BENEFICIARY APPLICATION

Document Sample
BENEFICIARY APPLICATION Powered By Docstoc
					BENEFICIARY APPLICATION
Table of Contents
GRGR/WEST’S MISSION & DEFINITIONS ....................................................................................... 2
MISSION: ....................................................................................................................................................... 2
Definition: Grassroots ................................................................................................................................... 2
Definition: Diverse Populations .................................................................................................................... 2
THE REAL BAD PARTY ......................................................................................................................... 2
FUNDING GRANTS ................................................................................................................................. 3
UNRESTRICTED GRANTS – LOCAL LARGE ORGANIZATIONS: ........................................................................ 3
UNRESTRICTED GRANTS – LOCAL SMALL ORGANIZATIONS: ........................................................................ 3
RESTRICTED GRANT - LOCAL: ........................................................................................................................ 3
UNRESTRICTED GRANT- LGBT ADVOCACY: ................................................................................................... 3
APPLICATION PROCESS – LOCAL ORGANIZATIONS ................................................................... 4
CATEGORY DEFINITIONS ............................................................................................................................... 4
  HEALTH ..................................................................................................................................................... 4
  COMMUNITY............................................................................................................................................. 4
THE SELECTION PROCESS –LOCAL GRANTS ................................................................................. 5
Additional Requirements for Restricted Grant Applicants: .......................................................................... 5
Dates and Deadlines: .................................................................................................................................... 6
Partnering with GRGR/West: ........................................................................................................................ 6
APPLICATION CHECKLIST – LOCAL GRANTS: .............................................................................. 7
  SECTION A – ORGANIZATION DETAILS ...................................................................................................... 7
  SECTION B – FUNDING REQUEST .............................................................................................................. 7
SECTION C – FISCAL SOUNDNESS .................................................................................................................. 7
THE SELECTION PROCESS –LGBT Advocacy ................................................................................. 9
    APPLICATION CHECKLIST – RIGHTS ADVOCAY GRANT: ............................................................................ 9
    SECTION A – ABOUT YOUR ORGANIZATION ............................................................................................. 9
    SECTION B – FINANCIAL DOCUMENTS ...................................................................................................... 9
APPLICATION SUBMISSION INSTRUCTIONS – ALL APPLICATIONS .................................... 10
QUESTIONS ............................................................................................................................................ 10




                                                                                                            BENEFICIARY APPLICATION                            1
GRGR/WEST’S MISSION & DEFINITIONS
MISSION:
Grass Roots Gay Rights West (GRGR/West) is committed to raising and distributing funds
to grassroots organizations that strengthen the diverse populations that make up San
Francisco’s LGBT community. Our goal is to support organizations that create local
impacts, sustainable results and/or measurable change in the areas of civil rights,
community development, social services, HIV/AIDS and other health-related issues.

Definition: Grassroots
“Grassroots” refers to both GRGR/West and its beneficiaries; in both cases, it means the
ability to create local impacts, sustainable results and/or measurable change for the
diverse populations that make up San Francisco’s LGBT community.

Definition: Diverse Populations
"Diverse populations" refers to the variety of beneficiaries that represent the wide range of
people and issues in San Francisco’s LGBT community. This includes beneficiaries that
serve several populations, sustain any single distinct group, and/or focus on important
issues that affect these diverse populations.


THE REAL BAD PARTY
GRGR/West manifests its mission by producing REAL BAD, the unofficial closing dance
event of Folsom Street Fair Weekend, which takes place Sunday, September 23, 2012. The
REAL BAD Working Group is the GRGR/West committee that oversees the production of
the REAL BAD party.

REAL BAD, now in its 24th year, is the longest running, most successful event of its kind in
the country. GRGR/West attributes the success of REAL BAD to its “Circle of Friends”
tradition — friends inspiring friends to gather in celebration to benefit community. The
foundation of this tradition is the generous and loyal support of the REAL BAD Hosts. Hosts
provide the funding required to produce REAL BAD, allowing 100 percent of general
admission ticket proceeds to be donated to its beneficiaries. Hosts also serve as the
primary source for tickets, selling to their personal “Circle of Friends,” creating REAL BAD’s
uniquely familiar, intimate, and playful atmosphere.

Please visit http://www.realbad.org for more information.




                                                               BENEFICIARY APPLICATION      2
FUNDING GRANTS
Each year, GRGR/West funds four new beneficiaries in the following forms:

UNRESTRICTED GRANTS – LOCAL LARGE ORGANIZATIONS:
Each year a large organization is selected for a two-year grant. A large organization is one
having a budget of more than $1,000,000. Each of the two large organizations (one selected
this year and one selected in the prior year) receives 35% of the funds raised after payment
of the two $7,500 grants described below.

UNRESTRICTED GRANTS – LOCAL SMALL ORGANIZATIONS:
Each year a small organization is selected for a two-year grant. A small organization is one
having a budget of less than $1,000,000. Each of the two small organizations (one selected
this year and one selected in the prior year) receives 15% of the funds raised after payment
of the two $7,500 grants described below.

RESTRICTED GRANT - LOCAL:
One organization receives a Restricted, $7,500 project-based or capacity building grant.

UNRESTRICTED GRANT- LGBT ADVOCACY:
One organization advocating for LGBT rights, receives an Unrestricted $7,500 grant.




                                                             BENEFICIARY APPLICATION       3
APPLICATION PROCESS – LOCAL ORGANIZATIONS
CATEGORY DEFINITIONS
Applicants are encouraged to use the following definitions in describing the mission of
their organization. The definitions are meant for guidance purposes only; if your
organization falls within both categories, please feel free to indicate that in your
application.

HEALTH
An organization devoted to providing access to medical and clinical resources —including
health benefits, prevention, treatment, education, and/or harm reduction to those in the
LGBT community with physiological conditions, mental health conditions, and/or
questions about their physical and/or mental health. Examples of health non-profits would
include organizations that:
 Focus on HIV/AIDS and STD's as a medical issue by offering testing, treatment,
    complimentary care and educational services;
 Provide forms of one-on-one and group therapy with therapists, psychologists, and
    psychiatrists;
 Prescribe drugs for physiological and/or mental health conditions;
 Pursue projects that increase the accessibility of health professionals and medical
    information to a variety of populations;
 Provide a harm reduction model of treatment to LGBT community members facing
    physiological and/or mental health conditions.

COMMUNITY
An organization that either provides advocacy and support to people so that they can
sustain themselves in and continue contributing to the community, or one that helps to
develop the LGBT community as a whole and/or diverse groups within that community
through a variety of activities. Examples of community non-profits would include
organizations that:
 Provide legal assistance and advocacy around such issues as benefits, housing and
   discrimination;
 Increase public awareness and work on policy issues relevant to the LGBT community;
 Promote a "safe space" for LGBT community members, their family, and friends;
 Seek to empower the LGBT community, especially racial, ethnic, economic, and other
   minorities;
 Focus on particular contributions of members to the LGBT community, such as working
   artists and historical figures;
 Develop events – from the festive to the spiritual – that bring members of the
   community together as a community.



                                                             BENEFICIARY APPLICATION      4
THE SELECTION PROCESS –LOCAL GRANTS
   Applications checklists and information are available on the REAL BAD website and
    below to guide groups through the application process.
   Applications are and accepted by the Beneficiary Selection Committee between March
    and May of each year.
   The Beneficiary Selection Committee selects three finalists for each grant (nine each
    year).
   The finalists for unrestricted grants are invited to make verbal presentations to the
    REAL BAD Working Group in June; the finalists for the restricted local grant will be
    selected by online vote of the REAL BAD XXIV Hosts.
   Selected Beneficiaries are notified by July 1st.
   Beneficiaries are announced at the annual Host Margarita Party.

Your organization MUST:
 Be a recognized 501(c)(3).
 Be able to demonstrate how the agency’s programs/services create local impacts,
   sustainable results and/or measurable change for diverse LGBT populations in the
   city/county of San Francisco. The Beneficiary Chair will work with you to develop an
   appropriate response in this area.
 Demonstrate fiscal soundness.
 Be willing and able to provide volunteers for REAL BAD.
 Be willing to able promote REAL BAD in cooperation with GRGR/West.
 Have regular access to email, the web, and the ability to read and print PDF files.
 Provide all information listed in the Application Checklist.
 Provide updated financial information prior to the commencement of the second year of
   your grant if you are selected for an unrestricted local grant

Your organization MAY NOT:
 Have been an Unrestricted Local Grant beneficiary within the last four years
 Be part of a political campaign to elect a specific candidate or pass a specific ballot issue.
 Be a government agency.
 Be a for-profit entity.

Additional Requirements for Restricted Grant Applicants:
Your organization MUST:
 Provide a concise description of the program, activity or service being funded.
 Demonstrate how funding the selected program or service will create sustainable
   results and/or measurable change for diverse LGBT populations in the city/county of
   San Francisco, or in the case of a capacity building grant, demonstrate how the grant
   will create sustainable results and/or measurable change to organization.


                                                                BENEFICIARY APPLICATION       5
Your organization MAY NOT:
 Have been Restricted Grant beneficiaries within the last two years.
 Be an applicant for a GRGR/West Small or Large Organization grant.
 Be a GRGR/West Small or Large Organization beneficiary.

Dates and Deadlines:
   Application submission deadline: Monday, May 7, 2012
   Notification of finalists: Monday May 21, 2012
   20-minute oral presentation to REAL BAD Working Group: Saturday, June 16, 2012
   Host Voting on Local Restricted Grant: June 10 to 30, 2012
   Host Margarita Kick-Off Party: Sunday, July 15, 2012
   REAL BAD XXIV: Sunday, September 23, 2012
   REAL BAD XXIV Beneficiary Check Presentation: Thursday, November 8, 2012

Partnering with GRGR/West:
Organizations selected for funding are required to:
 Attend the Host Margarita Kick-Off Party.
 Promote REAL BAD in their publications and provide a link from their web site.
 Provide volunteers for the REAL BAD party, including set-up, during the event, and
   strike. Our volunteer needs are only for the event day, and our volunteer needs total
   less than 80. Each organization will be asked to recruit and provide volunteers in
   proportion to the size of their grant.




                                                             BENEFICIARY APPLICATION       6
APPLICATION CHECKLIST – LOCAL GRANTS:
Please provide all of this information.

SECTION A – ORGANIZATION DETAILS
A1.   Organization Name
A2.   Organization Address
A3.   Organization Website address
A4.   Primary Contact Person’s Name and Title and Contact Info (Full time staff - the
      person who will act as the liaison to GRGR/West)
A5.   Organization Mission Statement
A6.   Briefly describe how your organization creates sustainable results and measurable
      change for diverse LGBT populations in the city/county of San Francisco. [Up to 500
      words]
A7.   Briefly describe the diverse population(s) your organization serves. [Up to 200
      words]

SECTION B – FUNDING REQUEST
B1.   What type of grant are you requesting? Restricted Local (project or activity-based,
      or capacity building), Large Local Organization, or Small Local Organization
B2.   (Restricted Grants Only) What is the name or title of the program, project, or
      activity for which you’re requesting funds?
B3.   (Restricted Grants Only) Briefly describe how the selected program, project or
      activity will create local impacts, sustainable results and/or measurable change for
      diverse LGBT populations in the city/county of San Francisco, or in the case of a
      capacity building grant, demonstrate how the grant will create sustainable results
      and/or measurable change to organization. [Up to 500 words- you may reference
      the material submitted in A6 above]
B4.   (Restricted Grants Only) Briefly describe the diverse population(s) this program,
      project or activity will serve. [Up to 200 words- you may reference the material
      submitted in A7 above]

SECTION C – FISCAL SOUNDNESS
C1.    Summarize budget for current fiscal year, total revenue by category, minus total
       expenses by category.
       C 1.1 Attach copy of most recent IRS Form 990 or provide website link to your
             Form 990 on Guidestar.com
       C1.2 Attach copy of most recent financial audit, including balance sheet. If your
             audited financials are for a period ending 12/31/10 or earlier, please also
             attach unaudited financials for the twelve months ending 12/31/11. If you
             are on a fiscal year, provide your most recent audited financials. If your
             audited fiscal year statements are more than 12 months old, please also
             submit unaudited financial statements for the most recent fiscal year period.


                                                             BENEFICIARY APPLICATION         7
             If you are not audited, please attach a copy of your financials for the 12
             months ending 12/31/11, including income statement and balance sheet.

C2.   Fundraising and Administrative Expenses Declaration
      (Using 2010 Form 990)
      (Pg. 10, Item 25, Column C)+ (Pg. 10, Item 25, Column D)÷ (Pg. 9, Item 12A) = %

      Note: If you submitted a 990EZ form for 2010, which does not have Pages 9 and 10,
      please have your Accountant estimate these amounts OR provide a 990 Proforma,
      which includes information from the 990 up to page 10.
C3.   Current Ratio – current assets/current liabilities
C4.   Does your organization have a reserve fund?
      If so, what is it currently funded at?
      Note: A “no” answer does not inhibit your application process.




                                                             BENEFICIARY APPLICATION      8
THE SELECTION PROCESS –LGBT Advocacy
   Applications checklists and information are available on the REAL BAD website and
    below to guide groups through the application process.
   Applications are and accepted by the Beneficiary Selection Committee between March
    and May of each year.
   The Beneficiary Selection Committee selects three finalists for the LGBT advocacy grant
    and presents those finalists to be voted for online by the Hosts of REAL BAD XXIV.
   Selected Beneficiaries are notified by July 1st.

APPLICATION CHECKLIST – RIGHTS ADVOCAY GRANT:
Please provide all of this information.

SECTION A – ABOUT YOUR ORGANIZATION
A1.   Organization Name
A2.   Primary Contact Person’s Name, Title and Contact Information (Full time staff - the
      person who will act as the liaison to GRGR/West)
A3.   Organizational Mission Statement
A4.   Provide a summary how the agency’s programs/services advocate for LGBT rights.
      This summary will be sent out to our hosts for selection of the grant recipient, and
      used in lieu of the usual presentation to the REAL BAD Working Group.

SECTION B – FINANCIAL DOCUMENTS
B1.   Attach copy of current fiscal year budget
B2.   Attach copy of most recent IRS Form 990 or link to your Form 990 at Guidestar.com
B3.   Attach copy of most recent financial audit, including balance sheet (if audited). If
      your organization is not audited, attach copies of your financial statements for the
      12-month period ending 12/31/11.
B4    Does your organization have a reserve fund?
      If so, what is it currently funded at?




                                                             BENEFICIARY APPLICATION         9
APPLICATION SUBMISSION INSTRUCTIONS – ALL APPLICATIONS
   1. SECTION A/SECTION B of your application must be submitted on organizational
      letterhead.
   2. SECTION A/SECTION B of your application must not exceed three (3) 8.5x11, single-
      sided pages, with font size no smaller than 11 points. Section C, if applicable, (other
      than items C1.1 and C 1.2) should be as few pages as possible.
   3. Your Executive Director or Board President must sign applications.
   4. Applications with omitted answers will be returned with instructions. Revised
      applications must be received by the original application deadline.
   5. Include one complete copy of your application.
   6. Applications must be received by the submission deadline (May 7, 2012) either by
      email to jim@realbad.org or postal mail addressed as follows:
             GRGR/West
             REAL BAD BENEFICIARY COMMITTEE
             Attn: Jim Hauck
             584 Castro Street #495
             San Francisco, CA 94114-2594
      Note: Applications received after the deadline will NOT be considered.
   7. Important Dates
          a. Monday, May 7, 2012:
             Application submission deadline
          b. Monday May 21, 2012:
             Notification of finalists
          c. Saturday, June 16, 2012:
             20-minute oral presentation to REAL BAD Working Group
          d. June 10 to 30, 2012:
             Host Voting on LGBT Advocacy Grant
          e. Sunday, July 15, 2012:
             Host Margarita Kick-Off Party
          f. Sunday, September 23, 2012:
             REAL BAD XXIV
          g. Thursday, November 8, 2012:
             REAL BAD XXIV Beneficiary Check Presentation:


QUESTIONS
Questions regarding this application process are welcomed and should be directed
(preferably via email) to:

Jim Hauck
REAL BAD XXIV Beneficiary Chair
jim@realbad.org
415-608-4765
                                                              BENEFICIARY APPLICATION      1
                                                                                           0

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:2
posted:7/11/2012
language:
pages:10