Process and InstructionsGrant ApplicationTo complete this form, you will need to upload IRS 501(c)(3) documents, most recent 990, overall budget, and proposed budget for grant ask. Organization InformationName of Organization(Required) Full Organization Name Tax ID Number(Required) Address(Required) Street Address Address Line 2 City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)Email(Required) Website(Required) Executive Director(Required) First Last Contact Person & Information(Required) First Last Purposeful InformationMission Statement of Organization(Required)Summary of Request and Program Context(Required)Treasury Exemption InformationThe undersigned represents that said exemption letter and the exemption thereby evidenced are in effect and good standing at this time. The exemption type, number and date are as follows:Type(Required) Tax ID Number(Required) Date(Required) IRS Proof of 501(c)(3)(Required)Please upload IRS 501(c)(3) documents. Drop files here or Select files Max. file size: 50 MB. Funds are being requested for:(Required)Please place a check in any that apply. General Operating Costs Project Support Other You have selected "Other" Please give reason for funding Fiscal Year EndBudgetOverall Budget(Required)Number of Employees(Required)Amount Requested(Required)Total to Fund Project(Required)% of Total Project(Required) Please Describe Additional Funding(Required)Please provide a short statement of how this grant would create sustainable change in the population that is being served.Please provide a short statement of how this grant would create sustainable change in the population that is being served.(Required)Commitment(Required)Acknowledgement of commitment if grant received. The Grantee agrees within six (6) months of receiving funds from The RLC Family Foundation, the Grantee will submit a written report the RLC Family Foundation in the form captioned “Post-Grant Report.” I agree.Special Note(Required)Please be cognizant of the fact that although the RLC Family Foundation is generous to many worthwhile causes, they respectfully request there be no publicity for the Foundation itself. They are in favor of publicity for individual projects in hope of attracting further funding for those projects. I agree.NameThis field is for validation purposes and should be left unchanged.
