Charitable Contributions Grant Request Form 501(c)(3) at a glance
What it is: Charitable Contributions Grant Request Form for 501(c)(3) organizations.
Where and when to file: Return the completed application to Aflac, Attn: Foundation Administrator, 1932 Wynnton Road, Columbus, GA 31999.
Completing the form indicates the organization has not received funds from the Foundation within the last year and qualifies as a 501(c)(3) organization.
A filled-in Charitable Contributions Grant Request Form 501(c)(3) example: a youth club requests operating funds
How to fill out Charitable Contributions Grant Request Form 501(c)(3), box by box
Grant category and minority percentage
The grant fulfills an area of need categorized on the form.
Check the primary applicable category of grant type: Children & Youth, Education, Environmental, Health & Human Services, Civic & Community, Arts & Culture or Minority.
If the organization is not specifically one to benefit minorities, enter the approximate percentage of your membership or participant group that are members of a minority racial, ethnic or national origin group.
Purpose of Grant
Under Purpose of Grant, check Endowment, Capital Campaign, Operating Expenses, Special Project, Special Program or Special Event.
Funding, effectiveness and area served
List funding sources and amounts already secured.
Identify the method of measuring and reporting effectiveness of the program or project.
Identify the geographical area served or area from which participants benefit from the program or project.
Relationship with Aflac and board giving
List any business relationship your organization has with Aflac (for example, supplemental insurance).
List Aflac employees serving on the board, in positions of leadership or serving as volunteers with the organization. Active participation does not ensure a grant.
Enter the percentage of Board of Directors financial participation, the Aggregate Board of Directors Giving, the Amount Requested by Organization and any in kind donation requested by the organization.
Organization name and contact
Enter the Organization Name, Contact, Address, Title, City, State, Zip, Email Address and Phone Number.
Common questions about Charitable Contributions Grant Request Form 501(c)(3)
Where do I file it?
Return the completed application to Aflac, Attn: Foundation Administrator, 1932 Wynnton Road, Columbus, GA 31999. For proper processing, include with the request a 501(c)(3) tax exempt status letter, information describing the organization and the program or purpose of the grant, a Financial Report of the organization and a listing of the organization's officers and board of directors.
When is this form not the right one?
The request is not from an individual, private secondary school, or religious organization.
Sources
[1] Charitable Contributions Grant Request Form 501(c)(3), Aflac (the Official source link on this page).
