W.K. Kellogg Foundation Full Proposal Online Submission Reference (No Budget Requested)

Transcription

1 W.K. Kellogg Foundation Full Proposal Online Submission Reference (No Budget Requested) Note on Character Counts: When copying and pasting information into our online grant application form, character counts may vary depending on the software application used. Content Proposal Detail Is the requesting entity a governmental unit or 501(c)(3) organization and not a private foundation? Amount initially requested from WKKF What is the total budget for this project? Project Start Date Project End Date Provide an overview of your project: Please describe the project goals and objectives: Please describe the major project activities/milestones: Please explain how the project will be financially sustained after initial funding is secured: What might be the policy implications (Local, State, Tribal, Federal) or opportunities for this project? How will you evaluate this project? How will you gather feedback from those who are affected by the work and how will you respond to what you learn? What other funding partners or sources do you have for this project? Do you have non-funding partners and/or collaborating organizations for this project? Who are they and what are their roles/commitments? Yes/No Hint Text Estimate the total amount needed to support this project in US dollars. Enter numeric values only. Enter the month and year your project begins. Enter the month and year your project concludes. Provide a brief summary of your project. Include how you will address the need(s) of your project. [3000 characters max] Describe the goals and objectives for this proposed project. [3000 characters max] What activities and/or milestones will occur in order to accomplish the proposed project objectives? [3000 characters max] In what ways will the grantee, community, or other beneficiary continue to fund the work after Foundation funding has been completed? [3000 characters max] What policy work at the local, state, tribal, or federal level will be included in this project (individual, civic engagement, institutional, public, governmental)? [3000 characters max] How will you measure the outcomes/impacts of the project to the target beneficiaries and how you will incorporate the lessons learned for your future programming? [3000 characters max] Do not enter non-numeric values such as $ or letters in the amount fields, as you will receive an error message. List all other organizations financially contributing to the proposed project, including in-kind and/or overhead support. This list should include any partners who are not providing funding for this project, and/or organizations you are working with. Briefly describe their role or commitment to the proposed project. 1

2 Proposal Detail (continued) Describe your organization s strategic approach to fulfill its mission and describe how the actual project you are requesting funding for fits into the overall strategic direction of your organization. Project Team Diversity Please describe mission/vision of the organization, as well as the overall organizational goals, the strategies established to meet those goals, the organizational benchmarks and milestones that indicate success (or not), and any continuous feedback mechanisms in place. [3000 characters max] Please complete the chart for the activities being funded by the grant count each person only once based upon his/her role on the project. Click on the? for additional information regarding the groups listed. Financial Due Diligence Questions As part of our financial due diligence process, the Foundation requires additional information related to your organization. Please respond to the questions below and provide the requested financial documentation. Has the CEO, CFO and/or Executive Director for your organization changed within the last 2 years? Please explain. Explain how your finance department is organized; list the name, title, qualifications and responsibilities for those primarily responsible for financial functions/reporting. Staffing Comments How often does your Board review the organization s financial reports? How often do other committees review the organization s financial reports? Select the option that applies to your finance staffing model. To help us determine what financial reports are required, please indicate if the aggregate amount of this funding request plus any currently active Kellogg grants is: Provide a brief explanation of position changes to executive staff in your organization [3000 characters max] [3000 characters max] Provide any additional information that you think helpful related to your staffing model. [3000 characters max] Provide any additional information that you think helpful related to your Board s review of organization financial reports. [3000 characters max] Employee Only, Contracted Only, Combination of Employee/Contracted, Other To help us determine what financial reports are required, please indicate if the aggregate amount of this funding request, any other pending requests, plus any currently active Kellogg grants is: Over $500,000;Equal to or Under $500,000 2

3 Financial Due Diligence Documents: From this point through the end of the web form, follow the appropriate branch: Follow A if your organization has not previously submitted financial documents to the Kellogg Foundation, e.g. 990s, financial statements. Follow B if your organization has submitted financial documents to the Kellogg Foundation. A. Financial Due Diligence Documents not on file. When uploading documents you may use a.pdf, Word, or Excel document. Please ensure the name of your document does not contain any non-character symbols such as /><*?. :;,&. Remove any password protection to allow access to the document before uploading. Browse to locate your document and then click Upload. Once uploaded, the document name (linked) appears below the upload field. Please upload the latest two years of your IRS Form 990 public disclosure copy. Do you have one? Period End Date Comment Please upload a list of your major contributors (i.e. Form 990 Schedule B), including names and amounts, for the last 5 tax reporting years, unless you are a religious organization, educational institution, or governmental unit. Do you have one? Period End Date Comment You may use a pdf document. Please ensure there are no non-character symbols in the name of your document and remove any password protection to allow access to the document before uploading. After uploading the first document, another upload space will appear. If so, please upload most recent. If not, provide comment (required). the uploaded financial document (MM/DD/YYYY). Required if financial document is not available or if document is not uploaded. IRS Form 990 and IRS Form 990EZ are tax reporting forms used by tax-exempt organizations to provide the IRS with annual financial statements. Browse to locate your document and then click Upload. You may use a pdf, Word, or Excel document. Please ensure there are no non-character symbols in the name of your document and remove any password protection to allow access to the document before uploading. If so, please upload most recent. If not, provide comment (required). the uploaded financial document (MM/DD/YYYY). Required if financial document is not available or if document is not uploaded. 3

4 Financial Due Diligence Documents not on file (continued) We need this list in order to calculate the organization s public support. The list must contain the name of the donor, amount of donation, and fiscal year given (if the donor is an individual, you may simply indicate Donor #1 and amount). This information can be found on IRS Form 990, Schedule B. If you do not have a Schedule B, please attach a spreadsheet containing this information. You may use a pdf, Word, or Excel document. Please ensure there are no non-character symbols in the name of [Aggregate Amount of this Request and Active your document and remove any password protection to Grants is equal to or under $500,000] Please upload allow access to the document before uploading. the latest two years of fiscal year-end financial After uploading the first document, another upload statements that have been submitted to your Board. space will appear. OR [Aggregate Amount of this Request and Active Grants are over $500,000] Please upload the latest two years of audited fiscal year-end financial statements and internal control recommendations letters that have been submitted to your Board. Do you have one? Period End Date Comment (Aggregate Amount is equal to or under $500,000) (Aggregate Amount is over $500,000 or more) If the organization is a private foundation or not a 501(c)(3), different questions and documents are required. You may use a pdf, Word, or Excel document. Please ensure there are no non-character symbols in the name of your document and remove any password protection to allow access to the document before uploading. After uploading the first document, another upload space will appear. If so, please upload most recent. If not, provide comment (required). the uploaded financial document (MM/DD/YYYY). Required if financial document is not available or if document is not uploaded. Upload the organization s financial statements, such as balance sheet, income statement, cashflow statement that has been completed as of fiscal yearend and approved by the Board. Browse to locate your document and then click Upload. Upload the organization s audited financial statements, including opinion letter and notes to the financial statements, as well as management letter. Browse to locate your document and then click Upload. 4

5 Contact Information - Grantee Organization If approved, the grantee's role would be to administer, direct, and oversee the project activities ensuring they are conducted in accordance with the project purpose. The address should be the location of the Legal Designee (the person/position having authority to bind/contract on behalf of the organization) requested below. Please verify the accuracy of the grantee information and adjust as appropriate. In addition to contact information, please provide website (if available), Tax Identification Number, and the organization s fiscal start date (MM/DD) Contact Information - Grantee Legal Designee The legal designee is an individual employed by the Grantee and authorized to sign contracts and bind the organization. This individual will serve as legal designee for ALL Kellogg Foundation grant(s) and as the contact for legal, payment, and other correspondence. Will the above grantee also serve as the payee for this project? If approved, the payee s role would be to receive and disburse funds ensuring they are spent in accordance with the project purpose and budget Contact Information Grantee Financial Designee The financial designee is an individual employed by the grantee and oversees the financial reporting and operations of the organization. This individual serves as financial designee for ALL Kellogg Foundation grant(s) and as the contact for financial reporting, due diligence, and related correspondence. Please provide the information for the financial designee (if blank) or verify/adjust the accuracy of the information provided. Contact Information - Project Director or Coordinator The project director is an individual who has a title/role with the grantee and oversees/coordinates the project activities. Please enter the contact information of the individual who will be serving as the project director. Contact Information - Payee Organization Contact Information Payee Legal Designee Only requested if grantee will not also serve as payee Preview of Full Proposal Confirmation of Full Proposal Submission Please verify and make any edits before submitting the information. Click the "Submit" button at the bottom of the page when you are ready to send your information. This confirmation of the full proposal information provides the WKKF reference number (Pxxxxxxx) and your record of information submitted. 5

6 Financial Due Diligence Documents B A. Financial Due Diligence Documents submitted previously; verify most recent. When uploading documents you may use a.pdf, Word, or Excel document. Please ensure the name of your document does not contain any non-character symbols such as /><*?. :;,&. Remove any password protection to allow access to the document before uploading. Browse to locate your document and then click Upload. Once uploaded, the document name (linked) appears below the upload field. The W.K. Kellogg Foundation has an IRS Form 990 on file for your organization with a period ending date of (document date). If you have a more recent version, please upload the latest two years of your IRS Form 990 or indicate this is the most recent version by checking the box below. Is this the most recent? Yes/No If not, please upload most recent. Period End Date the uploaded financial document (MM/DD/YYYY). Required if this is not the most recent document Comment available or if document is not uploaded. IRS Form 990 and IRS Form 990EZ are tax reporting forms used by tax-exempt organizations to provide the IRS with annual financial statements. The W.K. Kellogg Foundation has a list of your major contributors on file for your organization with a period ending date of (document date). If you have a more recent version, please upload or indicate this is the most recent version by checking the box below. Is this the most recent? If not, please upload most recent. Period End Date the uploaded financial document (MM/DD/YYYY). Required if this is not the most recent document Comment available or if document is not uploaded. We need this list in order to calculate the organization s public support. The list must contain the name of the donor, amount of donation, and fiscal year given (if the donor is an individual, you may simply indicate Donor #1 and amount). This information can be found on IRS Form 990, Schedule B. If you do not have a Schedule B, please attach a spreadsheet containing this information. 6

7 Financial Due Diligence Documents B (continued) B. Financial Due Diligence Documents submitted previously; verify most recent. [Aggregate Request and Active Grant Amount is equal to or under $500,000] The W.K. Kellogg Foundation has a fiscal year-end financial statement on file for your organization with a period ending date of (document date). If you have a more recent version, please upload the latest two years of your fiscal year-end financial statements or indicate this is the most recent version by checking the box below. OR [Aggregate Request and Active Grant Amount are over $500,000] The W.K. Kellogg Foundation has an audited fiscal year-end financial statement on file for your organization with a period ending date of (document date). If you have a more recent version, please upload the latest two years of your audited fiscal year-end financial statements or indicate this is the most recent version by checking the box below. (Aggregate Amount is equal to or less than $500,000) Upload the organization s audited financial statements, including opinion letter and notes to the financial statements, as well as management letter. Is this the most recent? If not, please upload most recent. Period End Date the uploaded financial document (MM/DD/YYYY). Required if this is not the most recent document Comment available or if document is not uploaded. Upload the organization s financial statements, such as balance sheet, income statement, cashflow statement that has been completed as of fiscal yearend and approved by the Board. (Aggregate Amount is over $500,000) General Comments If the organization is a private foundation or not a 501(c)(3), different questions and documents are required. Upload the organization s audited financial statements, including opinion letter and notes to the financial statements, as well as management letter. Optional -- provide any additional general information you think helpful. 7

8 Contact Information - Grantee Organization If approved, the grantee's role would be to administer, direct, and oversee the project activities ensuring they are conducted in accordance with the project purpose. The address should be the location of the Legal Designee (the person/position having authority to bind/contract on behalf of the organization) requested below. Please verify the accuracy of the grantee information and adjust as appropriate. In addition to contact information, please provide website (if available), Tax Identification Number, and the organization s fiscal start date (MM/DD) Contact Information - Grantee Legal Designee The legal designee is an individual employed by the Grantee and authorized to sign contracts and bind the organization. This individual will serve as legal designee for ALL Kellogg Foundation grant(s) and as the contact for legal, payment, and other correspondence. Will the above grantee also serve as the payee for this project? If approved, the payee s role would be to receive and disburse funds ensuring they are spent in accordance with the project purpose and budget Contact Information Grantee Financial Designee The financial designee is an individual employed by the grantee and oversees the financial reporting and operations of the organization. This individual serves as financial designee for ALL Kellogg Foundation grant(s) and as the contact for financial reporting, due diligence, and related correspondence. Please provide the information for the financial designee (if blank) or verify/adjust the accuracy of the information provided. Contact Information - Project Director or Coordinator The project director is an individual who has a title/role with the grantee and oversees/coordinates the project activities. Please enter the contact information of the individual who will be serving as the project director. Contact Information - Payee Organization Contact Information Payee Legal Designee Only requested if grantee will not also serve as payee Preview of Full Proposal Confirmation of Full Proposal Submission Please verify and make any edits before submitting the information. Click the "Submit" button at the bottom of the page when you are ready to send your information. This confirmation of the full proposal information provides the WKKF reference number (Pxxxxxxx) and your record of information submitted. U.S. Organizations -- Rev: 12/7/11 8