"*" indicates required fields At the present time, the VIP Foundation is dedicated to assisting smaller charities who don't have the full financial support of other larger charities. For that reason, we target our Grant considerations to be in the $5k - $10k - $15k range of approval. Today's Date:* MM slash DD slash YYYY ORGANIZATION INFORMATIONOrganization's Legal Name:* Tax ID:* Mailing Address:* Street Address/PO Box City State / Province / Region ZIP / Postal Code Telephone:* Website: Year Organization was Established:* PRIMARY CONTACT INFORMATIONPrimary Contact Name:* First Last Primary Contact Title:* Primary Contact Phone Number:* Primary Contact Email:* Organization Mission Statement:* STAFF INFORMATIONNumber of FTE staff: PROPOSAL INFORMATIONRequested Grant Amount: Type of Grant Request:* Project Support Program Support General Operations Endowment Support Capital Support Please select one. Funding Purpose* 2022 BUDGET INFORMATIONOrganization's Total Operating Budget:* Total Project/Program Budget: Do you have other funding sources?* Yes No Additional Funding Sources:Funder Name:Amount: $Pending or Received: Add Remove Is you organization supported by Arts United or United Way?* Yes No If yes, what percentage of budge is supported by Arts United or United Way?* REQUESTED ATTACHMENTS Letter from IRS advising of your organization's 501(c)(3) status (required) Form 990 (required) List of current board members (required) Any additional material that may support your request (i.e. Annual Report, program overview, etc.) (optional) File* Drop files here or Select files Accepted file types: pdf, png, jpg, gif, Max. file size: 128 MB, Max. files: 6. Please Note: A copy of this grant request will be sent to the primary contact listed on this form. If you don't receive a copy, please look in your "junk" or "spam" folders and add the email address to your accepted contacts. Thank you! CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ