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Community Group Funding Request Form
Community Group Funding Request Form
Arabo Parseghian
2025-03-03T11:18:34-08:00
FY25-26 Community Group Funding Request Instructions
Company
This field is for validation purposes and should be left unchanged.
Thank you for your interest in submitting a request for funding to be considered by the La Cañada Flintridge City Council. To be eligible for funding, an applicant must: 1) Be a nonprofit organization recognized under Internal Revenue Code Section 501(c) & State of California. 2) Be in good standing with the State of California 3) Maintain its principal place of business within the City of La Cañada Flintridge, or demonstrate that the majority of the funded services directly benefit City residents. 4) Provide a completed IRS Form W-9. 5) Not receive other financial assistance from the City during the same fiscal year, including: a) Other City grant programs b) Fee waiver programs c) Direct service contracts (unless expressly authorized by the City Council) 6) Propose activities that: a) Serve a defined public purpose; b) Are not currently provided directly by the City; c) Are not substantially duplicative of services already available within the City through City-partnered organizations; and d) Represent programs or services the City Council has determined to be in the public interest to support.
Do you attest that you meet the minimum criteria as stated above?
(Required)
Select one
Yes
No (not eligible for consideration)
Non-Profit Organization Name
(Required)
Non-Profit Organization Tax ID
(Required)
Please upload proof of non-profit status.
(Required)
Max. file size: 50 MB.
Non-Profit Organization residency status?
(Required)
Select one
Principal Place of Business is in La Canada Flintridge
Significant members/customers of the organization are La Canada Flintridge Residents.
What is the approximate number of LCF residents who are members/customers?
(Required)
Point of Contact Name
(Required)
First
Last
Contact email address
(Required)
Total Funds Request
(Required)
If the grant is awarded, provide the estimated date when the organization will fully use the funds.
(Required)
Funding for (select all which apply)
(Required)
Special Projects/Events Expenditures
Operational Expenditures
In detail, explain the planned use of requested funds?
Upload Supporting documents related to the funding request, including estimates/proof of operational expenditures/project scope of work with estimates/etc.
(Required)
Max. file size: 50 MB.
Upload non-profit organization's most recent annual financial statements (audited preferred)
(Required)
Max. file size: 50 MB.
Annual Financial statement must include listing of all income, expenses, assets, liabilities, and net assets.
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