United Way of Fayette County



United Way of Fayette County – 2020 Funding Application Checklist

FAILURE TO INCLUDE ANY OF THIS INFORMATION, OR SUBMIT AN INCOMPLETE APPLICATION COULD RESULT IN REJECTION OF YOUR APPLICATION.

Please do not staple or bind the applications. Paperclips or binder clips only.

______THREE COPIES OF THE COMPLETED APPLICATION, EACH INCLUDING ONLY:

o Signed copy of the 2020 Funding Application

o Attachment A – Brochures Only include brochures for the program for which you are requesting funding.

o Attachment B – Previous Allocation Expenditures

o Attachment C - Agency Budget

o Attachment D - Program Testimonial Note: photo & photo release form not required on copies.

______OFFICE COPY: Labeled and including:

o Signed copy of the 2020 Funding Application

o Attachment A – Brochures Only include brochures for the program for which you are requesting funding.

o Attachment B – Previous Allocation Expenditures

o Attachment C - Agency Budget

o Attachment D - Program Testimonial Note: photo & photo release form not required on copies.

o Attachment E – Organization By-Laws

o Attachment F – Most recently completed IRS Form 990 (long form). Page 1 must be signed and the fiscal year of the organization is printed on line A.

Smaller organizations that file IRS form 990 EZ may submit Form 990 EZ, but must also include completed pages 1, 9 and 10 of the IRS form 990 (long form). In this case, please print the following on at the top of pages 1,9 and 10 “Completed solely for the purpose of submitting an application with the Combined Charitable Campaign.” A sample is available (see exhibit #2).

o Attachment G – List of Directors including address, term of office and position held.

o Attachment H - Copy of 501(c)(3) Determination letter.

o Attachment I - Signed Statement of Understanding ( this will be sent to you with your funding letter and you will return it to the office after signing.)

o Attachment K - Attorney General Verification of Registration

You must submit documentation of your organization’s current status with the Ohio AG’s office by providing a printout from the Ohio AG’s website (see exhibit #1).

o Email a copy of completed application to : uwfayette@

Note: If your organization serves other areas outside of Fayette County, please be sure to break out your “Local Budget” for dollars spent in the Fayette County area only. Include this with all copies.

APPLICATION DEADLINE IS 4:00pm, Friday, May 17,2019

Applications received after the deadline will not be eligible for funding.

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