2011 GRANT APPLICATION The Wilderness Trace Community Foundation (“WTCF”), an affiliate of The Community Foundation of Louisville, was created in 2002 to provide philanthropic resources to Boyle, Garrard, Mercer and Lincoln Counties in Kentucky. Funding for this program was provided by an unrestricted gift from Dr. Richard C. Brown to address the ever-changing community needs of the Wilderness Trace area. Dr. Brown taught American History at Buffalo State College in New York for 28 years and authored The History of Danville & Boyle County and The History of the Presbyterian Church in addition to many history textbooks. Dr. Brown believed his unrestricted gift to the Wilderness Trace Community Foundation was the most appropriate way to address the area’s needs now and in the future. Program Focus: WTCF will provide grant funds to projects that improve the quality of life of residents in the Wilderness Trace area with a preference for “basic need” projects such as food banks, homeless shelters, or any unexpected needs of local nonprofits resulting from the downturn in the local economy. Eligible nonprofits will provide the majority of their services in one or more of the following counties in Kentucky: Boyle, Garrard, Mercer or Lincoln Counties. Each county is eligible to receive awards of up to $750. Eligible Organizations: Any non-profit organization or school, which meets all of the following criteria, is eligible to apply: • Organization or school must provide the majority of its charitable or educational services to the residents of Boyle, Garrard, Mercer or Lincoln Counties in Kentucky. • Organization or school must have a functional board of directors. • Organization must have proof of 501(c)(3) status. This provision does not apply to schools or churches. Ineligible Projects or Programs: Grants will not be made for the following projects or programs: • Individuals • Endowments • Capital Campaigns • Sectarian Purposes • Annual Fundraising Due Dates: Completed applications must be received by April 29, 2011 by 4:00 p.m. Incomplete or late applications will not be accepted. Faxed or e-mailed applications will not be accepted. Applications may be mailed or handdelivered to any of the following individuals: Tom Poland 304 West Main Street Danville, KY 40422
Billy Lanham 20 Commerce Drive Lancaster, KY 40444
Pam Sims 327 S. Main Street ( Mailing address ) 1150 Danville Road ( Physical address ) Harrodsburg, KY 40330
Julian Gander 116 West Main Street Stanford, KY 40484
Award Announcment: Funding decisions will be announced in May 2011. Additional Information: If you have any questions or need additional information, please contact any of the following individuals: Tom Poland 859-238-0652 tom.poland@fnbky.com
Billy Lanham 859-339-9696 billy.lanham@fnbky.com
Pam Sims 859-734-3377 pfspsalm32@yahoo.com
Julian Gander 606-365-7855 jgander@garstkagandercpa.com
2011 GRANT APPLICATION Due Friday, April 29, 2011 by 4:00 p.m. Incomplete, late, faxed or e-mailed applications will not be accepted.
Organization Name: __________________________________________________________________ Address: ___________________________________________________________________________ Contact Person and Title: ______________________________________________________________ Telephone: ____________________ Fax: ___________________ E-mail: _____________________ Project Title: ________________________________________________________________________ 1.
Project Description: Please write a one-page summary describing the project and potential beneficiaries.
2.
Total Project Budget: ____________ (Please include a copy of the project budget)
3.
Requested Amount: _____________
4.
Funds Secured for Project: Please list amount and source of funds. SOURCE: _______________________
FUNDS SECURED: $_______
_______________________
$_______
_______________________
$_______ $_______ Total
5.
Please include a copy of your 501(c)(3) letter of determination from the IRS dated within the last five years.
6.
Please include a current list of your board of directors along with their contact information. The Wilderness Trace Community Foundation must receive an original and 6 copies by April 29, 2011 by 4:00 p.m. Late, incomplete, faxed or e-mailed applications will not be accepted.
7.
_____________________________________________________ Signature of Applicant and Title Date