User Email*
Password*
NONPROFIT REQUEST FOR DISCRETIONARY FUNDING
Managed by United Way of Southwest Colorado | Questions to: Elise 970-247-9444, elises@unitedway-swco.org
Deadline: Friday, November 18 at 11:59pm
1. Name of the Requesting Organization
Mailing Address
Address2
City
Zip
3. Executive Director/CEO
Executive Director/CEO Phone
Executive Director/CEO Email
4. Executive Director/CEO Since
5. Contact Person for this application
Contact Phone
Contact Email
B. 2022 COMMUNITY SUPPORT FUNDING REQUEST
Funds can be requested for Program OR other Operating expenses.
Amount of Award (if any) for 2022
Amount of Funding Requested for 2023
C. ORGANIZATION INFORMATION
Organization Budget
What is your Fiscal Year? (e.g. July - June)
Current Fiscal Year BUDGETED NET INCOME
Previous Fiscal Year NET INCOME
Two Fiscal Years Prior NET INCOME
FY End Date
Earned Income or Contracts
Donations/Gifts
Grants
Other Contributions
TOTAL BUDGETED INCOME
Current FY Budgeted Program Expenses
Current FY Budgeted Administrative Expenses
Current FY Budgeted Fundraising Expenses
Current FY TOTAL Budgeted Expenses (add Program+Admin+Fundraising)
Operating Surplus (Deficit) = Total Income - Total Expenses
Additional Reserves not included above
2. When was your most recent independent financial review or audit? Please discuss the results. If you have not had either, or you have not had one within the last 3 years, please explain. (limit 300 words)
3. Please list any trainings & professional development completed by the Executive Director in the last 12 months. (limit 300 words)
4. Please list any trainings or board development completed in the last 12 months. Additionally, please indicate any board members who have financial expertise (name, profession). (limit 300 words)
5. Dollar Value of Other City Support (This may include contracts, lease agreements, grants, donations, or other monetary or in-kind contributions.) Complete below.
Current FY BUDGET of Other City Support
Previous FY Dollar Value of Other City Support
Two FY Prior Dollar Value of Other City Support
1. Please explain your funding request for 2023. How will the funding be used? (limit 300 words)
2. Please explain how the investment of these funds will have a positive impact on City of Durango residents. (limit 300 words)
3. Please describe the outcomes you expect to achieve and how you will measure your progress with this investment of City funds. (limit 300 words)
4. Please describe how your request for funding will help the City of Durango achieve one or more City Council goals (see City of Durango 2022 Strategic Plan document below). (limit 300 words)
(click the link to the City of Durango 2022 Strategic Plan document below)
City of Durango 2022 Strategic Plan
5. Are you currently receiving any other form of support from the City of Durango? If yes, please explain how you use the other support and why this request for additional support is necessary. (limit 300 words)
6. Have you used City of Durango Funds in the past to leverage other funds (e.g. as a match for another grant or as proof of local support for another grant)? Please explain. If you anticipate using funds from this request to leverage other funds, please explain the amounts and the source of the other funds. (limit 300 words)
7. If you are awarded the amount you have requested, what percentage of funding for your organization will come from the City of Durango?
8. If you are funded for this proposal, you will be asked to help recognize the City for their contribution to your organization. Please describe how you intend to do this. (limit 300 words)
9. What services do you provide that are unique to our community? (limit 300 words)
PLEASE INCLUDE IN YOUR APPLICATION PACKET IN THE FOLLOWING ORDER:Â
Copies of latest financial statements, including income and expense statements
Copy of either a current balance sheet or statement of net assets
Copy of latest results of an independent financial review or financial audit
Most recent 990
Certificate of Good Standing from the Colorado Secretary of State
Other information, such as electronic handouts, brochures, etc., Â you would like the interview committee to have/know about your program. (optional)
*Submittal of the above attachments MUST be in a single PDF file (preferred) OR emailed to elises@unitedway-swco.og *
File Upload
FORM STATUS* Still Editing FINAL
SAVE/SUBMIT
