Annex 1
FUNDING OF POLITICAL PARTIES AT EUROPEAN LEVEL / □FUNDING OF POLITICAL FOUNDATIONS AT EUROPEAN LEVEL / □
GRANT APPLICATION FORM
FOR 20_
NB. Each organisation must submit a separate application (the application of a party and a foundation cannot be consolidated into a joint application).
COMPOSITION OF FILE
The following table is intended to help you prepare your application file. We advise you, furthermore, to use this table as a checklist to make sure that you have included all the requisite documents.
Documents to be supplied on paper / Parties / Foundations1 / Original covering letter indicating the grant amount requested / 1 / 1
2 / Application form duly completed and signed (including the written solemn declaration) / 1 / 1
3a / Statutes of the applicant[1] / 1 / 1
3b / Official certificate of registration1 / 1 / 1
3c / Recent proof of existence of the applicant / 1 / 1
3d / List of the directors/members of the Management Board (name, forename, citizenship, title or function within the applicant)1 / 1 / 1
4a / Documents certifying that the applicant meets the conditions laid down in point (b) of Article 3(1) of Regulation (EC) No 2004/2003 of the European Parliament and of the Council [2], [3] / 1 / N/A
4b / Documents certifying that the applicant meets the conditions laid down in point (d) of Article 3(1) of Regulation (EC) No 2004/2003 1 / 1 / N/A
5 / Political programme of the applicant1 / 1 / 1
6 / Comprehensive financial statement for 20_ certified by an external auditing body[4] / 1 / 1
7 / Description of work programme for 20_ / 1 / 1
8 / Provisional operating budget indicating expenditure eligible for funding from the Union budget / 1 / 1
SECTION I: Administrative information concerning the applicant
Name of the applicant (full legal name):
Short name (where appropriate):
Acronym (where appropriate):
Legal status of the applicant:
Official registration number (or equivalent information):
VAT number:
Name and title (function) of the person authorised to enter into legal commitments on behalf of the applicant:
Name and title (function) of the person responsible for managing the work programme listed under Section II 2.1.:
Name and title (function) of the person responsible for the technical aspects:
Contact details of the applicant
Street:
No:
Postcode:
Town:
Country:
Tel:
Fax:
E-mail:
Internet site:
Organisation affiliated to the political party
(repeat as many times as necessary)
Contact details
Street:
No:
Postcode:
Town:
Country:
Tel:
Fax:
E-mail:
Internet site:
1.2 INFORMATION TO BE SUBMITTED WITH THE APPLICATION
(with the signature and stamp of the bank)
HOLDER OF BANK ACCOUNT
NAME: …………………………………………………………………………….
ADDRESS:
MUNICIPALITY/TOWN: ...... POSTCODE: ......
COUNTRY: ...... VAT NUMBER: ......
CONTACT: ......
TELEPHONE: ...... FAX: ......
E-MAIL: ......
BANK:
NAME:
ADDRESS:
MUNICIPALITY/TOWN: ...... POSTCODE: ......
BANK ACCOUNT:
IBAN:
BIC / SWIFT: ......
Comments:
1.3 OTHER UNION FUNDING
Grant/loan applications or offers of services submitted (or due to be submitted) to Union institutions for the financial year in respect of which the grant is being requested:
For each grant, contract or loan please specify:
(repeat as many times as necessary)
The Union programme concerned (if applicable):
Title of the operation:
The Union institution which will take the award decision:
The planned duration of the operation:
The estimated value of the grant, contract or loan:
NB: The applicant is required to inform without delay the European Parliament of any application for funding or any funding approved AFTER submission of this grant application.
SECTION II: Description of the work programme
2.1 Description and timetable of the activities of the organisation in respect of which you are applying for a grant
The work programme is an indicative and non-binding framework for the activities envisaged.
SECTION III: Declarations
1. Declaration[5]
I, the undersigned, certify that:
· the applicant organisation is not in one of the situations referred to by Article 106(1), Article 107, 108 or 109 of Regulation (EU, Euratom) No 966/2012 of the European Parliament and of the Council (the 'Financial Regulation');[6]
· the applicant organisation has the financial and organisational capacity to carry out the work programme described on the application form;
· the applicant organisation will comply with and subscribes to "General Terms and Conditions of the Grant Award Decision" and will cooperate unreservedly with the European Parliament in connection with supervision of its activities;
· the information supplied in this application and its annexes is accurate and no information has been withheld, either in full or in part, from the European Parliament;
· for parties only, the applicant organisation guarantees recovery of the amounts transferred in accordance with Article II.11.5 of the Grant Award Decision.
Authorised signature:
Title (Mrs, Mr, Prof...), name and forename:Function in the organisation applying for a grant:
Place/Date:
Signature:
2. Declaration[7]
We, the undersigned, certify that:
· the political foundation at European level is an organisation affiliated as from DD/MM/YYYY to the political party at European level;
· the political foundation at European level, through its activities, within the aims and fundamental values pursued by the European Union, underpins and complements the objectives of the political party at European level;
· there exists an appropriate degree of separation between the daily management as well as the governing structures of the political foundation at European level, on the one hand, and the political party at European level with which the former is affiliated, on the other hand.
Authorised signature (party):
Title (Mrs, Mr, Prof...), name and forename:Name of the political party at European level:
Function in the political party at European level:
Place/Date:
Signature:
Authorised signature (foundation):
Title (Mrs, Mr, Prof...), name and forename:Function in the political foundation at European level:
Place/Date:
Signature:
[1] Or a declaration that there have been no changes to the documents already forwarded.
[2] Regulation (EC) No 2004/2003 of the European Parliament and of the Council of 4 November 2003 on the regulations governing European political parties at European level and the rules regarding their funding (OJ L 297, 15.11.2003, p. 1).
[3] Including the lists of elected persons referred to in the first subparagraph of point (b) of Article 3(1) and point (b) of Article 10(1) of Regulation (EC) No 2004/2003.
[4] Unless the applicant was established during the current year or the documents were already forwarded.
[5] to be filled out by each applicant.
[6] Regulation (EU, Euratom) No 966/2012 of the European Parliament and of the Council of 25 October 2012 on the financial rules applicable to the general budget of the Union and repealing Council Regulation (EC, Euratom) No 1605/2002 (OJ L 298, 26.10.2012, p.1). In accordance with Article 131(4) of the Financial Regulation, Article 106(1), Articles 107, 108 and 109 shall also apply to grant applicants. Applicants shall certify that they are not in one of the situations referred to in those Articles.
Article 106(1) of the Financial Regulation:
Candidates or tenderers shall be excluded from participation in procurement procedures if:
(a) they are bankrupt or being wound up, are having their affairs administered by the courts, have entered into an arrangement with creditors, have suspended business activities, are the subject of proceedings concerning those matters, or are in any analogous situation arising from a similar procedure provided for in national legislation
or regulations;
(b) they or persons having powers of representation, decision-making or control over them have been convicted of an offence concerning their professional conduct by a judgment of a competent authority of a Member State which has the force of res judicata;
(c) they have been guilty of grave professional misconduct proven by any means which the contracting authority can justify including by decisions of the EIB and international organisations;
(d) they are not in compliance with their obligations relating to the payment of social security contributions or the payment of taxes in accordance with the legal provisions of the country in which they are established or with those of the country of the contracting authority or those of the country where the contract is to be performed;
(e) they or persons having powers of representation, decision-making or control over them have been the subject of a judgment which has the force of res judicata for fraud, corruption, involvement in a criminal organisation, money laundering or any other illegal activity, where such illegal activity is detrimental to the Union’s financial interests;
(f) they are subject to an administrative penalty referred to in Article 109(1).
Points (a) to (d) of the first subparagraph shall not apply in the case of the purchase of supplies on particularly advantageous terms from a supplier which is definitively winding up its business activities or from the receivers or liquidators of a bankruptcy, through an arrangement with creditors, or through a similar procedure under national law.
Points (b) and (e) of the first subparagraph shall not apply where the candidates or tenderers can demonstrate that adequate measures have been adopted against the persons having powers of representation, decision-making or control over them, who are subject to a judgement as referred to in points (b) or (e) of the first subparagraph.
Article 107(1) of the Financial Regulation:
A contract shall not be awarded to candidates or tenderers who, during the procurement procedure for that contract:
(a) are subject to a conflict of interests;
(b) are guilty of misrepresenting the information required by the contracting authority as a condition in the procurement procedure or fail to supply this information;
(c) find themselves in one of the situations of exclusion, referred to in Article 106(1), for the procurement procedure.
[7] To be filled out only if applying for a grant to political foundations at European level. This declaration is provided to establish compliance with point (a) of Article 3(2) of Regulation (EC) No 2004/2003 of the European Parliament and of the Council of 4 November 2003 on the regulations governing European political parties at European level and the rules regarding their funding (OJ L 297, 15.11.2003, p. 1). It does not render the political party at European level liable in the event of a claim addressed to the political foundation at European level.