Benzie County Community Chest funds only 501(c)(3) organizations that provide services to meet the human services needs of Benzie County residents.  We cannot fund agencies that don’t have Federal IRS tax-exempt 501(c)(3) status.  We also will not fund programs for other counties.

Applications for funding support are accepted until Dec. 31 of each year, without exception. The Benzie County Community Chest Board of Directors make funding decisions in January.

Date of Application: _________________

We have our 501 c 3 status (circle) Yes No

(Benzie County Community Chest cannot grant funds to organizations that do not have 501 c 3 status)

Legal name of organization applying: _________________________________________

(Should be same as on IRS determination letter)

Year Founded: ___________________________

Current Operating Budget: $______________________

Executive Director: __________________________________

Phone Number: ________________________

Contact person/title/phone number (if different from executive director):

______________________________________________________

Address (principal/administrative office):

______________________________________________________

City/State/Zip:

_______________________________________________________________________

Fax Number: __________________________ Email Address: _____________________

Web Address:___________________________________________________________

Project Name: __________________________________________________________

Is this a new project or an on-going program? (circle) New On-going

Short paragraph on purpose of grant; how it benefits Benzie County: _________________________________________________________________________

Dates of the Project: ____________________________

Amount Requested: $____________________________

Total Project Cost: $____________________________

Geographic Area Served: __________________________________________________

Signature, Chairperson, Board of Directors: ____________________________________

Date: ___________________________________

Name and Title: ____________________________________________________

Signature, Executive Director: ____________________________________________

Date: ____________________________________

Name and Title: __________________________________________________________

 

 

Include with your application:

A. Narrative

Briefly explain why your agency is requesting this grant, what outcomes you hope to achieve, and how you will spend the funds if the grant is made.

 

B. Purpose of Grant

  • Statement of needs/problems to be addressed; description of target population and how they will benefit.

  • How many Benzie County people will this program benefit?

  • Plans to accomplish goals and objectives with timetable for implementation.

  • Who are the other partners in the project and what are their roles?

  • Long-term strategies for funding this project at end of grant period.

 
C. Evaluation
  • Plans for evaluation including how success will be defined and measured.

  • How evaluation results will be used and/or disseminated.

  • Describe the active involvement of constituents in evaluating the program.

D. Budget

  • On a separate sheet, show how each budget item relates to the project and how the budgeted amount was calculated.

  • List amounts requested of other foundations, corporations and other funding sources to which this proposal has been submitted.

  • Include organization’s current annual operating budget.

  • Annual report including annual financial statement, if available.

E. Organization

  • Brief summary of organization’s history, mission and goals.

  • Description of current programs, activities and accomplishments.

  • List of Board of Directors with affiliations.

  • Copy of the current IRS determination letter indicating 501 © 3 tax-exempt status. If you have applied before, indicate that Community Chest has this letter on file.

Each year the Benzie County Community Chest Board of Directors selects partner agencies for funding in January, therefore the deadline for applications is Dec. 31. Mail to:  Benzie County Community Chest, PO Box 713, Beulah, MI 49617

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