Grant Application | THE ALYS FOUNDATION

Organization Information:

Name of Organization:

Multi-line address

Country/Region

Address

City

Zip / Postal code

Contact Name

Contact Title

Contact Email

Contact Phone

Organization Website

Is the organization a 501(c)(3) nonprofit organization with a valid EIN from the IRS?

Yes

No

Please state your mission statement and give a brief description of your core programs/services.

Do your programs primarily serve the residents of Walton County, FL?

Yes

No

Is your organization registered under the Florida Department of Agriculture and Consumer Services with a valid Solicitation of Contributions Registration?

Yes

No

Financials:

What is the organization’s total revenue for the most recently completed fiscal year?

What is the organization’s total expenses for the most recently completed fiscal year?

Please list out your main funding sources currently.

Please attach the following financial documents:

Profit & Loss Statement from most recent completed fiscal year

Balance Sheet Statement from most recent completed fiscal year

Most recently completed IRS Form 990 report

Grant Request:

Brief Description of Funding Request:

We’d appreciate a short overview of your funding request. Please describe the program or project you are seeking support for, the anticipated benefits for the Walton County community and its population, and any other relevant information that would help us understand your request.

Which of the 3 Pillars of the Alys Foundation does your grant application most apply to?

Check one or more that fits the description of your grant request the best.

General Program Support

Operating/Admin Support

Start Up Program Cost

Other

Grant Request Amount: $

If the full amount of the Grant Request is not awarded, how will you fill the funding gap?

Have you received funding for this program/project from any other sources?

Yes

No

Would you be able to complete a financial report of how the funds were used by December 31st of the funding year?

Yes

No

Alys Beach will provide the form for reporting at the end of the funding year.

Have you received funding from the Alys Foundation in the past?

Yes

No

Other Notes/Comments

Additional Information

Upload additional document files

The Alys Foundation Grant Application

Organization Information:

Financials:

Grant Request:

Additional Information