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CITY OF ANNAPOLIS Application and Guidelines (City of Annapolis)

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CITY OF ANNAPOLIS
COMMUNITY GRANT PROGRAM
Application and Guidelines
Local Fiscal Year 2019
GAVIN BUCKLEY
MAYOR
COMMUNITY GRANT PROGRAM
Office of Finance
160 Duke of Gloucester Street
Annapolis, MD 21401
410-263-7952
Mayor
Gavin Buckley
City Council
Eleanor “Elly” Tierney, Alderman Ward 1
Frederick M. Paone, Alderman Ward 2
Rhonda Pindell Charles, Alderwoman Ward 3
Sheila M. Finlayson, Alderwoman Ward 4
Marc Rodriguez, Alderman Ward 5
Shaneka Henson, Alderman Ward 6
Rob Savidge, Alderman Ward 7
Ross H. Arnett, III, Alderman Ward 8
Revised Dec. 13, 2017 1
FY 2019 Community Grant
Application and Guidelines
Charter and Code of the City of Annapolis
Chapter 6.16.060 - Priorities for making operating and/or capital grants to non-profit organizations
under the City of Annapolis Community Grant Program.
A. For the purposes of this section an "operating grant" shall provide support for the day-to-day costs of running the
non-profit organization. A "capital grant" shall provide support for the purchase of property, the construction,
remodeling, or expansion of a facility, or purchase of equipment by a non-profit organization.
B. Subject to the availability of funds, the City will consider funding an operating and/or capital grant to a non-profit
organization with an application submission that meets one of the following priorities:
1. Provides services that sustain and empower youth, families and individuals to move towards an improved quality
of life and self-sufficiency;
2. Provides programs that preserve and enhance a community's character;
3. Provides programs that contribute to a vibrant economy; or
4. Promotes programs that are integral to community revitalization, economic development and environmental
sustainability.
C. There shall be a committee convened to review and evaluate applications submitted to the City of Annapolis for
an operating and/or capital grant in accordance with the criteria in Section 6.16.060 D. The committee shall consist
of: the Mayor's designated staff person; the Finance Director's designated staff person; and two at large staff
persons.
D. Application qualification criteria:
1. Applicant shall have the administrative and financial capacity to carry out the project successfully and shall be in
good standing with the Maryland Department of Assessments and Taxation;
2. The project shall help meet the goals and objectives set forth in Paragraph B of this section;
3. The applicant shall demonstrate that the proposed activity shall provide maximum public benefit in relation to cost;
and
4. The applicant shall demonstrate the ability to leverage additional funds.
E. Grants committee recommendations to Finance Committee.
The grants committee shall make recommendations to the Finance Committee for its consideration as part of the
annual budget process.
(Ord. O-14-08 Amended § 1, 2008)
(Ord. No. O-54-11 Amended, § I, 1-23-2012; Ord. No. O-7-14, § I, 12-22-2014; Ord. No. O-7-15 Amended, § I, 4-27-2015)
Revised Dec. 13, 2017 2
Guidelines and Instructions
Applications must be received by Friday, January 26, 2018 at 4:30 PM. Applications received after the above
date and time will not be considered nor will extensions be permitted. Faxed or emailed applications will not
be accepted.
Please submit one original of the application to:
Office of Finance
City of Annapolis
Attn: Nikki Pletzer
160 Duke of Gloucester Street
Annapolis, Maryland 21401
This application is available on the City’s website at
www.annapolis.gov. It will be listed under “Finance
Department – Forms.”
Please complete all forms and answer all questions included in the Application. The application form does not
limit the number of words that can be included in each section. However, please answer the questions as
concisely as possible in the space provided in the application.
Incomplete applications will be returned to the applicant without further funding consideration. To facilitate
photocopying, submit the application on 8 ½” X 11” paper and do not have the application bound in any way,
for example, please do not utilize binders, professional spirals or binding, etc.
The following documents are required and must be included in all applications:
1. Copy of the last audit or financial statements. If audited financials are not available, please provide a
copy of the organization’s most recent IRS Form 990 tax return.
2. Organization budget for current year, including income and expenses.
3. Board of Directors including addresses and phone numbers
4. A copy of the organization’s (or the fiscal agent’s) current IRS determination letter indicating 501(c)(3)
tax-exempt status.
5. A copy of the organization’s Certificate of Good Standing from the Maryland Department of
Assessments and Taxation.
6. A copy of the organization’s most recent annual report (if applicable).
7. If this request includes partner organizations, please provide a copy of a Memorandum of
Understanding, support letters, or a description of the roles and responsibilities for each organization
that is signed by all parties (if applicable).
If you have questions or any concerns, please contact Nikki Pletzer at 410-263-7952 or by email at
NJPletzer@annapolis.gov.
City of Annapolis, Community Grant Application FY 2019
Page 1
Community Grant Application
Deadline: January 26, 2018
Organization name
Contact Title
Address
Phone Fax Email
Federal ID #
Incorporation Date 501(c)(3) Registration date
Project title
Project location
Amount requested $
Other funds $
Total project amount $
Certification
“I certify that I have reviewed this application and that to the best of my knowledge and belief, all the
information provided in this application is true.”
Signature of Chief Executive Officer
Date
Print name Title
Address
Phone Fax Email
City of Annapolis
Office of Finance
160 Duke of Gloucester Street
Annapolis, MD 21401-2517
Finance@annapolis.gov • 410-263-7952 • Fax 410-263-7529 • TDD use MD Relay or 711 • www.annapolis.gov
City of Annapolis, Community Grant Application FY 2019
Page 2
EXECUTIVE SUMMARY
Provide a brief summary of your project. Please be sure to include the following items: purpose of the project,
number of people to be served, and how the city grant funds will be used.
PERFORMANCE HISTORY
If you received Community Grant funds last year, please evaluate progress you have made in implementing
those projects. Please discuss any factors that may have hindered your progress
.
City of Annapolis, Community Grant Application FY 2019
Page 3
RATIONALE (20 Points)
Describe the issue or problem to be addressed including the size and/or severity of the problem. Provide the
demographic data and geographic information used to determine the extent of the problem.
City of Annapolis, Community Grant Application FY 2019
Page 4
PROJECT DESCRIPTION (30 Points)
Please give a detailed description of the program or project you are proposing. Please include the group of
persons you plan to serve and the number of expected participants, the activities or services you will provide
and location.
Describe the methodology (or approach) for the proposed program/project, e.g., the procedures, tasks,
techniques, or tools you will use to develop the program
City of Annapolis, Community Grant Application FY 2019
Page 5
Explain how this proposal relates to the organization’s mission, goals and/or strategic plan, and other activities
planned for this year.
City of Annapolis, Community Grant Application FY 2019
Page 6
TIMELINE (10 Points)
Provide a timeline for implementation and all program/project activities for the project.
Date
Activity
Please indicate how you have determined that the timeline is achievable.
Describe the organization’s ability to implement the request.
City of Annapolis, Community Grant Application FY 2019
Page 7
EVALUATION (20 Points)
Clearly state the specific, goals, objectives, and measurable outcomes of the project/program.
Goals
Objectives
Measurable Outcomes
Describe the impact (long-term effects) you expect will be produced by program/project outcomes.
City of Annapolis, Community Grant Application FY 2019
Page 8
BUDGET DOCUMENTS (20 Points)
Include a detailed program budget that includes expenses, city funds requested and pending sources of
support. Please use the attached Program/Project Budget Format.
Outline the organizations plans for securing funding from sources other than those provided by the City of
Annapolis and indicate how City of Annapolis’ funds will be used to leverage a request for, or use of, other
grant funds.
City of Annapolis, Community Grant Application FY 2019
Page 9
PROJECT BUDGET
Please complete the following budget chart for this project, including all budget items, the total budget for each
item, and the funds that are being requested for each line item.
Is “Other
Source of Other
funding”
funds
committed
City funds
(Federal, State,
or
Total
Budget item
requested
Other funds
Private)
requested?
project cost
Salaries/Benefits (list each
position)
$
$
$
Contract Services
Rent/Leasing Costs
Utilities/Telephone (please
specify)
Equipment
Insurance
Office Supplies
Printing/Postage
Audit/Accounting
Other (please describe)
Total Budget
$
$
$
City of Annapolis, Community Grant Application FY 2019
Page 10
CITY OF ANNAPOLIS
COMMUNITY GRANT FY 2019
DOCUMENT CHECK LIST
1 original of application
Recent (within 6 months) Certificate of Good Standing from the Maryland Department of Assessments
and Taxation (Call 410-767-1340) to obtain a Certificate)
List of the names of your Board of Directors, with addresses and phone numbers
Copy of your latest audit or financial statement or Federal Tax Form 990
Current operating budget
Signature of Chief Executive Officer
IRS tax-exempt determination letter
Annual Report (if applicable)
MOU (if applicable)
Community Grant Staff Only
All forms are included/complete: Yes No
Reviewer signature Date
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