WELCOME to the Website of the Ohio County Community Foundation
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Ohio County Community Foundation P.O. Box 170 591 Smart Drive Rising Sun, IN 47040 Phone: 812-438-9401 Fax: 812-438-9488 E-mail: pdickson@occfrisingsun.com
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BOARD OF DIRECTORS’
SMALL GRANTS
APPLICATION
DISCRETIONARY BOARD OF DIRECTORS’ SMALL GRANTS FROM UNRESTRICTED FUNDS POLICY
The Ohio County Community Foundation may find it necessary to issue small grants from the unrestricted funds outside
the Grants Committee recommendations on occasion. This may occur if an occasion arises that would not require full
committee and board approval.
The Ohio County Community Foundation will seek and accept small grant applications from area non-profit organizations
whose programs benefit the residents of Ohio County. Each small grant application will be reviewed after submission by
the Program Coordinator to ensure the application is complete and the organization is eligible to make application.
Application must then be approved by a member of the Board of Directors and may be submitted to the Grants
Committee or the full Board of Directors for final approval.
In order to ensure that the purpose of the grant is fulfilled, the Foundation will take the following actions:
1) Accept small grant application from non-profit organizations in an amount not to exceed $200 with a maximum of $400
per year per organization and a maximum of 4 small grants per year.
Signed and dated by organization’s administrator.
Signed and dated by the endorsing OCCF Board Member
2) Ensure that the grant applicant is a non-profit organization. This may be accomplished by any combination of the
following:
Request and review a copy of the organization’s IRS 501©(3) letter of determination
Request and review a copy of the organization’s 990
Request and review the organization’s status on Guidestar
Request and review the documentation verify that the organization is registered by the State of Indiana as a non-
profit organization
3) Ensure that a Grants Agreement is completed and filed with the OCCF
Agreement signed by the Administrator of the non-profit organization making application for grant.
4) Ensure that a final report is filed. At a minimum, the final report should include:
Project summary
Budget detail (receivables and payables)
Accounting of grant money (copies of receipts, outlined expenditures)
Advertisements/Press releases
Pictures taken during program or project
5) Organization’s failing to submit a final report may not be considered for future grants until such report is filed.
OUR CORE VALUES
We will assist donors in maximizing their charitable intents through strategic giving opportunities that provide for
allowable tax deductions and ease of giving.
We will provide responsible stewardship of donated gifts.
We will make grants that benefit Ohio County in the fields of community development, education, human services, cultural
affairs and health.
We will promote leadership in identifying, addressing and anticipating Ohio County’s needs.
Statement of Non-Discrimination
It is the general policy of the OCCF to operate without discrimination as to age, race, religion, sex or national
origin in the overall administration of the Foundation and in the consideration of grant requests from agencies
and organizations.
Legal Name of Organization: __________________________________________________________
Address: __________________________________________________________________________
Name of CEO or President: __________________________ Phone: ___________________________
Fax: _____________________________________ Email: ___________________________________
Contact Person: _____________________________________ Phone: _________________________
Address: ___________________________________________________________________________
Fax: _____________________________________ Email: ___________________________________
Date Established: ________ # of Staff: ________ # of Volunteers: ________
Are you an IRS 501(c)(3) not-for-profit? _____ Yes _____ No
If No, IRS Determination class___________________
Are you a governmental agency? _____ Yes _____ No
List Federal ID # ___________________________________
General Purpose of the Organization:
Please submit, if available, one copy of the most recent audit or a compilation review, most recent annual
report, and IRS 501(c)(3) tax-exempt letter or State of Indiana non-profit recognition if not a 501(c)(3).
Name of Project: ________________________________________________________________
Grant Amount Requested: ______________ Total Project Budget: $______________________
You may answer any of these questions on additional sheets of paper as needed.
1. What is the purpose of this program? (Please include specificallyhow money will be expended)
2. What is the timeframe in which the program will be administered?
3. What will happen to this project if this proposal is partially funded?
4. How will this project benefit Ohio County?
Any additional comments you may wish to address:
ENDORSEMENT
To the best of my knowledge and belief, the statements in this grant application are true and correct; the document has
been duly authorized by the governing body of the applicant; and the applicant organization will comply with applicable
laws, regulations, terms and conditions in effect at the time of grant. I understand that OCCF, in evaluating this grant
application, may, if it deems appropriate, review any and all of the information submitted as part of this request with
advisors of the Foundation’s choosing. If this grant is awarded the Grantee shall provide public acknowledgment of this
grant by using regular procedures, which may include, but are not limited to, news releases, announcements, certificates,
plaques, markers or banners. The Grantee shall submit all public acknowledgements to the Foundation and obtain pre-
approval when appropriate (such as with permanent markers, plaques, etc.)
_________________________________________________ ______________________
(Required) Signature of OCCF Board Member Endorsing Grant Date
__________________________________________________ ____________________
(Required) Signature of Authorized Representative of Organization Date
____________________________________________ ____________________
Signature of Contact Person Date
All applications are considered final and no revisions will be accepted without prior approval.