The Encinitas Fund Application - Coastal Community Foundation

Organization Information

Organization Name

Organization Phone

Address

Street Address Address Line 2 City State ZIP Code

Contact Person

Title

Email

Total Organization Budget

# FT Staff

# PT Staff

# Volunteers

# of Board Members

% of Board Members who financially support the organization

Provide a brief history of your organization and its mission.

Please complete all sections and stay within the word limits specified.

Project Title

Project Budget

Amount Requested

Please indicate which area best fits this project/program:

Project/program timeline, including begin date and end date:

Timeline Item	Start Date	End Date

1) Describe your project, service or program and the program goals

2) Please identify the targeted population and estimated number of Encinitas residents being served by this project/program.

3) How will the program / project benefit Encinitas?

4. Project Budget a. Please list your entire project/program budget. For which budget items are you requesting support from the Encinitas Fund?

Expense/Item Description	Amount	Amount Requested from Encinitas Fund

4. Project Budget b. What other sources of income to you have for the project/program? (Foundation grants, individual donations, event income, etc.)

Please indicate that you have sent a copy of your operating budget to grants@coastalfoundation.org*

In addition to submitting this application, please send the following documents by the deadline to: grants@coastalfoundation.org*

Current Financial Statements: 1) balance sheet, 2) profit and loss statement, 3) current year budget
Federal Tax Status If you have not applied to CCF previously, please email a copy of your IRS 501(c)(3) federal tax exempt letter

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