Meade County FY 2018 Funding Request Form 

Community Funding Opportunity

FY 2018

Address *
Address
Phone
Phone
Are you a Non-Profit 501 (c) 3 Organization? *
Has your organization previously received funding from the county? *
$

Please include a copy of the following items for your organization: 

    ❖  Most recently audited financial statements to include: 

    ✓  Total of all cash/cash equivalents and funding sources

    ✓  Any Investments, endowments, emergency funds and capital improvement funds

    ✓  Total Compensation of the two most highly-paid staff (wages/overtime/benefits/travel)

    ❖  Proposed budget for FY2018 (where requested funds will be utilized):

    ✓  Explain any increases or decreases in funds requested from the FY2017 funding

                  level (if applicable)

Additionally, please respond to the following questions: 

    ✓  Describe the organization and provided programs/services/clientele in Meade County    

    ✓  Describe any instance in the last five years in which your organization (or by  

                  association with another organization) contributed resources or finances to:                      

    -   Candidate

    -   Ballot Question Committee

    -   Lobbying Effort

    -   Political Action Committee        

Please note - without the additional documents requested, your application will be considered incomplete.  Completed applications must be received no later than 5:00 p.m. on June 2, 2017. 

Additional Information can be mailed to:  Meade County Commission Office / 1300 Sherman Street STE 212 / Sturgis, SD 57785

Questions can be directed to Jerry Derr, Commission Assistant at 720-1625, jderr@meadecounty.org.

Please be advised that all requests are subject to board approval. Furthermore, funding is not based on previous funding approvals and is not guaranteed.