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Dear Grant Applicant
Below is a grant application, an evaluation sheet, a copy of the distribution policy.
1. The Board of Directors for the WRCCF Inc. meets quarterly to consider grant
applications. The meetings are set for the first Tuesdays of February, May, August and
November. Please submit your application two weeks ahead of time for consideration.
2. Tax-exempt organizations: such as schools, City of Wood River or it's agencies,
complete sections A, B and C. (Tax-exempt organizations have an IRS tax-exempt letter
and a number, which may be 47-___________.)
3. Non tax exempt organizations: grants will be made through a tax-exempt organization,
which consents, to such an arrangement. Please complete section A, B, and D.
4. A representative from your organization must attend the Board meeting to explain 
the purpose of the grant request and to answer questions.
5. After the program or project has been completed please write a brief evaluation on the
enclosed form and plan to attend the next Board meeting to report on the program/project 
(this will help the Board in evaluating future grant requests).
6. Return the Application / Evaluation to a Board Member or to the Wood River
Community Centennial Foundation, Box 493, Wood River, NE 68883.
7. We ask for your support of the Wood River Community Centennial Foundation Inc. It is
 only through the generous support of our Donors that funds are available for these 
grant requests. 
If you have any questions please contact a Board Member for further help.
Sincerely,
The Board of Directors,
Wood River Community Centennial Foundation. Inc.
 
 
 
 

		
Revised March 2009

Wood River Community Centennial Foundation Inc.:
Grant Application
P.O.Box 493, Wood River, NE 68883
A. GRANT APPLICANT:
Applicant: ______________________________________________________
Address: _______________________________________________________
Responsible Officer:
___________________ Phone: ____________________
B. PROPOSED PROGRAM / EVENT / PROJECT:
Title: ___________________________ Director: __________________
Date of Event (Time period) ____________________________
Site of Event: _______________________________________
Category: Civic____ Cultural ___ Education___ Health ___ Welfare ___
Estimated number of people who will benefit: ___________
Narrative description of the event: (may continue on back):








Total Costs of program/project:
(breakdown of proposed expenses)



Income Sources:
Requested Dollars for Grant: _____________________________________
Required date of payment: _______________________________________
C. Is your organization a tax-exempt organization? ______
IRS Number __________ Articles of Incorporation _______
Date incorporated ______ List of officer’s _______
Directors _________ Current Agency Budget __________ Source of Funds _______
D. If your Organization is not tax-exempt status, which Exempt Organization will receive
the funds? _____________________________
Who should the funds be payable to? ____________________________
Applicant signature: ______________________________
Recipient signature: ________________________________
Evaluation Sheet
Wood River Community Centennial Foundation Inc.
P.O.Box 493, Wood River, NE 68883
Program/Event/Project:
Title: ________________________________________________________
Date: ________________________________________________________
Category: Civic ___ Cultural ___ Educational ___ Health ___ Welfare ___
Number of Individuals who benefited: __________________________________
Narrative Description of event (May continue on back; include benefits and results of the
program)









Costs of the Event: ____________________________________________________
Is a similar type of program planned for next year: _____________________________
Other Comments:



The Board of Directors would like a follow-up report at the Annual Meeting (posters,
pictures etc.) held in the fall. This helps inform members of the activities supported by
the Foundation.
Applicant signature: ________________________________











DISTRIBUTION POLICY
 
In making grants, the Board of Directors of the Wood River Community Centennial Foundation,
 working with the Grand Island Community Foundation, is guided by the following general policies.
1. Grants are made for such charitable or educational purposes as will, in the discretion 
of the Board of Directors, promote, and inspire the future growth of the citizens of 
Wood River Nebraska and vicinity.
2. The Board operates no programs or agencies of its own. It is entirely a grant-making
organization working through other Institutions qualified to receive grants from the Foundation.
3. The Board will consider applications for grants in five basic areas of interest: Civic, 
Cultural, Education, Health and Welfare. The Foundation is willing to consider any request
 for a grant which promises to make a significant contribution in any of these areas within 
the Wood River area. Profit-making enterprises and political activities are, of course, excluded.
4. The Board is particularly interested in innovative programs which can exert leverage 
or a multiplier effect, or which, through research, planning, or evaluation may contribute 
to the solutions of important community problems. Because of the far greater demand for 
financial support then resources are available, all community trust seek to find other
 funding bodies which will join with them in "partnership" in many of the grants that are made.
5. All grants are made only to non-profit, federally tax-exempt qualified organizations. 
The Grand Island Community Foundation will only issue checks to a qualified tax-exempt 
organization. Therefore, if your organization does not have this official status you must
 work with a qualified organization to receive the funds (such as with the school of a church).
6. No grants are made directly to individuals.
7, Grant requests are not accepted that target individual/individuals to attend various 
programs sponsored by the local schools. Grant requests that benefit the student body 
will be accepted: will entertain requests for programs that benefit a whole class, the 
whole student body, and for requests that will affect future student needs. 
8. No grants are made to support current operating budgets of agencies except for limited
 experimental or demonstration periods in the form of "seed" monies or when the terms of 
designated or restricted funds require it. No grants are made to provide for deficit financing.
9. The structure, function and operational requirements of a community trust are unlike 
other fund-raising benevolent institutions and serve a definite purpose within a given 
community unlike other institutions. For this reason the Wood River Community Centennial 
Foundation does not make grants which will be in conflict with the grant making processes
of other community supported agencies.
11. A representative for the requesting grant should be present at the Board meeting to 
explain the grant and answer questions. 
The Board of Directors meets quarterly; the first Tuesday of May, August, and November. 
All Applications must be approved by the Board of Directors. A Grant Application is 
available on line at www.wrcommunityfoundation.com, Lobby of Heritage Bank in Wood River, 
or from any Board member. The application must be completed and returned (prior to the 
quarterly meetings) to a Board Member or to the Foundation, P.O. Box 493, Wood River, 
Nebraska 68883.
To make future grants we ask you for support, by remembering the Foundation when making 
memorial gifts, or a gift to the general fund at any time. Only through donors’ generosity 
are funds available.