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[]
["CITY OF IRVINE"]
["IRP GRANTS PROGRAM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"[Select One]"]
["2023 Emerging Nonprofits Grants - Application for Funding",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"People"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Businesses"]
[null,"Part 1. Organization Requesting Funding"]
[null,"Name of Organization:"]
[null,"Organization Address:"]
[null,"Name of Program:"]
[null,"Program Address:"]
[null,"Amount Requested:",null,null,null,null,null,null,null,null,null,null,null,null,"Number of Unduplicated",null,null,null,"[Select One]",null,null,null,null,"to be Served:"]
[null,"Prior Years City of Irvine Funding, if applicable:"]
[null,null,null,null,null,null,null,null,"FY 2021",null,null,null,null,"FY 2022",null,null,null,null,null,null,"Organization's Fiscal Year"]
[null,"No. of Employees",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Start"]
[null,"Annual Operating Budget",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"End"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"[Select One]"]
[null,"IRS Nonprofit Type:",null,null,null,null,null,"[Select One]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"501(c)(3)"]
[null,"Employer Federal ID#:",null,null,null,null,null,null,null,null,null,null,null,null,"UEI or DUNS#:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"501(c)(6)"]
[null,"Contact person for application (name, title, phone and email):"]
[null,null,null,null,"Name:"]
[null,null,null,null,"Title:"]
[null,null,null,null,"Phone:"]
[null,null,null,null,"Email:"]
[]
[null,"Contact person for contract negotiations (name, title, phone and email):"]
[null,null,null,null,"Name:"]
[null,null,null,null,"Title:"]
[null,null,null,null,"Phone:"]
[null,null,null,null,"Email:"]
[]
[null,"Contact person for the implementation of the project (name, title, phone and email):"]
[null,null,null,null,"Name:"]
[null,null,null,null,"Title:"]
[null,null,null,null,"Phone:"]
[null,null,null,null,"Email:"]
[]
[null,"Two officials authorized to sign contracts and expend funds for the Organization (name and title):"]
[null,null,null,null,"Name:"]
[null,null,null,null,"Title:"]
[null,null,null,null,"Name:"]
[null,null,null,null,"Title:"]
[]
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[null,"Part 2. Statement of Organization"]
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[null,"The undersigned acknowledges the following:"]
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[null,"1.",null,"That, by submission of this application, the Organization agrees that it will become a public document."]
[]
[null,"2.",null,"That, to the best of its knowledge and belief, all information provided is true and correct and all estimates are reasonable."]
[]
[]
[null,"3.",null,"That no revised proposals/applications may be made in connection with this application once the deadline for applications has passed."]
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[]
[null,"4.",null,"That the City of Irvine may request or require changes in the information submitted which it deems reasonable for any and all information provided."]
[]
[]
[null,"5.",null,"That the Organization will cooperatively assist in the application review process."]
[]
[null,"6.",null,"That, if the program is recommended and approved by the City Council, the City reserves the right to fund less than the full amount requested. The City also reserves the right to reduce and/or cancel allocation if funding appropriations are cancelled, reduced, or rescinded. The program's funding will be for a maximum of a two (2) year period."]
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[null,"7.",null,"That the City of Irvine reserves the right not to fund any submittals received."]
[null,"8.",null,"By submission of this application, the Organization agrees to abide by the federal, state, or City requirements applicable to this program."]
[]
[null,"9.",null,"That past program and financial performance of similar programs may be considered in reviewing this application."]
[]
[null,"10.",null,"That services are to be provided only to eligible Irvine residents or small businesses at no cost during the grant period."]
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[null,"11.",null,"That, if the program is funded, the City or a designated organization may conduct an accounting system inspection to review internal controls, including procurement and uniform administrative procedures, prior to issuance of payments for program expenditures."]
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[null,"12.",null,"That, if the program is funded, the City may need to perform an environmental review prior to the obligation of funds."]
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[null,"13.",null,"That, if the program is funded, a written agreement will be required that includes, among other matters, a statement of work, records retention and reporting, local and federal requirements, and circumstances that would trigger grant suspensions and terminations."]
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[null,"14.",null,"That, if the program is funded, Organization shall maintain an active City of Irvine Business License."]
[]
[null,"15.",null,"That, if the program is funded, additionally-insured certificates of insurance for general comprehensive public liability and commercial automotive will be required in the amounts stated in the NOFA and Application Instructions document, and in the aggregate naming the City, its employees and agents as additional insured, shall be submitted to the City prior to receiving funds."]
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[null,"16.",null,"That written signature authority from the Organization's governing body indicating who can execute contracts and amendments on its behalf will be submitted to the City prior to receiving funds."]
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[null,"17.",null,"That the Organization agrees to abide by the City of Irvine's Conflict of Interest Policy. Items of concern would include Board of Directors or staff members families having a monetary interest in any contract made by the City, and other matters that may give the appearance of a conflict of interest."]
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[null,"18.",null,"That the Organization certifies that it has participated in the workshop conducted on February 16, 2023 or has watched the application workshop recording which was posted on the City's IRP webpage at www.cityofIrvine.org/IRP"]
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[null,"By signing below, the applicant acknowledges the above."]
[]
["  Name:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Title:"]
[]
["  Signature:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  Date:"]
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[]
[]
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[null,null,"Application Submission Checklist "]
[]
[null,null,"  APPLICATION FORM"]
[null,null,null," All questions are answered"]
[null,null,null," The application is signed at the end of Part 2 by an official authorized to sign contracts for your Organization"]
[null,null,null," A complete Activity Operating Budget is provided in Part 4"]
[]
[]
[null,null,"  REQUIRED ATTACHMENTS:"]
[null,null,null,"Verification of 501(c)(3) or 501(c)(6) Status - IRS nonprofit determination letter"]
[null,null,null,"Most recent audited financial statement or Single Audit; or, if your Organization is not required to perform audits, a current balance sheet and profit/loss income statement"]
[null,null,null,"Cover letter from the Executive Director or Board President describing the program or project to be implemented and how it will benefit Irvine residents"]
[null,null,null,"Job descriptions for each position to be funded under this application"]
[]
[null,null,null,"Resolution of Board of Directors authorizing an appropriate staff member to execute program applications, agreements, payment requests, and related documents on behalf of the Organization related to the Irvine IRP grant"]
[null,null,null,"Current Board of Directors List"]
[]
[]
[null,"Part 3. Program Description & Level of Need"]
[null,"a. Please describe the program services to be provided and either:\n     1) how IRP funds will be used to benefit specific vulnerable populations residing in the City of Irvine; OR\n     2) how IRP funds will be used to benefit small businesses in the City of Irvine.  "]
[]
[null,"Include basic details such as who will be served, what the services entail, when the services will be provided, where the services will be provided, and how the services will positively impact Irvine Vulnerable Populations or Small Businesses."]
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[]
[null,null,"This application for IRP funds will serve:",null,null,null,null,null,null,null,null,"[Select One]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"[Select One]"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Vulnerable Populations (People)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Small Businesses (Businesses)"]
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[null,"b. Please describe the level of need for the proposed program and how the program will assist either Vulnerable Populations or Small Businesses. Cite specific data where applicable to explain the need for your proposed program."]
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[null,"c. Please describe the target population and number of unduplicated Irvine residents or Small Businesses to be served from July 1, 2023 to June 30, 2025. Describe how this goal was determined."]
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[null,"If applicable, describe the direct assistance of tangible benefits (as defined in the NOFA) that will be provided to Irvine Vulnerable Populations or to Small Businesses."]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"[Select One]"]
[null,"The proposed program",null,null,null,null,null,"[Select One]",null,null,null,"provide direct assistance of tangible benefits.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"will"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"will not"]
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[null,"d. Describe how your organization will market the availability of the proposed program. Include details about either: \n   1)  how Irvine residents who are members of Vulnerable Populations in need of assistance may learn of the availability of the proposed program, such as those who do not read or speak English; or\n   2) how your program will meaningfully include Minority Business Enterprises and Women's Business Enterprises (MBE/WBE) businesses.\n"]
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[null,"e. Describe the proposed program outcomes and objectives. The program objectives and outcomes should be specific, measurable, achievable, relevant, and time bound (\"SMART goals\").  Indicate how the outcomes and objectives will be measured. "]
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[null,"(Outcomes and objectives should be \"SMART.\" If the desired outcome is to provide a specific number of people with a service, state the number of people and the expected outcome of that service for those receiving the service. What problem does the service address? How will the benefit(s) to participants be demonstrated?)"]
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[null,"f. Describe how the program prevents, prepares, or responds to the COVID-19 pandemic."]
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[null,"Part 4. Activity Operating Budget"]
[null,"(Provide a summary of the anticipated operating expenses for the proposed IRP activity. The Activity Operating Budget must reflect only those costs of serving IRP-eligible Irvine residents or Small Businesses. Additionally, provide your total Organization Operating Budget for each type of operating expense. Please round up to the nearest dollar.)"]
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[null,null,null,null,null,null,null,null,"Proposed Irvine IRP Activity Operating Budget",null,null,null,null,null,null,null,null,null,null,null,null,null,"Total Organization Operating\nBudget*"]
[null,null,null,null,null,null,null,null,"Irvine\nIRP Funds\nRequested",null,null,null,null,"Leveraged\nFunds**",null,null,null,"Total IRP\nActivity Operating\nBudget"]
[]
[]
[null,"Direct Personnel Services"]
[null,"    Salaries",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,{"$f":"I392+N392","v":0},null,null,null,null,0]
[null,"    Benefits",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,{"$f":"I393+N393","v":0},null,null,null,null,0]
[null,"    Other",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"Subtotal:",null,null,null,null,null,null,{"$f":"SUM(I392:L394)","v":0},null,null,null,null,{"$f":"SUM(N392:Q394)","v":0},null,null,null,{"$f":"SUM(R392:R394)","v":0},null,null,null,null,{"$f":"SUM(W392:Z394)","v":0}]
[null,"Direct Program Supplies"]
[null,"    Office Supplies",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,{"$f":"I397+N397","v":0},null,null,null,null,0]
[null,"    Postage",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Other",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"Subtotal:",null,null,null,null,null,null,{"$f":"SUM(I397:L399)","v":0},null,null,null,null,{"$f":"SUM(N397:Q399)","v":0},null,null,null,{"$f":"SUM(R397:R399)","v":0},null,null,null,null,{"$f":"SUM(W397:Z399)","v":0}]
[null,"Direct Program Expenses"]
[null,"a.",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,{"$f":"I402+N402","v":0},null,null,null,null,0]
[null,"b.",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"c.",null,null,null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"Subtotal:",null,null,null,null,null,null,{"$f":"SUM(I402:L404)","v":0},null,null,null,null,{"$f":"SUM(N402:Q404)","v":0},null,null,null,{"$f":"SUM(R402:R404)","v":0},null,null,null,null,{"$f":"SUM(W402:Z404)","v":0}]
[null,"Indirect Operating Expenses"]
[null,"    Telephone",null,null,null,null,null,null,"Note: If awarded IRP funds, 10% of the total award will be disbursed to Organization to address indirect costs. No backup documentation or budget submissions will be required.",null,null,null,null,0,null,null,null,{"$f":"N407","v":0},null,null,null,null,0]
[null,"    Utilities",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,{"$f":"N408","v":0},null,null,null,null,0]
[null,"    Rent (Facility)",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Liability Insurance",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Printing",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Training",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Travel",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Audit",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"    Other",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"Subtotal:",null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(N407:Q415)","v":0},null,null,null,{"$f":"SUM(R407:R415)","v":0},null,null,null,null,{"$f":"SUM(W407:Z415)","v":0}]
[null,"Capacity Building Expenses",null,null,null,null,null,null,"(Minimum of $10,000 not to exceed 50 percent of Award)"]
[null,"a.",null,"Admin/ HR/ Mgmt / Compliance",null,null,null,null,0,null,null,null,null,0,null,null,null,{"$f":"I418+N418","v":0},null,null,null,null,0]
[null,"b.",null,"Plans / Comms / Mktg / Fnd dev",null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"c.",null,"Board / Staff / Vol. Dev & Trng",null,null,null,null,0,null,null,null,null,0,null,null,null,{"$f":"I420+N420","v":0},null,null,null,null,0]
[null,"d.",null,"Add'l Program Staff & Supplies",null,null,null,null,0,null,null,null,null,0,null,null,null,0,null,null,null,null,0]
[null,"Subtotal:",null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(N418:Q421)","v":0},null,null,null,{"$f":"I422+N422","v":0},null,null,null,null,{"$f":"SUM(W418:Z421)","v":0}]
[null,"Total Budget:",null,null,null,null,null,null,{"$f":"I395+I400+I405+I416+I422","v":0},null,null,null,null,{"$f":"N395+N400+N405+N416+N422","v":0},null,null,null,{"$f":"R395+R400+R405+R416+R422","v":0},null,null,null,null,{"$f":"W395+W400+W405+W416+W422","v":0}]
[null,"*   Attach a copy of the Organization's most recent audited financial statement, or, if your organization is not required to perform audits, copies of your most recent balance sheet and profit/loss income statement."]
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[null,"**  Leveraged Funds are not required but will enhance your proposal. Leveraged Funds are the other non-IRP funds that will be used in conjunction with the IRP request to complete the activity. Leveraged Funds can be a blend of cash, gifts, in-kind gifts, or volunteer labor. These funds must be firmly assigned to the activity and immediately available."]
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[null,"Sources of Funding: Please list all of the sources of funding you anticipate using to implement the Irvine IRP activity by source, amount, type and status below. List the amount of IRP funding you are seeking first, followed by other sources."]
[null,"Source\n(please write 'federal' if funding is from a federal source)",null,null,null,null,null,null,"Amount",null,null,null,null,"Type\n(Grant, Loan, other)",null,null,null,"Loan Terms",null,null,null,"Status\n(Not Yet Applied, Committed, In Hand, or Unknown)"]
[]
[null,"IRP (this application)",null,null,null,null,null,null,{"$f":"I423","v":0},null,null,null,null,"Grant",null,null,null,"N/A",null,null,null,"Unknown",null,null,null,null,null,"Not Yet Applied"]
[null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Committed"]
[null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"In Hand"]
[null,null,null,null,null,null,null,null,0,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Unknown"]
[null,null,null,null,null,null,null,null,0]
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[null,"Part 5. Emerging Nonprofit Capacity / Capacity Building"]
[null,"a. Identify and describe any audit findings, liens, investigations, or probation by any oversight agency in the past five (5) years. Additionally, identify and briefly describe any lawsuits (regardless of outcome), claims or settlements in the past five (5) years. If none, please state none."]
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[null,"b. Please describe the organization, including the number of current employees, the current annual operating budget, current mission, and any opportunities for growth or improvement in 2023-2024 and 2024-2025."]
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[null,"Be concise in describing the organization (Do not exceed the space provided for each question.)"]
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[null,"c. Please describe how a minimum of $5,000 per year ($10,000 total) will be invested to develop organizational capacity to provide services to Irvine residents or small businesses. The maximum amount for capacity building is 50% of the grant award. How will the capacity building funds address opportunities identified in the prior question?"]