Program Grant Application

2013

MISSION STATEMENT

Coyotes Charities seeks to enhance the quality of life throughout

Arizona communities by supporting non-profit organizations

that promote healthcare, education, cultural arts and

sports-related programs for children.

Deadline:This application must be postmarked or hand delivered to a Coyotes Charities representative by 5:00 p.m. Arizona time on

Friday, June 28, 2013

Faxed or e-mailed applications will not be accepted.
Application Information

Grant applications must be submitted by Friday,June 28, 2013. Faxed or emailed applications will not be considered for funding.

Mailing:

Mailed applications must be postmarked by Friday, June 28, 2013.

Phoenix Coyotes Charities

Program Grant Application

6751 N Sunset Blvd #200

Glendale, AZ 85305

Hand-delivery:

Hand-delivered applications must be received by a Coyotes Charities representative in the Phoenix Coyotes offices by 5:00 p.m. Arizona time on Friday, June 28, 2013. There will be no exceptions made.

The Phoenix Coyotes offices are located on the second floor of the westernmost Westgate City Center building north of Jobing.com Arena. Please call 623-772-3200 for directions and hours of operation.

Incomplete and incorrectly filled out applications will not be considered for funding. Please refer to the Grant Application Checklist to ensure you submit a complete application. Grants generally range from $1,000 to $5,000.

Grant Criteria

  • Organizations must be classified as a public charity and exempt from federal taxes under 501(c)(3) of the Internal Revenue Code for a minimum of two (2) years.
  • Organizations must be focused on improving the lives of children in Arizona and align with Coyotes Charities mission statement.
  • To be considered for funding, the proposal must be clearly defined with specific objectives, state realistic timetable and budget, and post evidence for a community need.
  • Grants shall not be awarded to applications seeking funds for staff salaries, religious or political entities, sports teams or leagues, schools or their associated organizations (i.e. PTA’s, Booster Clubs, etc.).
  • Application must be typed in 12-point font with 1 inch margins, single-spaced (Handwritten applications will not be accepted).
  • Please submit only one copy of your application. Please use paperclips. Do not use staples, binding, folders, etc. as copies will be made at our office.
  • Organization must be available for site visit if selected as a beneficiary.
  • The following are the primary interests of Coyotes Charities:
  • Healthcare: Organizations that focus on the health and well-being of youth through community awareness, disseminating information, providing support, and treatment or preventative cares.
  • Education: Organizations that promote the value of quality education for all children by enriching their lives with in-school or after-school programs that will equip them for the future.
  • Cultural Arts: Organizations that provide youth programs to improve the quality of their lives by learning to create with their hands, develop their artistic potential and share in the vital cultural currents of our community.
  • Youth Sports: Organizations that encourage physical activities, exercise, teamwork, self-esteem, goal setting, and a healthy lifestyle through community outreach, organized sports or mentorship programs.

Due to the high volume of applications, all grant applicants will be notified of their status by letter. No calls or emails please.

Coyotes Charities staff members will review submitted proposals based on eligibility and application completion, a committee will evaluate the eligible and complete applications and recommend grants for funding to the Coyotes Charities Board of Directors and final decisions will be made by the Coyotes Charities Board of Directors.

Coyotes Charities receives funding requests far in excess of its budget. Declined proposals are not, nor should be construed as, a reflection on the worthiness of the organization’s mission or programs.
Program/Project Summary –

A TOTAL OF SIX(6) PAGES SHOULD BE SUBMITTED. ADDITIONAL PAGES WILL BE DISCARDED.

Page One – Signed Application

Page Two – Program/Project Summary

This is a one (1) pagebrief synopsis (bulleted rather than narrative)of your request and be in a form that could, if need be, serve as a stand alone application.

  1. Organization name
  2. Project/Program name
  3. One sentence summary of project/program
  4. Summary of your grant request
  5. What is the community need being fulfilled
  6. What services will be provided
  7. Explain how this constitutes an urgent need
  8. What part of the Arizona will the work/services be provided
  9. How will Coyotes Charities be recognized as a grantor
  10. Do you have volunteer or Board opportunities available

Page Three – Program/Project Budget

  1. Provide itemized budget for the program/project (not your organizations full budget)
  2. List of additional sources of funding if the request is only for a portion of the total funding required

Page Four - Signed Certification of Tax Exempt Status of Grantee Organization

Page Five - Copy of IRS letter 501(c)3

Page Six - List of current Board of Directors

Page One –Application

Name of Organization:

Organization Contact:Title:

Email Address:

Mailing Address:

City:State:Zip Code:

Physical Address:

City:State:Zip Code:

Telephone:Fax:

Organization Website:

Federal ID Number:

Date Established:

Do you have an internal relationship with a Coyotes employee, if so, who?:

Did you participate in the Ticket Fundraising Grant:YesNo

Organization Mission Statement:

Summary of program/project:

Category of Service (Circle ONE): Healthcare Education Arts Sports

Total operating budget for current year $:Date of fiscal year end:

Number of youth affected by this grant:Total funds requested: $

The undersigned hereby certifies that the information provided in this grant application, is true, correct and complete as of the date of submission. This undersigned further understands that falsification and/or omission any facts in this application may be cause of disqualification and or other remedies under Arizona law.

______

Signature of Authorized RepresentativeDate

______

Name (Print)Title

Page Two – Program/Project Summary

This should be a one (1) page brief synopsis (bulleted rather than narrative) of your request and should be in a form that could, if need be, serve as a stand alone application.

Organization name:

Summary for your grant request:

What is the community need being fulfilled with the grant:

What services will be provided:

Explain how this constitutes an urgent need:

Where will the work/services funded by the grant be provided:

How will Coyotes Charities be recognized as a grantor:

Do you have volunteer or Board opportunities available:

Page Three – Program/Project Budget

Provide itemized budget for the proposed program/project(not your full organizational budget):

List of additional sources of funding if the request is only for a portion of the total funding required:

CERTIFICATION OF TAX EXEMPT

STATUS OF GRANTEE ORGANIZATION

I, ______an Officer/Director of

______

(Organization)

Hereby certify that the organization has received a ruling from the Internal Revenue Service that it is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code.

I further certify that said exemption rulings from the Internal Revenue are still in effect and have not been revoked or amended.

______

(Signature)

______

(Printed Name)

______

(Title)

______

(Date)

Grant Application Checklist

Each application should include the items listed below (in the following order):

  1. Signed Application
  2. Program/Project Summary
  3. Program/Project Budget
  4. Signed Certification of Tax Exempt Status of Grantee Organization
  5. Copy of IRS letter 501(c)3
  6. List of current Board of Directors

Coyotes Charities Program Grant Application