2013-14
Minnesota Timberwolves FastBreak Foundation
Grant Application Form
“The Minnesota Timberwolves FastBreak Foundation provides and supports hands-on programs that positively impact Minnesota youth. Through giving, education, and basketball opportunities, the Foundation enables young people to make responsible decisions, contribute to their future, and experience life-long memories.”
Each month during the 2013-14 season the FastBreak Foundation will focus on a specific area of giving. The month will feature events and a $5,000 grantto an organization that best fits the theme and fulfills the mission of the Foundation. Below is a list of the monthly themes.Please check the theme(s) you feel your organization's grant request matches:
___ October – New Season, New Beginnings
Organizations that offer youth a new direction or opportunity
___ November – Operation Minnesota Heroes
Organizations supporting Minnesota Military troops and their families
___ December – Season of Giving
Organizations that serve families in need during the holiday season
___ January – WolvesCare
Organizations that focus efforts on supporting children fighting life-threatening illness
___ February – WolvesFit
Organizations that focus efforts on health and fitness for youth
___ March – Read to Achieve
Organizations that focus on literacy and encourage a life-long love for reading
___ April – Wolves Think Green
Organizations that focus on preserving and improving the environment.
Organization Name: ______
Address: ______
City, State, Zip: ______
Contact: ______
Phone: ______Fax: ______E-Mail:______
Social Security/Tax ID #: ______
DIRECTIONS: Please answer each of the following items within the space provided.
BACKGROUND
Mission Statement: ______
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Program history: ______
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Description of purpose, goals, and objectives: ______
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Geographic area and target population served: ______
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PROPOSAL
Explanation of community need: ______
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How funding will be used: ______
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FINANCES
Description of annual fundraising efforts made on behalf of your organization:
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Past Timberwolves monetary donations/grants (include year and amount):
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REQUIRED MATERIALS TO SUPPORT APPLICATION
Please include copies of the following documents with your completed application form. Applications submitted without these materials will be considered incomplete and not reviewed for grant funding.
* A copy of the Internal Revenue Service ruling of tax-exempt status under Section
501 (c)(3)
* A COMPLETE BUDGET for the program, including itemized unearned income sources, both committed and pending
* A donor’s list of individual, corporate, and foundation contributions and the amounts granted during the past 12 months, along with an expense breakdown of the program you are requesting funds for and administrative expenses
* Financial statement from the most recent fiscal year (audited preferred)
* A list of the board of directors of the organization, including primary business or professional affiliation of each (addresses and phone numbers are not required)
* Annual report, if available
GRANT APPLICATION CHECKLIST
Before submitting your application, please carefully review this checklist to confirm that your grant proposal is complete:
1. Application Form
2. Supporting Materials
Grant proposals must be postmarked no later than September 13, 2013. The Timberwolves FastBreak Foundation Grant Committee will select the grant recipients and contact those organizations that will receive funding. Please contact with any questions.
Mail completed applications to:
Minnesota Timberwolves FastBreak Foundation
Attn: Grant Applications
600 First Avenue North
Minneapolis, MN 55403
Thank you for your interest in grant funding from the FastBreak Foundation.