Grant Application

ORGANIZATION INFORMATION

Federal Employer ID #*

Date of Non-Profit Incorporation in TX*

Applicant Organization Official Name*

Is there a different name the organization is known by?*

Yes

Organization is also known as*

General Organization Email:*

Organization Website*

Organization's Phone #*

Organization's Fax #*

Physical Address*

Street Address Address Line 2 City State ZIP Code

Is the mailing address different?*

Yes

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Is your organization 501(C)3 Tax Exempt?*

Yes

CONTACT INFORMATION

Application Contact*

Phone*

Email*

Is this contact above the same as the Executive Director*

Yes

Executive Director*

First Last

Email*

Phone*

Is the primary contact for the project different from the contacts above?*

Yes

Project Contact*

Email*

Phone*

The primary contact for the project is*

All notices and information regarding applications will be sent by email ONLY to application contact person.

APPLICATION NARRATIVE

Answer question below in narrative form as briefly as possible.

What have you accomplished this last year? What has your impact been for the Arlington Community and for tourism?*

Please list a summary of events and attendance. How was/is attendance tracked? What have been your successes and challenges this year? What are your plans for next year?

APPLICANT’S TOTAL FISCAL SUMMARY:

Organizational budget for last completed fiscal year:*

Organizational budget for present year:*

Organizational budget for projected year:*

Organizational Financials

Last fiscal year income/expense and balance sheet statement upload; If you have audited financials, please provide those as well.*

Provide a detailed income/expense statement and balance sheet from your last completed fiscal year. Include revenue, grants & contributions, source(s) of matching funds; expenses: in-kind services, other revenue. ( File must be a .pdf, .csv, .xls, .xlsx, .doc, or .docx ) Please name uploaded formats in the following file names. ( FY24-CompanyName-Audited-Whomitsauditedby.pdf or FY24-CompanyName-notAudited.pdf)

Drop files here or

Accepted file types: pdf, csv, xls, xlsx, doc, docx, , Max. file size: 32 MB.

Please upload current IRS Form 990*

Drop files here or

Accepted file types: pdf, csv, xls, xlsx, doc, docx, , Max. file size: 32 MB.

Signature

Under penalties of perjury, I declare that I have examined information contained in the application for this grant and accompanying documents and, to the best of my knowledge and belief, they are true, correct and complete, and I am in fact eligible for funding under this grant program. I am aware that the submission of any false information or omission of any pertinent information resulting in the false representation of a material fact may subject me to civil and/or criminal penalties for filing of false public record and/or forfeiture of any funding awarded under this program. I further declare that I have reviewed the ACTC Overview Guidelines and acknowledge my responsibility as a grant applicant to become familiar with these guidelines and that failure to comply could result in ineligibility for the grant program now and in the future.

I understand that should I have any questions regarding these guidelines, I may contact ACTC. I further understand that all documents submitted become the property of ACTC.

FULL NAME*

TITLE*

INITIAL*

Today's Date*

Please complete and submit this report by January 23,2025 by 5 pm.

Comments

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