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Adams County

Community Foundation

+ all Endowed Grant Funds within the Foundation



and the



John and Kay Boch Fund

Grant Application









Adams County Community Foundation

102 N. Second Street

Decatur, Indiana 46733



Ph: (260) 724-3939

Fax: (260) 724-2299

accfoundation@earthlink.nem

Adams County

Community Foundation, Inc.

Grant Request Proposal 2006



For the convenience of the Adams County Community Foundation (ACCFoundation)

Grants Committee and the organizations providing requests for funds, the

ACCFoundation grant process has two (possibly three) phases. These phases (with

the deadlines) are:



Phase I

1. Initial acceptance.

Spring Grant Season: Deadline by 4:00 PM, 1st Thursday in April*

Fall Grant Season: Deadline by 4:00 PM, 1st Thursday in October*

*In the ACCF office, postmarks are not considered

The nonprofit organization submits a one-page request (plus supplemental material) to

provide an overall view or summary of their funding and program request. If the

organization’s request is approved for Phase I, then the organization is responsible for

providing a complete application (Phase II). Contact will be by mail.



Phase II

2. Submit complete application. (You will be given notice if this is necessary)

First Granting Season: Deadline: 4:00 PM, 4th Thursday in April**

Second Granting Season: Deadline: 4:00 PM, 4th Thursday in October**

**If a Phase II is necessary, each organization will be contacted

The organization, which has passed Phase I, may be considered by the committee for

funds; however, being invited to participate in Phase II does not guarantee funds will be

provided. Rather, it indicates the organization and project is acceptable for

consideration by the ACCFoundation Grants Committee.





Phase III

3. Visitation. (An appointment may be arranged)

Occasionally, the committee may make personal visits to an organization, which

submitted a request for funds. This may or may not be announced, depending upon the

requesting Grant Committee member and time available.



The Adams County Community Foundation Board of Directors and the Grants

Committee appreciates the time you took to fill out this application. It is the desire of

the committee that this Phase I / Phase II method will assist the organizations

submitting requests.



If you have any questions, you may call the ACCFoundation office at (260) 724-3939

or email at accfoundation@earthlink.net. Applications may also be accessed on the

ACCF website at: www.AdamsCountyFoundation.org

Thank you for your interest in the Adams County Community Foundation.



Sincerely,









Cathy Stucky / Bette Miller, Co.Chrs. Coni Mayer, Executive Director

ACCFoundation Grants Committee ACCFoundation

Adams County Community Foundation, Inc.,

+ all Endowed Grant Funds within the Foundation (listed page 5)

and (the)

John and Kay Boch, Inc. Memorial Fund

Grant Request Proposal



Phase One

For your convenience, please reproduce this information (in the order shown) onto a

separate paper and provide information on an 8 ½ x 11” page of paper.



Information about requesting Organization:

Name: ______________________________________________________



Address: ________________________ city _________st. _____ zip ______



Representative: ________________________________________________



Contact phone number: ___________________ Date: _____________



Information about Fund Request:

Project title: _________________________________________________________



Summary of project: _______________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________



Clientele to be served: _________________ Estimated number served: ________



Amount requested: ___________________________________________

(Please attach the budget of amount requested.)



Is there anything else you would like to the committee to know about?

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________





Please report any grant funding and amount received in the past 18 months.

(i.e. funding from ACCFoundation, United Way, State or Federal Funding, etc.)

If additional space is needed, one page may be added.

Please submit 10 copies (total) of this application (+ supplemental materials) by the due date.

Adams County Community Foundation

Grant Request



In Brief



1.

Phase I

Submit the completed one-page application

Due date:

1st Thursday in April: Spring Grant Season



1st Thursday in October: Fall Grant Season

By 4:00 pm* each Granting Season

*please note: post marks are not considered

10 copies total







2.

Phase II

If Phase II is necessary, you will be contacted to

submit the necessary paperwork requested by the dates given at time of request or

4th Thursday in April: Spring Grant Season

4th Thursday in October: Fall Grant Season

By 4:00 pm each Granting Season

10 copies total

Please provide these copies in an ordinary manila envelope.

Staple the pages together in the upper left corner,

no special folders or covers please.







3.

Phase III

Interview

An on-site interview with the applicant(s)

may be scheduled to review the organization’s

facility and further review the organizations request for funds.





Announcement of Grant Recipients

Spring Grant Season: Acceptance / Denial letters will be sent by the last Friday in April*.

Fall Grant Season: Acceptance / Denial letters will be sent by the last Friday in October*.

*These dates may change due to Phase I / Phase II requirements

and Board of Directors meeting dates.



Thank you for the interest you have shown in the



Adams County Community Foundation

102 N. Second Street

Decatur, Indiana 46733

Ph: (260) 724-3939 E: accfoundation@earthlink.net

www.AdamsCountyFoundation.org

Spring Granting Season is with the

Unrestricted Funds i the Adams County Community. These are:

(most recent update: 10/2006)





Adams County Community Foundation - Community Enrichment Fund

Ron and Susie Ballard Fund

Bank, Bank of Geneva Heritage Fund

Bank, Decatur Bank & Trust Co. Heritage Fund

Dennis and Melanie Bieberich Community Enrich

James Briggs, Jr. Family Heritage Fund

Mark and Connie Bulmahn Community Enrich

Dr. Freeman Burkhalter Heritage Fund

Doyle and Sara Lu Collier Community Enrichment

Elizabeth DeVoss Community Enrichment Fund

June Marie Rupel-Dogget Heritage Fund

Matthew Fosdick Community Enrichment

Jim & Judy Howenstine Community Enrichment

Fred and Sonia Lehman Community Enrichment

James E. Luginbill Community Enrichment Fund

John & Rose Miller Heritage Fund

Daniel Niblick Family Community Enrichment Fund

Victor B. & Kristine Porter Community Enrichment

Wayne & Karen Porter Community Enrichment

Roger and Betty Singleton Community Enrichment

Smith Brothers Furniture of Berne

John and Sadie Snow Heritage Fund

Rachel Spaulding–Davis Community Enrichment Fund

Frank Wellman Community Enrichment





Organizations will submit one application.

The ACCF Grants Committee will determine approval and denial for the grant request.

The unrestricted grant funds are matched to the grant request.

Organizations submitting a grant request do not have to request a

particular fund or grant for their request.







Note:

When submitting your grant request, only the page with the information regarding your

request (page 2 of this document) is necessary for submission.



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