United Against Hunger Urgent Needs Grant Application | United Way of Washington County, MD

**Maximum monthly requests cannot exceed $1,000.**

**Deadline is October 27, 2024 at 3 pm.**

To qualify under the terms of the grant, local non-profits must:

1) Be a registered 501(c)(3) organization with a federal determination letter

2) Be in "Good Standing" status with the State of MD Department of Assessments & Taxation.

3) Serve the community in the areas of education, financial stability, health, or essential/basic needs

4) Grant awards must be used in Washington County for Washington County residents only and pertain to the acquisition, storage, supply, or distribution of food to low-moderate income individuals/households.

5) Use requested grant awards for equipment and/or materials needed to address an emergency or unexpected project or program expense that addresses food insecurity

6) Be able to expend funds for requested use within 30 to 60 days of award (with supporting documentation)

7) Have a "Current" registration status with the MD Office of the Secretary of State Charities Registration. (Per MD Solicitations Act)

Examples of requests that qualify for grant awards include replacement of equipment due to irreparable failure, repair of equipment, replacement of items lost due to natural disaster or other major event, unanticipated shortfall of funding or donations such as federal/state or local grant discontinuation/termination, and unanticipated community need. Grants are not meant for operational expenses but may be considered in a case-by-case emergency.

Nonprofit Organization Information

Contact Name

Nonprofit Organization Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Please describe your funding request in 100 words or less:

Provide an explanation why this is an emergency need or request:

Who will benefit from this grant and in what way?

If the # of people impacted can be calculated, please provide it here:

When will these funds be expended?

Amount of Funding Request Breakdown:

Re-order	Item(s)	Cost, $	Weight	Operations
	Item(s)	Cost, $	Item weight

more items

Total Funding Request Amount (cannot exceed $1,000) $

Include: 1) A copy of quotes and supporting documents, as necessary.

Upload requirements

2) Your IRS Determination Letter.

Upload requirements

Application Statement for Signature

By signing below, I acknowledge as an approved representative of the named non-profit agency that the above is true and accurate to the best of my knowledge. I also acknowledge that if the agency is awarded a grant under the Live United. Urgent Needs Grant Program, we agree to provide the following information within the designated time frames. If we fail to meet these requirements, I acknowledge that the agency shall be required to reimburse the UWWC for any grant funds received in this urgent need grant agreement.

Expend the funds within 30 to 60 days of grant award disbursement.
Within 90 days provide a grant report to include paid receipt for the items or program(s) funded in the grant.
When possible, provide a picture of the materials, or program(s) funded, for promotional and public relations purposes.
Failure to provide documentation will result in the ineligibility for future funding until received.
Failure to provide documentation within 6 months of grant award disbursement will result in the agency being required to refund UWWC for the entire grant amount.
Notify the UWWC of any issues that prevents the agency from completing these requirements as defined above. Include requests for consideration on how to address the issue for the CI Committee’s review and determination.
1. Ex: Item to be purchased has been placed on backorder and a substitute is not available within the 60-day window for expenditure.

Signature (This verifies the above information is true and accurate)

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