Hope Foundation of the Mahoning Valley

Legal name of organization/non-profit

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Your Email

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Verify Email

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Tax ID number

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Year founded

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Contact Person

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First Name

Last Name

Website

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Contact person address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Is the organization/non-profit a supporting entity?

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Yes

No

Requested Information

Purpose of Assistance (one sentence, please)

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Beginning date

If applicable, beginning and ending dates of the assistance:

End date

If applicable, beginning and ending dates of the assistance:

Total amount requested

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Maximum $2,500 for child and $5,000 for organization/non-profit

Total project cost

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Current annual operating budget

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Geographic area served

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Complete and upload the forms listed below.

1. Submit a written request, no longer than three pages double-spaced, detailing how funds will be used.

Determination of need for the program, addressing duplication, if applicable
Agencies collaborating with you on this program and the nature of their contribution
Project or program summary, including timeline, outcomes and actions for implementations
Number of children by age group, disability and who will benefit
Agencies must include a final report for their most recent grant

2. A copy of your 501(c)3 status & Most Current IRS Form 990
3. Copy of the most recent financial audit.
4. A detailed budget of the project for what you are requesting funding.

Written request, no longer than three pages double-spaced, detailing how funds will be used.

Word or .pdf format

A copy of your 501(c)3 status & Most Current IRS Form 990

Word or .pdf format

Copy of the most recent financial audit.

Word or .pdf format

A detailed budget of the project for what you are requesting funding.

Word or .pdf format

Financial Agreement

www.hopemv.org/terms-conditions/

Submission Review

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I certify that I have read these Terms and Conditions, as stated here within this Programs Agreement, and attest that all the information provided in the Grantee’s application is true and correct. I further understand that any falsification or misrepresentation made in respect to this Agreement and its Application, or any accompanying documents, are subject to the forfeiture of funds, including but not limited to any other forfeiture of goods and/or services presented by the foundation.

Typing your name below will act as your digital signature.

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Financial Assistance - Organization/Non-Profit

Requested Information