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 Organization Registration
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  Organization Information
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 Physical Address (Note: Physical address cannot have a PO Box Number.)

 Mailing Address
 Primary Contact Details





User Details


 Contact Information
Title Name Email Organization Role Status



Organization Supporting Documents
Note: The below stated documents should be submitted with the registration. If not, the registration will be considered as incomplete and will not be processed for active status.
Sl.No Supporting Documents Checklist Document Upload Actions
1 Attachment A - Organizations with total annual revenue of less than $10,000 (If Applicable)
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2 Attachment B - Mission/Purpose of the Organization
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3 Attachment C - Narrative description of the proposed use of requested grant funds •The needs/problems to be addressed by the grant;
•How the proposed program/operation will be implemented;
•How the funds requested will support the Organization’s overall program/operation;
•Number of clients to be served with the funding requested (if applicable); •Measurable objectives, action plans, timelines for completion (for specific projects), and how success will be defined and measured;
•Statement as to whether this is a new or ongoing program of your organization;
•How your organization has demonstrated that it has the necessary experience, qualifications, and capacity to deliver the services/programs for which grant funds are being requested; and
•How your organization plans to sustain the program/operation should County funding assistance not be available in the future.
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4 Attachment D - Narrative description of all grants Organization currently has or has previously received from the County Council over the past 5 years For each previous year grant, please provide the following information:
•Year grant awarded.
•Total grant amount awarded.
•Brief Description of the Purpose, Goals, and Objectives of the grant.
•Discuss the impact that the grant funded initiative had in achieving its intended purpose, goals, and objectives.
•Identify specific and concrete results, achievements, improvements, and services that were provided by your organization as a result of the County Council grant.
•Number of individuals who were served and/or benefited from your organization’s efforts and services.
•Identify “lessons learned” that your organization realized as a result of administering the grant funded initiative and how those “lessons learned” will impact your organization’s future efforts. What will you do differently going forward?
•Amount and source of funding available from other Non-County Council entities used to help the organization administer the County Council grant funded initiative.
•Organization’s plan and schedule for financial self-sufficiency.
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5 Attachment E - Narrative description of all grants Organization currently has or has previously received from the Prince George’s County Government over the past 5 years
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6 Collaboration/Partnership Agreements (Not Required)
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7 Current Letter of Good Standing for Organizations that are a component of a larger umbrella organization, if applicable (PTAs, PTSAs & Boys and Girls Clubs, etc.)
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8 Current MD Charity Certificate of Registration (Dated within the last thirty (30) days)
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9 Detailed Budget Information
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10 Electronic Funds Transfer (EFT) Payment Enrollment Form
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11 Evidence for Non Profit Organization
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12 Executive Summary (1 Page)
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13 Financial Report
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14 Fiscal/calendar year Organizational budget, which includes all requested grant funds.
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15 Has your organization participated in the Prince George's County Council's Support Organize Act Rise (S.O.A.R) Program. Please provide your certification.
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16 Independent Audit or Review performed by a Certified Public Accountant (only required for Organizations with total revenue from all sources of $300,000 or more)
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17 IRS Form 990, 990-EZ, or other applicable tax return
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18 IRS Form 990 or 990-EZ (The Form 990N is no longer accepted).
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19 IRS Form W-9 (Signature date must be within 1 year of grant application) (Form available on https://pgccouncil.us/320/Grants)
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20 IRS Tax-Exempt Determination/Status Letter
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21 Letter of Consideration (LOC) Letter
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22 Line-item budget for the requested grant funds, which details the intended use of the grant funds.
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23 Non-Departmental Grant Approval Letter
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24 Organization’s Articles of Incorporation
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25 Organization's signed By-Laws
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26 Please provide a collaboration/partnership agreement with the entity or entities you will collaborate with on this project, which describes respective roles on this project and financial commitment.
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27 Prince George’s County Authorization for Electronic Funds Transfer Form (ETF) (Signature date must be within 1 year of grant application) (Form available on the  Grants | Prince George's County Legislative Branch, MD (https://pgccouncil.us/) .
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28 Project Budget/Post Grant Funding/Sustainability (1 Page)
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29 Project Budget/Post Grant Funding/Sustainability (1 Page): Clearly detail and describe why your organization is currently unable to address the identified need without outside financial assistance and how the funds requested will support your intended strategies. Clearly detail how your proposed project will achieve self-sufficiency after your period of performance and County funding assistance has ended. Describe plans to seek new funding to supplement Council funding
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30 Project Description (4 Pages):
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31 Proof of Additional Financial Resources for this Program
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32 Roster of the Organization’s current Board of Directors & Staff Members
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33 Statement of Financial Position (AKA Balance Sheet)
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34 Statement of Need /Problem(2 pages)
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35 Statement of Revenue and Expenses (AKA Profit & Loss Statement or Income Statement)
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36 Upload the filled grant application
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