EFSP Phase 38 Application

Please fill out completely.

Agencies requesting funding must send a representative to the EFSP Local Board meeting at 11:00 a.m. on Tuesday, January 5, 2021, in the United Way Office (1100 East High St. Suite B, Bryan) or via Zoom (link to be provided later).

Each agency requesting funding will have the opportunity to make a brief (< 5 minutes) presentation to the local board in support of application. Funding decisions will be made following the meeting.

You may be required to submit specific documentation as to where the money is spent. Unspent funds must be returned to the National Board (and thus are lost by our county). If an agency is unable to spend all their allocated funds, they should contact the local board chair as soon as possible.

APPLICATION DEADLINE: 12:00 NOON, MONDAY, December 28, 2020

Cover letter

Agency Name

Street Address

City

State

Zip Code

Mailing Address (if different from above)

Phone

E-mail

DUNS number

Amount Requested

A. Served Meals

B. Other Foods

C. Mass Shelter

D. Supplies/Equipment

E. Rehabilitation/Emergency Repair

F. Rent/Mortgage

G. Utilities

Do the total of the items A-G equal the amount requested on page 1?

Board member list

Copy of current bylaws

Copy of most recent financial audit or review

Copy of most recently filed IRS Form 990

Copy of Internal Revenue Service 501(c)(3) letter

Rate and fee schedule

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