HomeMy WebLinkAboutPlanning - Application for Regional Community Grants or Glaxo Inc. Special Projects Grants �
FOR OFFICE USE ONLY
Prop#
Grant IDN
Comment GREATER TRIANGLE COMMUNITY FOUNDATION
Application for Regional Community Grants or
Inc.Glaxo Special Projects Grants
Choose only one:
l. : _Regional Community Grants: collaborative project between agencies io Wake, Durham and Orange
�
Counties (rarely exceeds $%5,Q(Kl
| or X Glaxoloc. Special Projects Grants: innovative and creative projects meeting oieoificmu
community needs in any field (rarely exceeds $5,000)
Total Given in Fall, 1994 Grant [�de.' $107,630.00 |
2. Name ofOrganization: Orange County Historic Preservation Commission
3. Contact Name and Title: Marvin Collins, Orange County Planning
4. Phone Number: (919)732-8181 extension 2
5. Mailing Address: P.O. Box 818I Hillsborough,
6. Street Address: 306F Revere Road
(if different)
Hillsborough, NC 27278
7. Bovv long has this organization been in existence? Over 21/2 years
8. In the space below, state a uburL uunomucy description of the project (separate from the attached narrative). Please
do not exceed space provided.
Orange County has recently completed a county-wide inventory of historic
architecture and is currently surveying archaeological sites in the unincorporated
portions of the county. The Historic Preservation Commission now seeks to publish
the results of the inventory and include historic properties surveyed in the Towns
of Chapel Hill' Cerrboro, Hillsborough, and Mebane' The publication will feature
a description of the history of the county, chapters on architecture and archae-
ology with individual entries for properties and sites listed during the survey.
Text will be supplemented with black and white photographs and stories of the
people associated with the sites.
Publication of the inventory will produce o principal educational tool to
inform Orange County residents and visitors of the County's cultural roaourcea.
Historic and archaeological resources are irreplaceable if destroyed. Orange County
is committed to identify and protect them by increasing the awareness of property
owners, developers, and the general public. Protecting the heritage of the County
and North Carolina can only enhance the quality of life for contemporary and
future generations.
g. Total cost ofproject: $ 48 DOO i
10. Amount requested from Greater Triangle Community Foundation: $ 6000
1. Other sources of funds for this project: (TO BE SOLICITED DURING 1994)
Funding Source Total Amount Amount Already Notification
Sought Committed Date
Orange County $6000 ± $5000 (matching funds)
Town of Chapel Hill
Town of Carrboro
Town of Hillsborough
Irivate organizations and indi-viduals $6-10,000
TOTALS: = $40,000
12. Applicant agency's overall annual operating budget: $ 53,982,206
Overall Operating Budget Breakdown: (SEE ATTACHED SUMMARY SHEETS)
Total
Income $ from Individuals $ from Corporations
$ from Foundations $ from Local Government
$ from State Government $ from Federal Government
$ from Earned Income $ from Other
Expense $ for Program Services $ for Fundraising
$ for Management/General $ for Payments to Affiliates
Difference:
3. Percentage of this project to overall annual operating budget: 0.07
4. Timetable for the project: July 1994 - to October 1995
Month/Year Month/Year
.5. Proposed timetable for payment of funds requested from Greater Triangle Community Foundation: (Fall grants
available after January 15 or later and Spring grant available after July 15 or later; Foundation checks are written on
the 15th and last day of each month):
Date Amount
7-15-95 $6000
Tax Status (check one):
Tax-exempt charitable organization [501(c)(3)] x Governmental tax-exempt unit
Other nonprofit (specify status) Unincorporated association
Affiliated with tax-exempt organization Other (specify)
Please attach a copy of your organization's tax status determination letter. A tax exempt identification number is not
sufficient (not applicable to government agencies and religious organizations).
$5000 in matching grant funds were received in October 1993 from the State Historic
Preservation Office, Survey and tPlanning Grant for manuscript preparation.
17. Has your organization or a related organization received funding from the Greater Triangle Community Foundation
within the past three years? _ Yes X No If Yes, please list year, project and amount:
18. May the Foundation share your proposal with other potential funding sources? (The proposal will not be made
available to the public, but only to potential donors or grantmakers. Your answer to this question will not affect the
Foundation's consideration of your proposal.) X Yes No
19. Checklist. Have you:
X Described the community need or opportunity the proposed activity is intended to address?
Explained the ways in which the project will address this need or opportunity in a creative or innovative way
(for an existing project of excellence, described the impact of this program in the community, including
X statistics or other relevant information)?
X Thorough: described the project or activity to be undertaken?
X Determinea the timetables for the project and for the requested funding?
Stated your organization's capability to undertake the proposed project, including qualifications of personnel
X involved?
Stated the specific objectives the program hopes to accomplish, in measurable terms if possible (for example,
X number of people served)?
Discussed the relationship of the proposed project to other programs in the community designed to meet the
X same or similar needs or opportunities?
_ Listed funds already committed for the project and the sources of these funds?
X Indicated how future funding will be obtained, if the project is an ongoing one?
Addressed the ways in which the project fosters or promotes ongoing cooperation, coordination of services,
resource sharing, or mutual responsibility across county lines in the Triangle (For Regional Community
ILA_ Grants only)?
X Enclosed 6 collated copies of: • this application form?
X • the narrative proposal, not to exceed three pages?
X • a detailed proposed project budget?
• current Board of Directors list, with affiliations?
X Enclosed 1 copy of: • your organization's overall operating budget?
NA • your organization's most recent IRS Form 990?
ILA_ • your IRS tax determination letter?
20. I hereby certify that the applicant organization does not discriminate on the basis of race, color, age, sex, religion,
sexual orientation, physical disability, or national origin.
Sign r o ref Officer of the Board
PLEASE REMEMBER TO COLLATE AND STAPLE PACKETS WITH APPLICATION FORMS ON TOP