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G from UCEMC Cares, Inc. on behalf of the undersigned. Each undersigned understands that the information provided herein is used in deciding to grant funding, and each undersigned represents and warrants that the information provided is true and complete and the UCEMCCares, Inc. Board of Directors may consider this statement as continuing to be true and correct until a written notice of change is provided. The UCEMCCares, Inc. Board of Directors is authorized to make all inquiries they deem nece.

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How to fill out the Ucemc Cares Application For Organization / Agency online

This guide aims to assist users in appropriately completing the Ucemc Cares Application For Organization / Agency online. By following these clear and structured steps, users can ensure that their application is filled out accurately and thoroughly.

Follow the steps to effectively complete the application form.

  1. Click the ‘Get Form’ button to obtain the application form and open it for editing.
  2. Fill in the name of your organization or agency, followed by the Federal ID number. Be sure to provide the complete street address or post office box, city or town, state, and zip code.
  3. Enter your organization's email address and primary phone number, as well as an alternative phone number for contact purposes.
  4. Provide the name of the contact person along with their title within the organization.
  5. Indicate whether your organization has previously received funds from UCEMC Cares, Inc. If yes, list the relevant dates and amounts, and attach any receipts or invoices for those expenditures.
  6. Select whether your organization is exempt from income tax. If yes, attach a copy of the form 501(c)(3) from the Internal Revenue Service as well as either a Form 990 or a financial statement.
  7. List the primary funding agencies from which your organization currently receives revenue.
  8. Confirm if your organization is located within the UCEMC service area by answering yes or no.
  9. Indicate if your members contribute to UCEMC Cares Inc. by rounding up their utility bills. Answer yes or no.
  10. State the purpose of your funding request and specify how the funds will be utilized. You may attach additional sheets if necessary.
  11. Provide an estimate of the total amount needed for your project, as well as totals from other funding sources and the total requested from UCEMC Cares, Inc.
  12. List the counties in the UCEMC service area that you serve along with the total number of residents served in each county.
  13. Share any additional information that you believe is important for reviewers to understand about your project.
  14. List three references from outside your organization that are knowledgeable about your programs and this funding request, ensuring that none are related to the applicant or associated with UCEMC.
  15. List three references from within your organization who are familiar with your program and this request.
  16. Include the name and title of the organization representative signing the form, along with the date.
  17. Finally, confirm that all information provided is accurate and submit the application. Users can save changes, download, print, or share the completed form as necessary.

Complete your Ucemc Cares Application For Organization / Agency online today to access potential funding opportunities.

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