Section 1: Required Documents

IRS 501(c) 3 or 170(b) non-profit organization determination letter:

Financials or previous year’s tax return:

Organization budget (local chapter):

Grant project budget:

Section 2: Contact Information

Name of Organization:

Legal Name, if different:

Address:

City

State

Zip

Tax Identification Number:

Organization Phone:

Website

Social media sites – Facebook, Twitter, Instagram, LinkedIn, Snapchat, Tumbler, etc:

Name of contact person regarding this application:

Title:

Contact Person Phone:

Email:

Section 3: Organization Information

Brief summary of organization history:

Date established:

Purpose, vision, values:

Brief description of organization’s current initiatives, including any service statistics, strengths and accomplishments. Please highlight any new or unique activities.

Section 4: Project Information

Name of project that grant will support.

If funded, when will the project begin:

What community(ies) will this project impact: (ex: city and state, county/parish)

Estimated number of individuals this project will impact:

Is this project a sustainable or immediate need?

Total project budget:

Dollar amount requested:

Section 5: Project Goals and Objectives

What community challenges or needs will this project address:

How will you meet the project goal(s):

Specific activities for which you are seeking funding:

Who will carry out these activities and how will they do this?

How will you quantify the impact your project will have on the community:

I agree to provide regular updates such as photos, personal testimonies and videos to Danos regarding the use of the grant funds. I agree to complete a Danos Foundation Community Impact Report no later than the end of the calendar year in which the grant was awarded. The report seeks to gain insight and data (where possible) on the impact the grant had on the community and if the original intent of the grant was fulfilled.

In your Danos Foundation Community Impact Report please share with us:

Outcomes: Who was served? In what geographical area? For how long? What successes did you experience?
Impact: Please share personal stories highlighting the impact your initiative had on individuals or communities.

To be considered for future funding, recipients must return the impact report prior to submitting future grant applications.

Danos invites you to attach any additional information that you feel is relevant to this application:

Section 6: Past Grant Recipients

Have you previously received funding from any of the following? (Select all that apply):

GIVES

WORKS

Neither

Other

Do you collaborate with any other non-profit organizations?