501c3 Application Form Details

The 501c3 application form is submitted by nonprofit organizations to request grant funding from charitable foundations. Foundations use this document to evaluate whether an applicant meets eligibility requirements, including holding valid IRS 501(c)(3) tax-exempt status and not having received funding from the same foundation in the previous year.

Who Is Eligible to Apply

Your organization must have current IRS 501(c)(3) tax-exempt status to complete this application. The form also asks whether your organization has any existing business relationship with the granting foundation, confirming there is no conflict of interest. You will need to provide documentation of your tax-exempt status and a description of your governance structure.

Grant Categories Covered

The application covers a broad range of charitable programs. Eligible categories include children and youth programs, educational initiatives, environmental projects, and work that supports minority communities. Each program requires you to identify measurable outcomes and the geographical area your organization serves.

Required Financial and Organizational Information

Applicants must supply their organization's budget figures, the amount of funding requested, and a description of the project the grant will support. You will also need to provide board composition details, contact information, and a statement of organizational mission. For related documents, see the charitable donation request form and charitable worksheet.

QuestionAnswer
Form Name501C3 Application
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names501c3 forms printable, form 501c3 pdf, sample 501c3 application pdf, 501c3 form download

Form Preview Example

CHARITABLE CONTRIBUTIONS GRANT REQUEST FORM

501(c)(3) Organizations

Completion of the attached form indicates the following requirements have been met by the requesting organization:

§Organization has not received funds from the Foundation within the last year.

§Organization qualifies as a 501(c)(3) organization.

§Request is not an individual, private secondary school, or religious organization.

§Grant fulfills an area of need categorized below:

Check primary applicable category of grant type below:

qChildren & Youth

qEducation

qEnvironmental

qHealth & Human Services

qCivic & Community

qArts & Culture

qMinority

If not specifically an organization to benefit minorities, what is the approximate percentage of your membership or participant group that are members of a minority racial, ethnic or national origin group?

Purpose of Grant:

qEndowment

qCapital Campaign

qOperating Expenses

qSpecial Project

qSpecial Program

qSpecial Event

List funding sources and amounts already secured:

Identify method of measuring and reporting effectiveness of program/project:

Identify geographical area served or area from which participants benefit from program/project:

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 organization. (Active participation does not ensure grant.)

Percentage of Board of Directors financial participation

_________________________________%

Aggregate Board of Directors Giving: $__________________

Amount Requested by Organization: $__________________

In kind donation requested by organization:

_

 

_

For proper processing, please ensure the following is included with the request:

§501(c)(3) tax exempt status letter.

§Information describing the organization and the program or purpose of the grant.

§Financial Report of organization.

§Listing of the organization’s officers and board of directors.

Return completed application to:

Aflac

Attn: Foundation Administrator

1932 Wynnton Road

Columbus, GA 31999

Organization

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

Contact

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

Title

 

 

City

 

State

 

Zip

 

Email Address ______________________________________

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How to Edit 501C3 Application Online for Free

It is easy to complete the 501c3 application form using our online PDF editor. Follow the steps below to fill out and download your document.

Step 1: Click the orange "Get Form Now" button on this page to open the PDF editor.

Step 2: You are now in the document editing view. You can add text, edit existing fields, insert checkmarks, add images, sign the document, and remove any fields you do not need.

Enter the required information in each section of the 501c3 application form.

Step 1 to completing the 501c3 application form

Fill in the required fields: organization name, board of directors percentage and aggregate count, amount of funding requested, geographic area served, in-kind donation request details, tax-exempt status documentation, and processing information.

Filling out the 501c3 application form step 2

Complete the processing section with your organization's state, ZIP code, and contact email address.

Completing the 501c3 grant application step 3

Step 3: When finished, click Done to export your completed file to your device or send it by email.

Step 4: Save multiple copies of your completed application for your records.

Related Nonprofit and Grant Forms

If you need additional nonprofit documentation, explore these related forms: IRS Form 1023 for applying for 501(c)(3) status, IRS Form 1023-EZ for smaller organizations, and the articles of organization form for initial nonprofit setup.

Frequently Asked Questions

What is a 501c3 application form?

A 501c3 application form is submitted by a nonprofit organization to a foundation or grant-making body to request funding. The form provides information foundations need to evaluate eligibility and award grants to qualifying charitable organizations.

Who can use this form?

Any charitable organization with current IRS 501(c)(3) tax-exempt status can complete this application. The organization must not have received funding from the same foundation in the prior year and must operate programs in eligible grant categories.

What information do I need before filling out the form?

Have ready your IRS determination letter confirming 501(c)(3) status, your organization's current budget, board composition details, and a description of the program you are seeking funding for.

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