Harmony Grant Application

Please review all questions on this grant application prior to submission to avoid redundancy. Attach requested documents or provide a link where they can be accessed.

Name of Person Submitting the Application

Title

Email Address

Phone number

Legal Name of Organization as listed with the IRS 501(c) 3

Name of Organization is different from above

Tax ID Number:

Organization's Address

Organization's Telephone

Organization's Website

Executive Director's Name, email and phone number:

List your Board of Directors (or attach a list):

Board of Directors File upload

Provide Your Organization's Mission Statement

Briefly describe the types of programs and/or services offered by your organization.

What are the demographics of the population that you serve?

Briefly describe your organization’s history. For how many years has your organization provided services to the community?

List your organization's major accomplishments over the last five years.

Financials

Please attach the current and prior year financial statements, including the profit and loss statement and balance sheet.

Please state your organization’s current annual operating budget (rounded to the nearest dollar) and attach a copy of the current budget.

Annual Budget

What percentage of your annual operating budget is allocated to administrative expenses?

What is your organization’s total fundraising goal for the current year?

Please describe your organization’s principal sources of funding.

Include significant local, state, and federal government funding; corporate and individual contributions; fundraising events; foundation and agency grants; and in-kind donations from the past five years.

Also include a list of your top ten contributors by dollar amount for the current fiscal year.

Principal Sources of Funding:

Please state the total amount of funding requested.

Indicate whether the requested funds will support general operating expenses or a specific project or program. If applicable, please provide the name of the project or program.

Please explain the rationale for the amount requested, the intended use of the funds, and how they will be allocated. Include anticipated expenses such as salaries, materials, and direct costs, along with specific goals and objectives. If requesting support for a project or program, please attach a project or program budget.

description of project or program

Project Budget

What is the estimated size of the population this project or program is expected to serve?

What outcomes or results are anticipated from the use of these funds?

How will the outcomes and overall goals of this project or program be evaluated?

CONTRACT AUTHORIZATION

If your organization receives a grant from the San Antonio Symphony League, does your organization, in consideration thereof:

Warrant and represent that any amount from the San Antonio Symphony League will be used solely for the purpose you described herein, and
Confirm that the organization soliciting funding is tax-exempt under Internal Revenue Code Section 501(c) (3), and
Certify that the information presented in this application is true and accurate and that you are authorized to submit this application to the San Antonio Symphony League, and
Agree to recognize the San Antonio Symphony League in your organization’s public relations and/or marketing programs and to submit copies of this recognition within 2 months of the grant award?

Signature

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Date

Month

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Year