Application — Nicholas W Genematas II Foundation

Apply for a Grant

The NWGII Foundation holds its annual board meeting every spring in Tucson, Arizona, during which grant applications are considered. Organizations wishing to submit a grant application for consideration should have their application package mailed and/or delivered to one of the following addresses:

Pennsylvania Office

4075 Linglestown Road, PMB 307
Harrisburg, PA 17112

Arizona Office

259 North Meyer Avenue
Tucson, AZ 85701-1007

All applications will be carefully considered prior to the Foundation's Annual Meeting in late Spring.
The meeting dates vary from year to year.

The due date is March 31, 2023

Application packages must include the following:

A cover letter describing your organization and the project for which you are seeking a grant. This letter should provide as much information as possible including, but not limited to:

The history of your organization.
Your mission statement.
How your organization and/or the subject project impacts your community.
Dollar amount requested, and how grant funds would be utilized.
Verification of your organization's 501(c)3 status.
An annual budget including the sources of revenue and nature of expenses for the past fiscal year of your organization and a projection for the fiscal year for which the grant is requested.

Application

Grant Application

Application Date

YYYY

Legal Name of Organization

Should be the same as on IRS determination letter and as supplied on IRS Form 990

Year Organization Founded

Current Annual Operating Budget

Executive Director's Name

First Name

Last Name

Executive Director's Email

Contact Person if other than Executive Director

If different from the Executive Director

First Name

Last Name

Alternative Contact's Title

If different from the Executive Director

Alternative Contact's Email

If different from the Executive Director

Organization

Organization Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization Phone

(###)

###

####

Organization Fax

(###)

###

####

Organization Website

Project

Project Name

Amount Requested

Total Project Cost

Project Goals

Beginning Date of Project

If Applicable

YYYY

Ending Date of Project

If Applicable

YYYY

Geographic Area to be Served

Signature

I certify to the best of my knowledge that: I certify, to the best of my knowledge, that: 1. The tax-exempt status of this Organization is still in effect; 2. This Organization does not support or engage in any terrorist activity; and 3. If a grant is awarded to this Organization, the proceeds of that grant will not be distributed to or used to benefit any organization or individual supporting or engaged in terrorism, or used for any other unlawful purpose.

President, Board of Directors

By typing your name, you understand you are signing this document.

First Name

Last Name

Executive Director

By typing your name, you understand you are signing this document.

First Name

Last Name

Signature Date

YYYY

PDF Application

IN ORDER TO COMPLETE YOUR SUBMISSION YOU MUST INCLUDE POOF OF 501C3 STATUS
AND A COPY OF YOUR WORKING BUDGET.