rodger a. graef foundation application - Rodger and Kate Graef ...

RODGER A. GRAEF FOUNDATION
The Rodger A. Graef Foundation is a broad purpose charitable fund that
responds to requests that are deemed most appropriate to promote education, the arts,
social welfare, medical research and religion as determined by the Board of Trustees.
GRANT RULES AND REQUIRED INFORMATION
Before completing the attached application, please read these instructions carefully. Incomplete
applications will be returned to the applicant and will not be considered until all requirements have
been met.
Grants are given annually. The Foundation will not make grants to individuals or private
businesses. The application deadline is July 31 st . Only one request per calendar year will be
considered. Notification of approval or disapproval of your request will be by a letter sent after the
Foundation’s annual meeting in September.
1. Please type an answer to each question within the space provided. The application may be
recreated on a word processor for convenience, however please duplicate the application as it is and
do not extend responses beyond the original allotted areas. Please do not use smaller than 10pt type.
2. Submit an original and four copies of the completed application form. The application MUST be
signed by the Board President and or the Director at large. Also attach a SINGLE PAGE cover
letter stating the mission of your organization and copies of additional material requested below to
each application.
3. Attach copies of the following to all copies of the application.
· Mission Statement
· Current Financial Statement
· Detailed Budget
· Detailed Project Budget ( if associated with grant request )
· List of Officers, Directors & Board Members
· Copy of IRS 501 ©)(3) Tax Exemption Determination Letter*
· Descriptive brochures(s) ( if available and related to funding request )
4. Grant requests from non profits whose 501(c)3 tax exempt status is not listed as current on
GuideStar.org will not be considered.
Other attachments if necessary.
* If you submit a request along with a Tax Exemption Determination Letter in another name, you
must provide satisfactory documentation as to your connection with the name on that Tax
Exemption Letter.
If there is any other supporting information you feel that might be necessary in grant consideration
that is not covered in your mission statement, etc., please feel free to submit it.

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RODGER A. GRAEF FOUNDATION
APPLICATION
The Rodger A. Graef Foundation is a broad purpose charitable fund that
responds to requests that are deemed most appropriate to promote education, the arts,
social welfare, medical research and religion as determined by the Board of Trustees.
Date__________________
Name of Organization applying:__________________________________________________
Address_______________________________________________________________________
Street City State Zip
Phone__( )________________________ Fax___( )_______________________
Web site address___________________________ Email address_______________________
Contact Person________________________________________________________________
Name Title Phone + ext.
_________________________________
President (Type or Print name)
___________________________________
Director (Type or Print name)
_________________________________ ___________________________________
Signature Date Signature Date
____________________________________________________________________________
_____________________Please complete the following questions_____________________
1. Grant amount requested $__________________________
What is the specific purpose of this grant ? ( general support, start-up, special project etc. )
_______________________________________________________________________
2. Briefly describe your organization and its primary objectives, ( history, accomplishments
etc.)

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Date established________ Number of employees_______ Number of volunteers______
3. Current annual operating budget $___________ % of budget uses for Admin._______
4. Total financial support received last fiscal year $_____________________
Sources of this support:
Memberships & Individual contributions: $___________
*Other: $__________
Fees: $_________ ** Fund Raising Benefits: $__________
Government Programs: $_________ * Corporations: $__________
United Way: $_________ * Foundations: $__________
* Identify and indicate dollar amount of support from each during last fiscal year.
SOURCE
AMOUNT
** Amount raised through fund raising activities last year including membership drives,
benefits, etc. $___________: identify the costs that you incurred in raising those funds
( including salaries, brochures, mailings, professional services, grant writing )
$_____________.
5. List any previous grant applications to the Rodger A. Graef Foundation during the last
three (3) years.
Date of Purpose Amount Amount
Application (Capital Project) Requested Approved

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6. Describe the purpose of the grant request in detail, for which you are seeking.
7. If the grant request is for a special project, briefly describe how the special project was
determined ? Indicate project period__________months, beginning date___________.
8. What are the project’s specific objectives and how will it be evaluated?
9. Total amount needed for the project $______________
List other sources of support being approached:
SOURCE AMOUNT REQUESTED CURRENT STATUS
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10. If the project is successful, how will it be managed and funded in the future?
Mail completed application and all requested documents to:
Rodger A. Graef Foundation
U.S. Bank
Attn: Frank King
2300 W. Sahara Ave., Suite 200
Las Vegas, NV 89102
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