_APPLICANT
NormanArchibald CharitableFoundationGrantAgreement
TermsandConditions
DATE
Asan applicantforagrant from the NormanArchibaldCharitableFoundation(the"Foundation")the applicant acknowledgesthat thereareconditionsonthe useofanawardedgrant andthatacertainreportonitsusearerequired asdescribed in thisagreement.If agrant isnot awardedbythe Foundationinresponse to theattendantapplicationthisagreement isvoid and hasnoeffect. Uponbeingawarded agrantfromtheFoundation theapplicantbecomesa“grantee”
and is hereinafteridentified as such.
GranteeagreestousethegrantsolelyforthepurposesoutlinedinitsproposaltotheNormanArchibaldCharitableFoundation.Granteefurtheragrees thatthesefundswillbeusedexclusivelyforexemptpurposesasdescribedintheirgrantapplication.Granteeagreesnottouseanyportionofthefundsgrantedtoparticipateinanypoliticalcampaignonbehalf of orinoppositiontoanycandidateforpublicoffice,tomakegrantstoindividualsonanonobjectivebasis,orforanynoncharitable ornoneducationalpurpose.
GranteewillrepaytheFoundationanyportionoftheamountgrantedthatisnottimelyusedforthepurposeofthisgrant.
GranteewillcompleteandsubmittotheFoundationthe numbered and dated“GrantUseReport”thatwillbeincludedwiththeFoundation’saward notification letter.Thereportisduenolaterthanoneyearofthegrant anniversarydate.Pleasemailthereportto:
NormanArchibaldCharitableFoundation
c/o The PrivateBank
WellsFargoBankN.A.
P.O.Box21927Seattle,WA98111
Thereportwillincludetwoparts:afinancialreportandanarrativereport.Thefinancialreportwillshowrevenuesandexpensesfortheproject.ItwillshowtheamountgrantedbytheFoundationandhowthesefundswereexpended.Inthenarrativereport,Granteewillbrieflydescribehowthegrantbenefitedthe OrganizationandthefurtheranceofGrantee’s charitablepurposes. Failuretosubmita satisfactoryreportmayaffectGrantee’sfuturegrantsfrom theFoundation.
It isunderstoodthat theFoundationmakesit’sgrantwiththeunderstanding,basedupontheGrantee'srepresentation,thattheGranteeisatax-exemptorganizationofthetypedescribedinthegrantapplication,andthatitisnotnowandhasnotwithinthepastfiveyearsbeenclassifiedasa"privatefoundation"asthattermisdefinedinSection509(a)oftheCode.By executingthisagreement,Granteerepresentsthatthetax-exemptrulingit submittedtotheFoundationhasnotbeenrevokedormodified.
GranteewillnotifytheFoundationimmediatelyofanysignificantorganizationalchangesduringthetermofthegrant,includingchangesinkeypersonnel,taxstatusorthegoalsoftheproject.
GranteewillpermitrepresentativesoftheFoundationtovisitthepremisesandreviewactivitiesoftheGranteewithrespecttotheprogramssupportedbythisgrantandwillpermittheFoundation,atitsownexpense,toconductanindependentfinancialand/orprogrammaticauditof theexpenditureofthisgrant,iftheFoundationdeemsit necessary.
Anauthorizedrepresentativeoftheapplicant’sorganizationisexecutingthisgrantagreementasevidenceof understandingandacceptanceofitsterms andconditions.Acopyofthisagreementisacknowledgedasbeingretainedbytheapplicant.
Applicant/Grantee’sName:
Dated:By:
Nameandtitleof signer
Nameofcontactpersonfor Applicant/Grantee:
TelephoneNumber: