Operation Round Up Online Application

Dear Applicant:

Thank you for your interest in Operation Round Up and the Irwin EMC Foundation. Operation Round Up is a program funded by the voluntary contributions of Irwin EMC customers to the Irwin EMC Foundation. Contributions are made to the Foundation when participants elect to have their monthly electric bill rounded up to the next dollar. Charitable donations are made quarterly by the foundation to worthy projects and needs within the six-county Irwin EMC service area. Organizations can apply to the foundation’s 10 member board of directors, who will award funds based on the worthiness of each application and available funds. These organizations may also apply on behalf of individuals residing within the six-county area. One hundred percent of funds collected are returned to the community through donations from the foundation.

In completing your application, please consider the following criteria:

Applications must be for special projects or needs. Applications for contributions to an organization’s general fund will not be accepted.
The foundation reports all funded projects to the cooperative’s membership. By completing this application, you are giving your permission to have information about your project reported, with the understanding that specific information about individual recipients or other obviously confidential information will be protected.
The foundation selects applications for funding once each quarter. For consideration during a quarter, applications must be received by the foundation by the first day of March, June, September, and December.
NEW! Applications will be limited to two per organization per year.

Thank you again for your interest in the Irwin EMC Foundation. Should you have any questions about this application, please contact Hope Paulk at (229) 468-7415, ext. 2311.

Sincerely,

Mary Lynn Bracewell

Chairman

Name of Organization *

Address, City, State, Zip *

Contact Person *

Telephone *

E-mail address

Principal or coach email address

If you are with a school system or booster club, we need the email address for the principal or coach. Confirmation may be needed to determine validity of the request.

Requested funds are *

For use by an organization

Made on behalf of an individual

Tax Exempt *

Yes. My organization is exempt from paying income taxes.

No. My organization must pay income taxes. (Only organizations exempt from paying income taxes will be considered for funds.)

Purpose of request *

State the specific purpose of your request for funds. (Include specific details on how funds will be used, cost estimates for contract work or equipment purchases, and when funds are needed. Funds will not be granted for general operating expenses.)

Total cost of project * $

Total amount requested from foundation * $

Other funding secured for project

Describe in detail any funding already secured or anticipated for the project.

Counties & people affected

Please list the counties that this organization serves. Include the number of individuals, families or groups that this organization served last year in the following counties: Ben Hill, Berrien, Irwin, Tift, Turner or Wilcox. Also list any counties served outside of those previously listed along with the numbers of individuals, families or groups served.

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