Foundation Project Application

Application

to Begin a Charitable Project

with the Foundation

Project Details

Name of Foundation the Project will fall under*

Desired Project Name*

Project Mailing Address*

Type of Project Proposed Operating Project
Donor Advised Fund
Future Funding Project
Supporting Organization

Initial Donation Amount (Minimum donation of $2,000.00)*

Application to Begin a Charitable Project with the Foundation ... continued

Additional Project Details

What is the Statement of Charitable Purpose?

What are the Charitable Purposes?

How will funds be raised for this Project?

Application to Begin a Charitable Project with the Foundation ... continued

Management Details

The Managers of a project are the only person/persons who may make requests for distributions from the Foundation Project account.

Main Project Manager

Additional Managers of this Project

Are any of the Managers listed on staff with another Not-For-Profit Organization: Yes No

If Yes, which organization:

Who referred you to the Foundation:*

Application to Begin a Charitable Project with the Foundation ... continued

In case of death or incapacity

In the event of the death or incapacity of the Managers, the following individuals
shall be authorized to make distributions from the project:

First

Name

Relationship to Manager

Address

Second

Name

Relationship to Manager

Address

Application to Begin a Charitable Project with the Foundation ... continued

Applicant

Name

Address

Telephone (Business)

Telephone (Home)

Fax

E-Mail Address

The next page of this application form will provide a full summary of all your entered data.

Please review the information, and the disclaimers in the Signature section prior to providing signature and date of your signing. Then click the "Submit" button.

Application

to Begin a Charitable Project

with the Foundation

Project Details Summary

Name of Foundation the Project will fall under

Desired Project Name

Project Mailing Address

Type of Project Proposed

Initial Donation Amount

Statement of Charitable Purpose for this Project

Charitable Purposes of this Project

How funds will be raised for this Project

Management Details Summary

The Managers of a project are the only person/persons who may make requests for distributions from the Foundation Project account.

Main Project Manager

The Additional Managers of this project are

Are any of the Managers listed on staff with another Not-For-Profit Organization:

If Yes, which organization:

Who referred you to the Foundation:

In case of death or incapacity authorization Summary

In the event of the death or incapacity of the Managers, the following individuals
shall be authorized to make distributions from the project:

Name

Relationship to Manager

Address

Name

Relationship to Manager

Address

Applicant Summary

Name

Address

Telephone (Business)

Telephone (Home)

Fax

E-Mail Address

Signature Section

If a project fails to have a distribution made from the project for a period of ten years, such project shall revert to the General Fund of THE FOUNDATION.

If the manager dies or becomes incapacitated, or cannot be found after diligent search and has failed to name an authorized individual to make distributions in his or her place; or if such named individual is dead, incapacitated, or cannot be found after diligent search, then in either such event THE FOUNDATION shall be authorized to make distributions from the project as it deems appropriate, taking into consideration previous designations or recommendations made by the Manager or his designees.

Managers may also place in the project file a letter designating how funds are to be distributed in the event of the death of the Managers.

The undersigned applicant understands that gifts to and disbursements from the Charitable Project will go only to qualified charitable organizations and/or activities which satisfy the requirements of the Internal Revenue Code, the regulations of the Internal Revenue Service, and the policies of THE FOUNDATION. The undersigned applicant further understands that in order to qualify as a deductible contribution for income tax purposes, the ownership and custody of the donated funds and property must be fully relinquished to THE FOUNDATION.

Policies, procedures, and forms of THE FOUNDATION relating to distributions, investments, contributions, project administration, etc. may be found in the NHF Policy Manual.

The undersigned applicant certifies that he has received a copy of the Policy Manual and has been fully apprised of the policies and procedures of THE FOUNDATION, by a member of the Board of Directors of the Foundation.It is understood that the Manager is not an agent of THE FOUNDATION and agrees that he will not represent that he is such an agent.

Signature (Please Enter Your Full Legal Name)

Date

Thank you for applying for a Charitable Project at the Foundation. In the event more information is needed our staff will contact you.

Please send to the Foundation the necessary minimum donation of $2,000.00 to be able to begin the Chartible Project.