UCBMA Grant Application

Dear Nonprofit Organization,

The Union Centre Boulevard Merchant Association (UCBMA) is asking that applicants for charitable grants complete a formal application for funds for consideration in the amount of up to $1,000 during the calendar year (with the exception of December). All submissions must be entered by the 5th of the month or it will move to the next month for consideration.

The UCBMA members will make its decision during the monthly meetings and you will be notified shortly thereafter. Incomplete applications will be returned.

If you have any questions, please telephone Kerry Hendel at (513) 659-0570 or
email our entire executive team at info@ucbma.com
MonthDayYear
Date
Full Legal Name of Organization*
Doing Business As *
Year Established*
501 (c) (3)

YesNo
Organizational Mission Statement*
Population Served*
Organization President / Executive Director*

First NameLast Name
Total # of Paid Staff*
Organization Website
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Proposal Contact Name*

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
IRS letter of determination for 501(c) (3) status*

Upload a File

Cancelof
Program / Project Name*
Total Project Budget*
Requested Amount (with $1,000 being the limit)*
Grant Period From

MonthDayYear
Date
Grant Period To

MonthDayYear
Date
Geographic Area Served*
Priority Funding Areas*
List Other Ways Your Organization Earns Funds*
Should be Empty: