SECTION I: APPLICANT / ORGANIZATIONAL INFORMATION (*indicates required fields)
* Name of Organization:
* Street Address:
* Enter your City, State, and Postal Code:
* Country:
* Are You a 501c3 Organization?
Your Web Site:
(Two contacts and valid email addresses are required!)
* Contact #1 Name :
* Contact #1 Email :
* Contact #1 Telephone:
* Contact #2 Name :
* Contact #2 Email :
* Contact #2 Telephone:
Fax Number:
* Is the Contact Person a Volunteer or Compensated?
* Amount of Compensation: (type in "0" if not compensated)
   
SECTION II: GRANT INFORMATION
* Title of Project or Program:
* Total Project Budget Funding Needed:
* Requested Funding Amount - (cannot exceed $10,000):
* Percentage of the Total Cost of this Project is being Reqeusted from other Sources:
* Percentage of the Total Cost of this Project has been Already Been Secured from other Sources :
* Percentage of the total cost of this project is being reqeusted from the Parks Foundation (if this grant is part of a larger proejct, what % of total cost is being requested from the Parks Foundation :
* Brief Purpose and Need for this Grant :
   
SECTION III: FUNDING HISTORY FROM PARKS FOUNDATION
Have You Previously Applied to the Parks Foundation?
Were You Funded?
In What Year were you Funded?
What Amount was Funded?
What was the Name of that Project?
   
SECTION IV: OPERATIONS, INCOME, AND EXPENSE HISTORY
Total Number of Employees:
Number of PAID Full-Time Employees:
Number of PAID Part-Time Employees:
Number of Volunteers:
* Please list Officers/Board of Directors with Compensation/Benefits (if any). Also Include the Qualifications of the Poject Director:
Brief Description of the Mission of your Organization :
Please Provide a Brief Summary of your Programs:
Please List Other Sources of Support and Funding. Provide Name, Year funded and Amount for each Source :
If Applicable, How Many Animals Would be Directly Served by this Grant?:
If Applicable, for the period of Jan 1 - Dec 31 of last year, list the number of animals that were adopted out:
If Applicable, for the period of Jan 1 - Dec 31 of last year, list the number of animals that were residents for less that one year:
If Applicable, for the period of Jan 1 - Dec 31 of last year, list the number of animals that were Educational/Non-Adoptable:
If Applicable, for the period of Jan 1 - Dec 31 of last year, list the number of animals that were returned to owner:
If Applicable, for the period of Jan 1 - Dec 31 of last year, list the number of animals that were released (feral cats):
* Provide the Gross Income for the previous year. Please indicate whether this is calendar or fiscal year and specify year:
* Provide the Program Service Expenses for the previous year. Please indicate whether this is calendar or fiscal year and specify year:
* Provide the Management/General Expenses for the previous year. Please indicate whether this is calendar or fiscal year and specify year:
* Provide the Fundraising Expenses for the previous year. Please indicate whether this is calendar or fiscal year and specify year:
   
Required Attachmented Files (* required. For countries outside the USA, provide equivalent annual report sent to your National Revenue or Tax Department)
* IRS 501(c)3 Determination Letter/Certificate:
* Most Recent Annual Report:
* IRS 990 or 990EZ:
 
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