Dime Foundation Community Grants

Dime Foundation Community Grants is sponsored by Dime Bank. Supports nonprofit organizations in Connecticut and Rhode Island that strengthen communities and provide assistance to those in need.

The Dime Bank Foundation, Inc. 290 Salem Turnpike • Norwich, CT 06360 860. 859. 4300 • dime-bank.

com ## GRANT APPLICATION PROCEDURES: No application can be considered without submission of the all the following items. To prevent omissions, please check off each item as you include it in application data: # c A completed Dime Bank Foundation grant application including this page with all items checked off as completed.

# c A written proposal for needs and use of the grant including: # c Objectives, purposes and goals of the project # c Description of plans designed to achieve objectives and goals # c Location and estimated duration of the program # c Number of people expected to benefit from the program # c Budget summary identifying expenses and income for the program # c A list of members of the governing board or description of organizational structure # c A copy of t he most recent financial statement and program brochure # c A copy of the U.S. Government I.

R. S. tax classification letter under 50 1(c)(3) dated after 1969 Include optional materials that will further define the program.

All documents and materials submitted for grant consideration will be held in the strictest confidence. All materials become the sole property of The Dime Bank Foundation, Inc. In order to be eligible for consideration for a foundation grant, please send all requested materials to: The Dime Bank Foundation, Inc. 290 Salem Turnpike Norwich, CT 06360 Attn: Dee Sullivan or email one pdf file to: dsullivan@dime-bank.

com Mission statement of your organization The Dime Bank Foundation, Inc. > 290 Salem Turnpike • Norwich, CT 06360 > 860. 859. 4300 • dime-bank.

com The Dime Foundation was created by the Board of Directors of The Dime Savings Bank of Norwich in 1998, now known as Dime Bank. Through foundation awards, the bank is able to live up to its commitment as a community bank to give back to the people it serves.

Accordingly, the by-laws have defined the parameters of the As specified in its certificate of incorporation, the foundation shall be operated exclusively for public charitable, scientific, literary and educational purposes, in such manner as will, in the discretion of the Board of Directors, most effectively assist and promote the well being of the inhabitants of the communities where Dime Bank maintains offices or provides services, by among other activities, engaging in charitable activities and extending financial aid through grants to organizations qualified as exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code and governmental units referred to in Section 170(c)(1) of the Internal Revenue Code.

The Dime Bank Foundation, Inc. 290 Salem Turnpike • Norwich, CT 06360 860. 859. 4300 • dime-bank.

com Amount Source of Funds Status (if applicable) Application Application Date Award Attach separate sheet with additional funding sources if necessary. > Organization Name Address > City State Zip Contact Person > Phone Number Fax Number Amount of Grant Requested $ Is your organization supported by the United Way? Yes No Has your organization previously been the recipient of a Dime grant?

If yes, years and amounts? Please include ALL sources of funding for proposed project, both internal and external. Amount Source of Funds Status (if applicable) Application Application Date Award Attach separate sheet with additional funding sources if necessary.

What percentage of the grant amount do you expect to use for low-moderate income clients? The Dime Bank Foundation, Inc. 290 Salem Turnpike • Norwich, CT 06360 860. 859.

4300 • dime-bank. com ## ORGANIZATIONAL PROFILE Please provide a brief history of your organization including its origins, history, size, mission, accomplishments and purpose. Attach additional pages if necessary.

## APPLICATION SIGNATURES My/our signature(s) is entered as the authorized representative of the applying organization. I certify that the funds applied for will be used solely for the purpose of the program described in the application. I understand that failure to apply grant funding to the designated program or failure to complete the program within the defined time period will result in forfeiture of grant monies.

I/we will notify the Dime Bank Foundation one month prior to completion of the program. I/we agree to submit a summary of our program to the Dime Bank Foundation when it is Applicant Signature/Title Applicant Signature/Title Applicant Signature/Title