Grant Application Fields marked with an * are required. Please verify that you have checked the “I'm not a robot” checkbox. Ok Page 1/4 General Information Organization * EIN Number * Address Line 1 * City * State * Enter required value Postal Code * Phone * Website Mailing Address (if different from above address) Include Address, City, State, Zip Name of Executive Director (or equivalent) * Executive Director Email * Executive Director Phone * Name of Contact Person (Writing Grant) * Title of Contact Person * Contact Person Email * Contact Person Phone * Total number of people impacted by your organization? * Page 2/4 Progam Questions Questions Related to the Program To Be Supported by Grant Request Summary in one sentence of the program to be supported by the grant: * (225 character limit) Full description of program and purpose of the grant request, including goals and objectives: (900 word limit) Amount of grant request * (Enter a single $ amount) How many people will benefit from the proposed program? * Population * Please provide information on the population that this program/project would serve and in which area(s) of the county. (50 word limit) What is the impact of the project on the target population? * (50 word limit) Timetable for completion * What is the timetable for the completion of the Palm Beach International Boat Show Gives Back grant request? (50 word limit) If request is not fully funded * If your Palm Beach International Boat Show Gives Back grant request is not fully funded, what will your organization do with the grant monies received? (150 word limit) Mission statement and brief history of the organization * (250 word limit) Page 3/4 Financial Information Questions Questions Related to the Overall Financial Information of the Organization What is your organization’s current annual operating budget? * Contributions * What percentage of your organization’s overall revenue annually is contributed by individuals, foundations, and grants? Does your organization require that all board of directors financially support the organization? * Yes No How many board members does your organization have? * Page 4/4 General Information Video Submission 2 minute max video 20MB max SUPPLEMENTAL MATERIALS (REQUIRED) A copy of the 501(c)3 determination letter from the Internal Revenue Service * 20MB max A list of current officers and board of directors * 20MB max Budget for the program or project for which funds are requested. * 20MB max A copy of the organization’s most recent 990 filed with the Internal Revenue Service * 20MB max A copy of the organization’s most recent Audited Financial Statement * 20MB max Any agreements with partners for the potential project or program, if applicable 20MB max Letters of support are optional. 20MB max Powered By GrowthZone
