Sunrise Rotary Club - Fort Myers: Grant Application

Organizational Name *

Headquarters Address: *

Mailing Address: *

Email: *

Type of Organization (Choose one.) *

School Program

Government Agency

Non-Profit 501(c3)

If 501(c)(3), please submit:

Copy of IRS determination letter and current status.

Copy of IRS 990 tax reporting return.

Copy of annual budget.

Provide percentage fund raising expenses to total operating budget.

Upload Copy of IRS determination letter and current status below. (1 file upload. Max file size is 2 MG per file.)

Click or drag a file to this area to upload. (Max size for each file upload is 2 MB)

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Upload Copy of IRS 990 tax reporting return below. (1 file upload. Max file size is 2 MG per file.)

Click or drag a file to this area to upload. (Max size for each file upload is 2 MB)

Choose File

Upload Copy of annual budget below. (1 file upload. Max file size is 2 MG per file.)

Click or drag a file to this area to upload. (Max size for each file upload is 2 MB)

Choose File

Upload percentage fund raising expenses to total operating budget below. (1 file upload. Max file size is 2 MG per file.)

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Project or Program Information: (attach sheets as needed)

Briefly describe the project and benefits.

How will Rotary Funding be utilized in this project?

How will this project benefit the residents of Fort Myers and surrounding areas?

How will results be measured?

Upload Required Project Documents (1 file upload. Max file size is 2 MG per file.)

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Executive Director/Chairman:

Contact Name and Title: *

Telephone: *

FAX:

Website: *

Organizational Information. (Please complete the information below or upload relevant documents.)

Describe your organization's primary mission and focus in 25 words or less.

Number of years organization has operated in Fort Myers area.

Identify other organizations in our area that might provide similar services.

Differentiate your organization's efforts from other organizations.

Upload Relevant Organizational Documents (1 file upload. Max file size is 2 MG per file.)

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Funding Information

Have you ever received funding from the Fort Myers Rotary Club of Fort Myers - Sunrise? *

Yes

If you have received funding, please provide the date and amount.

Amount Requested: