Application for Investment 2017 - Stewardship Review United Way of Abilene

Form 2A- Documentation ChecklistDue August 22, 2016

Please note that accuracy is paramount. Revenue and expense totals should be consistent throughout the application. Reviews will be made on originally submitted documents only. Incomplete or late submissions will not be considered.

AGENCY: ______

  1. Enclose three (3) complete sets (each 3-hole punched and collated in the order listed below), of the following documentation and provided forms:

Stewardship Review Forms 2A, 2B, 2C, 2D, and 2E.

If the applicant, as a local chapter or affiliate of a regional, state, or national organization, received a written review from the parent organization, please provide the most current written review.

Year to date financial statements and year to date budget comparison. If the fiscal year ends prior to 12/31, include all quarterly financial statements from fiscal year-end to date.

Annual agency audit for 2015, auditor’s management advisory comment letter if issued, any other required communication from the auditor, and the plans for addressing any issues raised. Please avoid submitting any bound audits.

Annual audit for any related entities, such as a foundation or fundraising organization. If the related entity is included in the annual audit of the agency, please indicate ____ Yes ____ No.

If the related entity does not have an annual audit or is not included in the agency’s annual audit, provide the most recent financial statements of the related entity.

If the applicant, as a local chapter or local affiliate of a regional, state, or national organization, does not receive a separate independent audit, the parent organization should provide audited financial statements of the local organization. If audited financial statements are not available, then explain why and provide either compiled or internally generated financial statements of the local organization.

IRS Form 990 or 990-EZ for 2015. Include documentation that the IRS Form 990 or 990-EZ was signed and mailed to the IRS. If the organization was required to submit Form 990-N, please provide documentation. If this is the organization’s first application with United Way of Abilene, Form 990 should be submitted for 2014 and 2015.

IRS Form 990-T for 2015 if the agency was required to file this return. Provide documentation that the IRS From 990-T was signed and mailed to the IRS. If this is the organization’s first application with United Way of Abilene, Form 990 should be submitted for 2014 and 2015.

Current Board of Directors roster including officers, employers, and terms. Provide a list of the Board of Directors for any related entity if applicable.

If applicable, Bylaws, Personnel Policies, Executive Director Job Description, Internal Financial Control Procedures, and IRS Determination Letter. Please refer to Form 2C for specific instructions.

Annual agency report or agency brochure (copies may be submitted)

Program budget for each program you are requesting funds for. You may include the same document you provided with your Impact or RCF Application.

Stewardship Review Form 2E