Grant Application » Purinton Analytics

Section 1: Organization Information

Organization(Required)

Year Founded(Required)

501(c)(3) Status(Required)

EIN(Required)

Date of IRS Determination(Required)

501(c)(3) Determination Letter(Required)

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 32 MB.

Company Website(Required)

Title(Required)

Email(Required)

Phone(Required)

Section 2: Organizational Overview

Mission Statement(Required)

Core Programs and Services(Required)

Annual Operating Budget(Required)

Funding Sources(Required)

Section 3: Leadership Development & Commitment to Best Practices

Continuing Education(Required)

Thought Leadership and Industry Involvement(Required)

Organizational Best Practices(Required)

Section 4: Financial and Governance Documentation

Audited Financial Statements(Required)

Drop files here or

Accepted file types: pdf, png, jpg, jpeg, doc, docx, Max. file size: 50 MB, Max. files: 5.

Please attach audited financial statements for the past two years.

Charity Navigator Rating (if applicable):

Link to Profile (if applicable):

GuideStar Profile (if available):

Board of Directors(Required)

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Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 50 MB, Max. files: 5.

Please attach a list of current board members and their affiliations.

Any recent Annual Reports (if available):

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, Max. file size: 50 MB, Max. files: 5.

Section 5: Grant Request Details

Requested Grant Amount(Required)

Purpose of Grant(Required)

Alignment with Purinton Analytics Foundation Mission and Values(Required)

Anticipated Impact(Required)

Other Funding Sources for This Project or General Operations(Required)

Revenue Allocation: Operating Costs(Required)

Please enter a number from 1 to 100.

Revenue Allocation: Direct Programming(Required)

Please enter a number from 1 to 100.

Section 6: Reporting and Accountability

Commitment to Reporting(Required)

Section 7: Attachments Checklist

Have you included the following documentation?

501(c)(3) Determination Letter
Audited Financial Statements (past two years)
Current Board of Directors List
Any recent Annual Report (if available)

Section 8: Storytelling and Visibility Agreement

We believe that sharing stories of success helps inspire others and increase awareness of the important work our partners are doing. By accepting this grant, you agree to provide an impact story within six months that we can share on our social media channels to promote the Purinton Analytics Foundation’s mission.

Commitment to Share Impact Story(Required)