Grant Application Form - I.A.C.D.I.
Grant application from the Intermunicipal Advisory Committee on Disability Issues (I.A.C.D.I.) for a special event project.
Grant Application Form
Grant Applications must be received by the Town on or before March 1st, 2021
Basic Information
For what type of grant are you applying?
Category: [ ] Specific Project [x] Special Event [ ] Program (annual operations)
Project / Event / Program Name & Description: I.A.C.D.I. is very aware of how isolated peeople with disabilities and seniors are feeling, even more so with Covid protocol in place. I.A.C.D.I. would like to host a coffee talk online where door prizes would be given to View Royal businesses where they could treat themselves later.
Grant amount applied for? $200 % of project/event/program budget 8% Date the project, activity, event or program will occur: 2 times a year
Has your organization ever received grant funding from the Town? [ ] Yes [x] No * If yes, attach copies of printed material which acknowledged the financial support of the Town.
Has your organization received a permissive tax exemption from the Town? [ ] Yes [x] No * If yes, in what year(s)? __________
Does your organization issue grants to other organizations? [ ] Yes [x] No * If yes, you must demonstrate that any funding provided by the Town will not be used to fund grants to other organizations and attach it to this grant application form.
Attachments Required [x] Resolution of Board of Directors to request a Grant in Aid from the Town of View Royal. ** If there is no Board of Directors, a statement of request must be signed by the majority of the members of the non-profit or community organization. [x] Prior years financial statements of the organization. [x] Documentation Town funding will not be used to fund grants to other organizations (if applicable)
About Your Organization
Legal Name of Organization: I.A.C.D.I. Mailing Address: Intermunicipal Advisory Committee on Disability Issues c/o 506 Lone Tree Place, Victoria BC, V9B 6G9 Operating at: Serving the West Shore and CRD and beyond
Contact: Marnie Essery Title: Chair Society Registration Number: n/a Year Registered: n/a Charity Registration Number: n/a Year Registered: n/a Year Founded: n/a Fiscal year end: 31 / 12 (day/month) List any other geographic areas in which your organization operates: See above
Your Organization's Personnel
1) Organization Executive and Staff:
- President: n/a Telephone: n/a
- Secretary/Treasurer: Sandy Jenkins Telephone: n/a
- Board Members: n/a
2) List the staff or volunteer positions involved in carrying out the project:
| Name and Position | Paid | Volunteer |
|---|---|---|
| Many I.A.C.D.I. Volunteers | [x] | |
Details of Your Organization's Grant Request
1) Nature and goals of the project, program or event: I.A.C.D.I. would host 2 online coffee talks for people with disblities and seniors. Right now, we cannot host in person coffee talks due to the Covid protocol. People are feeling isolated, frustrated, unable to connect with family members not in their bubble and mental health issues are on the rise. Non profits such as ours are trying to help by hosting online events where people can connect, get support feel cared about and part of the community.
2) Summary of direct and indirect benefits to the Town of View Royal: Small businesses are struggling and I.A.C.D.I. would buy 4-8 twenty five dollar gift cards from View Royal small businesses to mail out as door prizes of the coffee talk participants. These door prizes would be randomly drawed at the events. For people on low income, these gestures are greatly appreciated. Sometimes, it helps introduce them to businesses they may not know about and could become a regular customer.
I.A.C.D.I. 's Year in Review
| Revenue | Amount |
|---|---|
| Opening Bank Statement Balance as of January 17, 2020 | 7,738.50 |
| City of Colwood | 1,300.00 |
| City of Langford | 500.00 |
| District of Highlands | 200.00 |
| Social Planning and Research Council | 500.00 |
| Total Revenue | 2,500.00 |
| Expenses | Amount |
|---|---|
| Outstanding Expenses for 2019 | 214.43 |
| Community Picnic-cancelled due to Covid Protocol | |
| Event Fees-Highlands Music Coffee House-January 1 1 | 70.00 |
| Coldest Night of the Year Walk-Registration-February 22 | 200.00 |
| Door Prizes for Coffee Talk (9 x $5 Tim cards) | 45.00 |
| Door Prizes-Connections Create Community (2 x $10 Tim cards) | 20.00 |
| Office & Computer Supplies & Services | 1,271.35 |
| Parking & Transportation | |
| Banking Fees | 48.00 |
| Total Expenses | 1,868.78 |
| Bank Balance as of January 15, 2021 | 8,369.72 |
Conditions of Funding
- The applicant must acknowledge the support of the Town in all printed and publicity material related to the project, event, or program;
- Funds must be used for the purpose for which they were requested. Any funds not used for the requested purpose must be returned to the Town.
- Funds will be released as follows: a. Grants in aid provided for annual programs will be released at 100% at time of approval by Council; b. Grants in aid provided for special projects or events will be released at 50% at time of approval by Council and 50% after receipt of the final report; c. Conditional grants in aid will be paid 100% upon satisfactory proof that the conditions, as set by Council, have been met.
- Organizations receiving grants from the Town shall provide an accounting of the project or program for which the grant was approved as follows: a. Where the grant in aid was for a specific project or event the applicant must submit a final report within 45 days after the project or event is complete. b. Where the grant in aid was in support of an annual program, the applicant must submit a final report within 60 days of the end of the organization's fiscal year.
- An final report must include the following information: i. Evaluation of the project, event, or program; ii. Financial statement of actual revenue and expenses for the project, event or program; iii. Attendance figures, if applicable; iv. Number of participants in the project, event, or program; and v. Evaluation of the direct and indirect benefits to the Town.
- In the event that the project or program is not completed, the grant recipient organization must notify the Town as soon as practical and refund any grant funds that have been provided for that project.
Your Directors' Declaration
We, the undersigned, do hereby certify that this application and all appended forms and/or documents contain a full and accurate account of all matters stated:
Name: Marnie Essery Title: Chair Date: February 28, 2021
Office & Computer Supplies & Services Breakdown
- Geek Squad-2020 January-December: 188.88 (15.74 a month x 12 months =)
- Office Supplies: 241.58 (28.98 (Stamps) plus 212.60 (Office Supplies) =)
- Zoom Membership for a year: 224.00 (from Sept 15, 2020-Sept 14, 2021)
Total Expenses Office Supplies: 1271.35
2019 Outstanding Expenses
| Item | Amount |
|---|---|
| BC Ferries Parking | 1.50 |
| IACDI Picnic Owing (Cheque 85 was 604.87, Picnic total was 605.77) | .90 |
| Highlands Music Coffee House | 28.00 |
| Office 360 (Software) | 123.19 |
| Staples Black Ink | 51.84 |
| Stamps | 9.00 |
| Total Outstanding Expenses | 214.43 |
Payable in 2020 (approved at the regular meeting following the AGM February 20, 2020)
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