the Golden Valley Electric Foundation, it must be signed by the organization’s President/Chairperson, as well as the individual to whom future questions and correspondence may be addressed.Consent(Required) I hereby verify the information to be true and complete. I understand that by typing my full name and pressing the Submit button, this form submissionwill be stamped with today’s date and authorized by me as if I had signed my signature.President/Chairperson Electronic Signature (Full Name)(Required) Contact Person Electronic Signature (Full Name)(Required)
