mcp 10743 grant application pass india 2012
TRANSCRIPT
8/3/2019 MCP 10743 Grant Application PASS India 2012
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Revised 09/13/2010 Page 1 of 2 The Foundation for Living. Defined. G:\Forms/Funds
MINISTRY CHARITY PROJECT GRANT APPLICATIONThis form is to be completed before WaterStone makes any grant to a foreign or domestic organization that is not a controlledor closely affiliated organization, and does not have a United States based affiliated 501(c)(3) organization. The purpose is toestablish the fact that prior to the grant, this organization conducted an inquiry concerning the potential grantee complete
enough to give a reasonable man assurance that the grantee will use the gr ant to accomplish this organization’s exemppurposes.
MCP GRANTOR MCP #
DATE GRANT AMOUNT REQUESTED
Part I GRANTEE INFORMATION (Please print)
ORGANIZATION NAME
ADDRESS US Federal Tax ID#
CITY STATE ZIP
PHONE E MAIL ADDRESS
DATE FOUNDED
PLEASE NOTE: INCOMPLETE APPLICATIONS MAY NOT BE CONSIDERED
Part II Purpose Statement of the Organization and Incorporation documents or NGO certificates (Attach Schedule A)
Part III List of Board of Directors, Officers, Key Personnel (Attach Schedule B)
Part IV List the Purpose and Budget for Grant Application (Attach Schedule C)
Part V Summary Statement of Knowledge about this Organization (Attach Schedule D: to include, brief history, previous known grants or financial assistance received, experience of the chief personnel, organization’ s overall activities and practices.)
STATEMENT OF UNDERSTANDING:By signature below, the following terms, conditions and understandings are agreed upon by the parties.
Grant award is contingent upon the availability of funds and approval from the Board of Directors.
Any portion of the fund not used within the grant period and/or for the stated purpose stated, must be immediatelyreturned to WaterStone.
GRANTEE shall provide WaterStone with immediate notification of any significant changes in your organization’sstructure, or operation, if you are unable to expend the grant for the purpose described or if any expenditure from thisgrant has been made for any purpose other than those for which the grant was intended.
GRANTEE shall submit a full and complete report due to include a general ledger with accounting of how thegrant funds were spent and an evaluation of the effectiveness of the purpose with pictorial verification. Thisreport shall supply sufficient information as necessary for WaterStone to determine that the funds were used for theintended purposes. Reports are due within 30 days of expiration date and must include both program services andfinancial reports. For GRANTEE to be re-considered for another grant, all reports must be complete and received ontime.
Ananda Foundation 10743
January 20, 2012 $USD 4,421
Positive awareness service society (PASS)
42, Vallalar street,Ramakrishnapet N/A
ARNI Tamil Nadu, India 632301
+91 4173 222188 [email protected]
1995
8/3/2019 MCP 10743 Grant Application PASS India 2012
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GRANTEE shall indicate the grant funds separately on your books of account, maintain an accurate record of thefunds received and expenses incurred under this grant in accordance with generally accepted accounting principlesand retain such books and records for at least four years after the completion of the use of this grant award.
GRANTEE shall permit WaterStone at its request, to have reasonable access to your files, records and personnel forthe purpose of making such financial audits, verifications or program evaluations as it deems necessary concerningthis grant award.
No part of the grant funds is to be used to carry on propaganda, or otherwise attempt to influence legislation, or toinfluence the outcome of any specific public election. Any violation of the conditions set forth above will require a
refunding to WaterStone of any amounts subject to the violation. WaterStone reserves the right to discontinuemodify or withhold any payments due under this grant award or to require a refund of any unexpended grant funds if,in its judgment, such action is necessary to comply with the requirements of any law or regulation affecting itsresponsibilities under this grant award.
GRANTEE shall remain solely responsible and liable for its respective claims, debts, obligations, and liabilitiesGRANTEE hereby agrees to indemnify and hold harmless the GRANTOR with respect to any loss, claim, liability, orcosts defending the same (including reasonable attorney fees and expenses) arising because of the action or inactionof the GRANTOR.
In the unlikely event a claim or controversy should arise out of this Agreement, or any of its provisions, the partieshereto agree to seek resolution by Biblical means of conciliation and further agree to submit such dispute, claim orcontroversy to Peacemaker Ministries, Inc. or other such Christian conciliation services.
If approved, checks will be issued and payable to the grantee domestic organization, unless wiring instructions are given below. All foreign grants will be wired. Please provide correct typed or printed wiring instructions.
ACCOUNT NAME
BANK NAME
ACCOUNT NUMBER SWIFT CODE
ABA# OR CORRESPONDING USA BANK
The above conditions are understood and accepted. Signatures obtained may be faxed or electronic and may serve
as originals.
GRANTEE:
Signature, Title, Print Name Date
Grant Term To Commence Expires
Grant Amount Funding Frequency: number of payments (maximum 4 payments)
I accept the grant terms and conditions and agree to monitor GRANTEE progress and I will assure grant reports are received on time: PROJECT MANAGER:
Signature Print Name Date
Board of Directors acceptance of Grant Application and Conditions: GRANTOR: WaterStone Support Foundation, Inc.
Valerie Cornelius, Treasurer Date
Signatures obtained may be faxed or electronic and may serve as originals.
Positive Awareness Service Society
Indian Bank , Bank Branch:
580377699 DIBINBBMAS
Bank Branch: Vadamathimangalam
1 year February 2012 January 2013
$4,421 1
Levani R. Lipton 1/20/2012