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Wake Electric Foundation
Operation RoundUp Grant Application ~Wake Electric Foundation
Page 1

Post Office Box 1229
Wake Forest, North Carolina 27588
Phone: 919.863.6300
Fax: 919.863.4709
Email: angela.perez@wemc.com


Application Procedures for Operation RoundUp Grant Funding

The Wake Electric Foundation administers Operation RoundUp through Wake Electric
Membership Corporation. Non-profit agencies in Durham, Franklin, Granville, Johnston, Nash,
Wake and Vance counties may apply for up to $5,000 annually to implement programs or
purchase needed equipment to facilitate a program which will help in our local communities.
Refer to Wake Electrics website at www.wemc.com for examples of past winners and projects
and for more details on eligibility. Funding goes particularly to areas that Wake Electric serves.

RoundUp grants are awarded by the WEF Board of Directors quarterly each calendar year in
January, April, July, and October.

Each organization can only receive ONE grant per calendar
year.
Organizations applying for grants will be notified whether or not they have received a grant
by no later than the third week of the month after their grant deadline. For example, if you submit
a grant for the July round, your organization will be notified by mid-July if it has or has not been
awarded a grant.

The grant application should include a proposal letter along with the grant application and
requested attachments. The proposal letter should be brief and concise, not to exceed two pages,
single spaced, and should be signed by a designated representative.

The letter should include:

an introductory description of the program and its impact on the community BE SURE
TO DETAIL AS MUCH AS POSSIBLE THE SPECIFIC REGION (the counties and the
areas/towns within the counties) and THE NUMBER OF PEOPLE that your project will
impact or affect

the amount of funding requested and the amount of the program budget

the need and specific population (including age, gender, and cultural
background) which the program addresses

specific objectives of the program and how accomplishment will be
measured

relationship of program to other services in the community which may be
designed to meet the same or similar needs

other sources of funding being approached (and when that funding would be received)
and amounts already committed


If this is a new program, indicate how continued funding for the future will be secured.

Questions? Contact Angela Perez, Communications/PR Specialist, at angela.perez@wemc.com,
919.863.6376 or toll free 1.800.953.9961.


Wake Electric Foundation
Operation RoundUp Grant Application ~Wake Electric Foundation
Page 2



Post Office Box 1229
Wake Forest, North Carolina 27588
Phone: 919.863.6300
Fax: 919.863.4709
Email: angela.perez@wemc.com


Organization Application for Operation RoundUp Grant Funding

Grants for 4th quarter 2008 selection are due on Friday, Sept. 12, 5 p.m. Applicants will be
notified if they have or have not received a grant no later than mid-October.
Applications may e-mailed (as an attachment), faxed, mailed, or hand-delivered to the
office. If mailed, the application MUST be received on or before Sept. 12 or
it will be held for review in the January 2009 round.
An organization can only receive ONE grant per calendar year.
















$

$



Wake Electric Foundation
Date of application:

Name of organization:

City/State/Zip:

Phone:

Fax:

Contact person for information
pertaining to this request:

Title of contact person:

Contact person telephone AND email address:

Summary description of project (Please make
concise-not to exceed space provided.):





Annual cost of program:

Amount of grant funding requested:

Operation RoundUp Grant Application ~Wake Electric Foundation
Page 3



Funding Source
Amount Requested
Amount Committed














Tax-exempt charitable organization (501 (c) (3)) - Federal ID Number____________________

Affiliated with tax-exempt organization - government unit______________________________

Other - Please give specific explanation:
_____________________________________________________________________________

_____________________________________________________________________________





Dates that fiscal year runs: ______________________________________________________

Organizations total operating budget for most recent year: $_____________________________

Does the organization have annual outside audits? Yes No

If No, Please Explain:
_____________________________________________________________________________

_____________________________________________________________________________


Is a copy available upon request? Yes No

If No, Please Explain:
_____________________________________________________________________________

_____________________________________________________________________________





Legal and tax-exempt status of your non-profit (choose one):
Other funding sources for this project (you may use additional sheets if necessary):
Financial information:
Operation RoundUp Grant Application ~Wake Electric Foundation
Page 4

1. Has your organization received an Operation RoundUp grant(s) previously? If so, give date(s)
of grant(s) received:




2. If your organization has received a grant since July 2007, have you submitted an activity sheet
detailing how the grant money was used?



If not, please attach to this application.

3. Give the number of individuals, families, or groups that you estimate are served by your
organization in Durham, Johnston, Granville, Franklin, Nash, Vance, and Wake counties in
the last year.



4. Does your agency serve outside of the above listed counties? YES
NO


If yes, please provide information on number served and in which counties.





5. Explain how your organization and your proposal/project helps us fulfill the following: (you may
use a separate sheet if necessary):

The Wake Electric Foundation is a not-for-profit corporation designed to enhance economic
infrastructure and job creation, promote service or charitable organizations, and meet
emergency needs of individuals within the service area of Wake Electric.











CHECKLIST:

Please be sure your letter contains all the information outlined in the
basic instructions and appropriate signatures.

Attach copy of IRS letter indicating tax-exempt status and/or Federal
ID Number.

Attach copy of organizations mission statement.

Attach list of current board of directors.

Attach copy of most recent operational budget/financial statement (to include
expenditures and income) and any publications that describe your organization. For
example brochures, pamphlets, organizational charts, etc.

If your organizations is less than one year old, have you provided the most recent budget
statements



Operation RoundUp Grant Application ~Wake Electric Foundation
Page 5

BUDGETARY ITEMS FORM

Line Items to be used in the project
Cost of Item

































TOTAL





Signature of chief staff person and officer of the board indicates board approval of request and
certifies that this organization does not discriminate on the basis of race, age, color, religion, sex
or national origin. This signature also certifies the organizations commitment to file appropriate
reports detailing the grants use as indicated in this application, and its understanding that this is
a one-time grant, with no commitment by WE Care for more than one year.











Applications should be submitted to:
Angela Perez, Communications/PR Specialist
Post Office Box 1229
Wake Forest, North Carolina 27588
Phone: 919.863.6300 Fax: 919.863.4709 Email: angela.perez@wemc.com
Board Officer

Print Name: ________________________

Signature: _________________________

Title: _____________________________
CEO, Director, or Chief of Staff

Print Name: _____________________

Signature: _____________________

Title: __________________________