Town of Banff

Non-Profit Organization Request for Funds

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Identification of Applicant Name of organization Mailing address Phone number  Enter a valid phone number. Example: 123-456-7890 Fax number  Enter a valid phone number. Example: 123-456-7890 Email address  Enter a valid email address. Example: name@company.com Contact name Has this organization previously applied for funds from the Town of Banff? Yes No If yes, please give date of request: Type of Organization Select the description that best describes the organization Registered non-for-profit-society Community association Charitable organization Business, industry or professional association Other* *If other, please specify. How long has the organization existed? What is the organization's mandate? Briefly describe the history and objectives of the organization

Conditions

1. In the event that the funds are not used for the project or programs as described in the application, or if there are misrepresentations in the application, the full amount of the financial assistance may be payable forthwith to the municipality.
2. If there are any changes in the funding of the project from that contemplated in the application the municipality will be notified of such changes through the designated Town of Banff liaison.
3. The Organization will make or continue to make attempts to secure funding from other sources indicated in this application.
4. The Organization will keep proper books of accounts of all receipts and expenditures relating to the project or program and provide a yearly report of how the funds were spent, program delivery and outcomes.
5. The Organization will make available for inspection by the municipality or its auditors all records and books or accounts of the Organization upon request from the municipality. An audited statement may be required.
6. If the project or program proposed in the Organization’s application is not commenced, or not completed, and there remain municipal funds on hand; or the project or program is completed without requiring full use of the municipal funds; or Council directs that the funds be returned; such funds will be returned to the municipality through the Director of Finance.
7. The project or program may not be represented as a municipal project or program, and the Organization does not have the authority to hold itself out as an agency of the municipality in any way, the only relationship being that the municipality has approved and granted financial assistance to the Organization.

By submitting this document, the sender certifies that, to the best of his or her knowledge, the information provided in this municipal funding request is accurate and complete and is endorsed by the organization represented. If the organization receives municipal funding, the sender agrees to the conditions set out above and to any other conditions approved by Council.