MSAC Grants for Organizations (GFO) FY2016
Intent to Apply Form
Submission Deadline: October 2, 2014
New applicants and organizations that did not receive a FY2015 grant are required to complete this form. This form serves the interests of applicants by alerting MSAC staff to organizations new to the GFO program and enables them to provide appropriate guidance and assistance before the application deadline.
Eligibility Checklist: To be eligible to apply, you must be able to answer YES to all of these questions:
- Does your organization have ongoing programs to produce or present the arts to the public?
- Was you organization designated by the IRS as a 501c3 by March 31, 2014, or is it a unit of government or college/university?
- Is your organization incorporated in Maryland or have a significant physical presence in MD?
- Has your organization operated for one full fiscal year and is it able to submit a financial statement for its most recently completed fiscal year at the time of application
Organization Name:
Effective Date of IRS 501c3 Exemption:
Organization Street Address:
City: County: State:MD Zip Code
Organization website:
Contact Name: Contact Title:
Work Phone: Email:
Check the box of the artistic category that most accurately characterizes the work of your organization:
Arts Service
Children’s Events
Dance
Folk and Traditional Arts
Literary Arts
Media/Film
Multi-Discipline
Music
Theater
Visual Art
Briefly describe the arts activities for which you plan to seek MSAC support.
Please indicate particular questions or concerns you have regarding your MSAC application.
With submission of this form, include copies of the following required documents:
- Copy of organization or arts program mission statement
- Copy of 501c3 tax exempt determination letter from the IRS
- Copy of financial statement (showing both income and expenditures) for most recently completed fiscal year (FY2014 or CY2013)
Completed forms should be faxed to 410-333-1062, or emailed to by 5:00 PM, October 2, 2014.