Organization InformationOrganization Name Organization PhoneAddress Street Address Address Line 2 City AlabamaAlaskaAmerican 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 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.Program or Project InformationPlease 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: Community Projects Social Services Project/program timeline, including begin date and end date:Timeline ItemStart DateEnd Date 1) Describe your project, service or program and the program goals2) 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 DescriptionAmountAmount 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* Yes No 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 CAPTCHACommentsThis field is for validation purposes and should be left unchanged.