Charity Gala Application

Deadline for submission is 5 p.m. Sept. 23, 2011.

Required Attachments

please make sure that the combined five required attachments are no more than 10 MB in size.

The five required attachment documents are:

  • Operating budget for current fiscal year
  • Financial statement for most recent fiscal year
  • Proof of 501(c)(3) status
  • Board of Directors listing and their professional or community affiliations
  • Detailed budget of how the funding will be utilized

If all of your attachment files exceed 10 MB, please contact us.

General Organization Information

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Physical Address
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Mailing Address
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eg. XXX-XXX-XXXX
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eg. XXX-XXX-XXXX
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Limit 50 words.

Primary Contact Information

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eg. XXX-XXX-XXXX
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Organization's Financial Information

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Description of How Funding Request will be Utilized

The Mayor and First Lady will be focused on the issues of Arts and Culture at the 2012 Charity Gala.

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Limit 500 words.
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Limit 150 words
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Limit 50 words
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Limit 50 words.

Additional Requirements

Disbursement of allocated funds be made in two separate payments.

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Please note: Selection as a grant recipient is dependent on answer to the above question.


Please attach the following:
Please note in your budget what funding will be used for administrative expenses and direct program expenses. Attach as separate document.

Thank you for your interest and for your dedication to our community.