***CLICK HERE TO REGISTER FIRST*** Please Login to access the application. DEADLINE: November 27, 2020 at 11:59pm User Email*Password*SeparatorSplitter2021 Community Support FundingNONPROFIT REQUEST FOR DISCRETIONARY FUNDING Managed by United Way of Southwest Colorado | Questions to: Elise 970-247-9444, firstname.lastname@example.org Deadline: 5:00pm on Friday, October 23, 2021SeparatorA. GENERAL INFORMATION1. Name of the Requesting OrganizationMailing AddressAddress2CityZip3. Executive Director/CEOExecutive Director/CEO PhoneExecutive Director/CEO Email4. Executive Director/CEO Since5. Contact Person for this applicationContact PhoneContact EmailSplitterB. 2021 COMMUNITY SUPPORT FUNDING REQUEST Funds can be requested for Program OR other Operating expenses.Amount of Award (if any) for 2020Amount of Funding Requested for 2021SplitterC. ORGANIZATION INFORMATION Organization Budget What is your Fiscal Year? (e.g. July - June)Current Fiscal Year BUDGETED NET INCOMEPrevious Fiscal Year NET INCOMETwo Fiscal Years Prior NET INCOMEFY End DateCURRENT FY BUDGETED INCOMEEarned Income or ContractsDonations/GiftsGrantsOther ContributionsTOTAL BUDGETED INCOMESeparator4CURRENT FY BUDGETED EXPENDITURESTOTAL Budgeted Program ExpensesTOTAL Budgeted Administrative ExpensesTOTAL Budgeted Fundraising ExpensesTotal Budgeted Expenses (add Program+Admin+Fundraising)Operating Surplus (Deficit) = Total Income - Total ExpensesAdditional Reserves not included aboveSeparator2. 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 600 words)3. Please list any trainings & professional development completed by the Executive Director in the last 12 months. (limit 600 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 600 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 SupportPrevious FY Dollar Value of Other City SupportTwo FY Prior Dollar Value of Other City SupportSplitterD. REQUEST INFORMATION1. Please explain your funding request for 2021. How will the funding be used? (limit 600 words)2. Please explain how the investment of these funds will have a positive impact on City of Durango residents. (limit 600 words)3. Please describe the outcomes you expect to achieve and how you will measure your progress with this investment of City funds. (limit 600 words)4. Please describe how your request for funding will help the City of Durango achieve one or more City Council goals (see City Council Goals document). (limit 600 words)Council Goals5. 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 600 words)6. Have you used City of Durango Funds in the past to leverage other funds (e.g. as a match 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 600 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 600 words)9. List any partner organizations for this proposal and describe their contribution and role in the program/service. (limit 600 words)PLEASE INCLUDE IN YOUR APPLICATION PACKET IN THE FOLLOWING ORDER: 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., 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 email@example.com*File UploadFORM STATUS*Still EditingFINALSUBMIT Error occured. Please confirm your data and submit again: Already have an account? Email* Password* Remember Login Register Lost Password? Forgot Your Password? Enter your email address Reset Password Back to Login Forgot Your Password? Enter OTP Submit Back to Login Forgot Your Password? Enter a new password below New Password Re-enter New Password Update Password Back to Login You may return HERE at anytime to edit your application before the deadline. Please SUBMIT form to save.