KATHARINE MATTHIES FOUNDATION - Electronic Valley
KATHARINE MATTHIES FOUNDATION
GRANT GUIDELINES
The Katharine Matthies Foundation was established in 1987 under the Will of Katharine Matthies, a lifelong resident and benefactor of Seymour, Connecticut. Bank of America is the sole Trustee of the Foundation.
GRANT FOCUS
• Applicant organizations must be 501 (c)(3) public charities.
• Applicant organizations must be located in and serve the people of the following Connecticut towns: Seymour, Ansonia, Derby, Oxford, Shelton, or Beacon Falls. Special consideration will be given to organizations that are located in and serve the people of Seymour, Connecticut.
• Preference is given to organizations that focus on education, religion, social service, science, and literary purposes. Preference is also given to organizations that work to prevent cruelty to children or animals.
• Preference is given to organizations that have a direct impact on the social welfare of others and/or which provide a social service to the community.
• Special consideration is given to programs and services which are innovative, involve multiple community organizations, seek to obtain matching funds, and demonstrate a broadly based public support.
The deadline for applications to the Matthies Foundation is May 1. Applications will only be accepted through the mail and must be postmarked by the deadline date. Please do not hand deliver or fax the application. Deadlines are strictly enforced.
Please forward one original application with all required attachments and six copies of the application, with a program budget or budget of request amount and final report from last year grant (if applicable) to:
Amy R. Lynch, Vice President
Bank of America
Philanthropic Management
CT2-102-22-02
777 Main Street
Hartford, CT 06115
(860) 952-7412
Notification of the Grant Committee’s decision will be made in August.
BANK OF AMERICA - CONNECTICUT
PHILANTHROPIC SERVICES
GRANT APPLICATION
REQUESTS FOR GRANTS MUST CONTAIN THE FOLLOWING INFORMATION IN THE FOLLOWING ORDER. Please be sure to complete, number, and label each section.
1. GRANT APPLICATION COVERSHEET (See attached)
2. BACKGROUND (Not to exceed two paragraphs)
Provide a brief description of the background, purpose, and services of your organization.
3. ORGANIZATIONAL BUDGET
Include a budget for the entire organization for your current fiscal year.
4. GRANT REQUEST (One to two pages)
Please include a comprehensive description of the services for which you are seeking support. Be sure to include information that highlights the urgent need of your organization, project, or program in the community and justifies the amount requested.
5. PROJECT/PROGRAM BUDGET (Not applicable for general operating requests)
If the requested funds are to be used for anything other than the general operating expenses of the organization, include a detailed line-item budget for the specific project or program, which justifies the amount requested.
6. OTHER SOURCES OF FUNDING
• For project/program requests—provide a list of funds that have been secured to date and the sources of those funds. Please also include a list of pending requests.
OR
• For operating support requests—provide a list of foundation and/or corporate grants received by t he organization over the past two years. Please also include a list of pending requests.
7. EVALUATION (Not to exceed one page)
Include a detailed description of how you currently evaluate your organization/project or how you plan to evaluate if seed funding is requested. Please include the evaluation results, if available.
8. BOARD MEMBERS
Provide a list of the members of your current Board of Trustees.
9. TAX STATUS
Provide evidence of the tax status of your organization, i.e. a copy of the organization’s Federal (IRS) Tax-Exempt Ruling Letter, verifying that the organization is a qualified charity under Section 501(c)(3) of the IRS, and not a private foundation.
10. AUDITED FINANCIAL STATEMENT
A copy of the organization’s audited financial statement for the most recent fiscal year available.
CONNECTICUT PHILANTHROPIC SERVICES
GRANT APPLICATION COVERSHEET
This coversheet is intended as a summary only. We ask that you restrict your answers to the space provided, and that you make any additional comments in the proposal you submit with this coversheet. Please note, this coversheet must be submitted with all requests.
KATHARINE MATTHIES FOUNDATION
NAME OF ORGANIZATION: _________________________________________________________
ADDRESS: ________________________________________________________________________
___________________________________________________________________________________
CITY: _________________________ STATE: _____________ ZIP CODE: ____________________
TELEPHONE #: _______________________ EXT. __________ FAX #: ________________________
CONTACT E-MAIL ADDRESS: ________________________________________________________
WEB SITE ADDRESS: ________________________________________________________________
NAME OF CONTACT PERSON: (Mr. / Ms. / Dr.) _________________________________________
TITLE OF CONTACT PERSON: _______________________________________________________
LEGAL NAME OF ORGANIZATION: __________________________________________________
TAX IDENTIFICATION NUMBER: ____________________________________________________
FEDERAL TAX STATUS: _____________________________________________________________
DATE OF IRS DETERMINATION RULING: ____________________________________________
DOES YOUR ORGANIZATION ENGAGE IN LOBBYING ACTIVITIES: _____YES _____NO
MISSION OF ORGANIZATION: ______________________________________________________ __________________________________________________________________________________________________________________________________________________________________________
ORGANIZATIONAL BUDGET INFORMATION:
Current Fiscal Year (FY) Projections:
FY:________, ending (day/month):________ Revenue: $__________ Expenses: $__________
Most Recent Fiscal Year (FY) Completed:
FY:________, ending (day/month):________ Revenue: $__________ Expenses: $__________
Sources of revenue from the most recent completed fiscal year (list % of total operating revenue):
|Federal % |Corporations % |
|State % |Individuals % |
|City % |Endowment % |
|Fees % |United Way % |
|Foundations % |Other (Explain) % |
PLEASE CHECK THE SERVICES PROVIDED BY YOUR ORGANIZATION:
______Education ______Health Care
______Human Services ______Arts & Culture
______Other (Specify: _____________________)
______Are you a United Way Agency? (YES/NO)
AMOUNT OF FUNDS REQUESTED: $_________________________over__________months
DESCRIPTION & PURPOSE OF REQUEST (State if operating, program, or capital request):
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
APPROXIMATE GEOGRAPHIC LOCATION, DEMOGRAPHIC AND DESCRIPTION OF POPULATION SERVED BY THIS REQUEST: __________________________________________________________________________________________________________________________________________________________________________
NUMBER OF INDIVIDUALS EXPECTED TO BENEFIT FROM THIS REQUEST: ___________
% OF PERSONS EXPECTED TO BENEFIT FROM: Seymour _______% Ansonia _______%
Beacon Falls _______% Derby _______% Oxford _______% Shelton _______%
Other _______% (Please specify region)
PROJECT TITLE (if applicable): _______________________________________________________
PROJECT BUDGET INFORMATION (if applicable): _____________________________________
Current Fiscal Year Projections: Revenue: $__________________ Expenses: $___________________
Most Recent Completed Fiscal Year: Revenue: $_________________ Expenses: $_________________
Sources of revenue from the most recent completed fiscal year. If program is new, list projections.
|Federal % |Corporations % |
|State % |Individuals % |
|City % |Endowment % |
|Fees % |United Way % |
|Foundations % |Other (Explain) % |
MARKET VALUE OF ENDOWMENT: $________________________________________________
ARE YOU CURRENTLY IN A CAPITAL CAMPAIGN PHASE? ______________ (YES/NO)
If yes, please indicate amount of campaign: $____________________
If no, please note date of your last campaign: ____________________
LAST YEAR DID YOU RECEIVE A MATTHIES GRANT? YES_______NO_______
AMOUNT $_______________ WAS IT SPENT? YES________NO____________
We agree to report to the Trustee on the expenditure of any funds received from any of its charitable trusts.
Signed: _____________________________________________________ Date:__________________
(President/CEO or Executive Director)
If the Applicant Organization has a fiscal agent, please include the signature of a representative from that organization below.
Signed: _____________________________________________________ Date:__________________
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