Allegany County Area Foundation

Allegany County Area Foundation Grant Application

Grant recipients are primarily public charitable organizations with 501c(3) tax status that serve Allegany County residents. Grant applications may be obtained by:

writing to the Foundation at 6087 Route 19 N , Belmont, NY 14813.
or download the Application: Download Grant Application (MSWord File)
or you may complete the online form below.

Generally, the Foundation will award grants of between $250 and $1,000. (Over the years a few have been approved at $1500.)

In addition, the by-laws of the Allegany County Area Foundation state that a final report shall be submitted to the executive director of the ACAF following the completion of the project or program. Download the Follow Up Grant Report Form (MSWord File)

Allegany County Area Foundation Grant Application Form

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General Information
Name of Organization*
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Federal Tax Exemption ID #*
Name of Person(s) to contact regarding this application:

Brief of Application
Title of Program or Project:*
Amount being requested from ACAF
Project starting date
Completion date

Budget
In the space below or an attachment, please provide a budget for the entire program or project using the following format, and itemizing the projected revenues and disbursements as accurately as possible. For each revenue source, including those provided by your organization, indicate clearly the portion that has already been received or pledged. (Note: total revenues and total disbursements must balance.)
Revenues
Total
Disbursements
Total

Description of Program or Project
Using the space below or attachments, please provide any additional information that you feel will assist ACAF in evaluating this program proposal. As a guide to completion of this section, you may wish to consider the following questions:
1. What do you see as the principal benefit of your community or clients?
2. Who will be the primary beneficiaries, and indirect beneficiaries if any?
3. What special managerial qualifications and/or resources can your organization provide to ensure successful completion?
4. Will completion compliment or duplicate what is now being done?
5. If the program or project will require ongoing funding beyond the completion date, how much will be needed and where will these come from?

Documents
Please include with the application:
- List of Officers, Directors, and Trustees
- Copy of most recent financial statement and/or I.R.S.
- Form 990
File
Accepted file types: doc, docx, pdf.
Please only upload MS Word or PDF files.
Phone
This field is for validation purposes and should be left unchanged.