[City of Johns Creek] JC Cares Vulnerable Populations Grant Application

JC Cares Vulnerable Populations Grant Application

The grant funding through the Johns Creek CARES Vulnerable Populations Grant Program is targeted specifically to help Johns Creek residents with overdue rent and mortgage payments, utility assistance, food assistance, or other unforeseen financial / emergency needs directly related to the COVID-19 pandemic. Grants are strictly limited to established not-for-profit organizations that serve Johns Creek residents and are not designed for new programs or start-up efforts. Individuals cannot directly apply for assistance from the City but will be encouraged to connect with the not-for-profit organizations that receive grants through the Johns Creek CARES Vulnerable Populations Grant Program. Please review the specific eligibility criteria.

Section 1. Confirmation of Eligibility

Applicant must check box to confirm that each statement is true for all questions. If any statement is not true, the organization is not eligible.

1. Organization was in operation prior to the COVID-19 pandemic and can provide acceptable proof of operation prior to the COVID-19 pandemic. Acceptable proof of operation prior to the COVID-19 pandemic includes articles of incorporation recorded by the Secretary of State prior to March 15, 2020 and a 2019 business license or a 2020 business license renewed prior to March 15, 2020.

2. Organization is currently licensed and can provide acceptable proof of licensure. Organization must have a 501(c)3 not-for-profit certification from the Internal Revenue Service, a current 2020 registration with the Secretary of State, a 2020 business license, and be in good standing meaning not be subject to any compliance issues or active judicial proceedings. Acceptable proof of current licensure includes a IRS certification, a 2020 registration with the Secretary of State, and a 2020 business license.

3. Organization is in good standing and is not subject to any compliance issues or active judicial proceedings. No owner, partner, or principal actor of the business has a felony conviction within the last five years for which he or she is still service a sentence (including prison, parole, and probation). Organization does not have any current city, county, state, or federal tax lien. Organization does not have any legal actions against or from the City of Johns Creek and is not operating in violation of any state, federal or local laws.

4. Organization is well-organized. Acceptable proof to establish the well-organized nature of an organization will include copies of the organization’s bylaws, organizational chart, dated copies of minutes from the last four board meetings, current approved budget for the organization, and last independent audit of the organization.

5. Organization serves Johns Creek residents.

6. Organization has an established program to assist individuals with overdue rent and mortgage payments, utility assistance, food assistance, or other unforeseen financial / emergency needs.

IF YOU DID NOT CHECK THE BOX FOR ALL OF THE ABOVE QUESTIONS, YOUR ORGANIZATION DOES NOT QUALIFY FOR THE JOHNS CREEK CARES VULNERABLE POPULATIONS GRANT.

Section 2. Organization Information

5. Applicant e-mail address

6. Applicant phone number

7. Please describe (in 500 words or less) your established program to assist individuals with overdue rent and mortgage payments, utility assistance, food assistance, or other unforeseen financial / emergency needs.

8. What amount of grant funding (maximum program total of $300,000) is your organization requesting from the City of Johns Creek?

9. Please provide a summary (in 500 words or less) of what your organization intends to do with the Johns Creek CARES Vulnerable Populations Grant funding.

10. Please describe (in 500 words or less) how the organization will document the individual assistance.

11. Please provide an explanation (in 500 words or less) and/or attach proof as to the extent to which your organization serves Johns Creek residents.

12. What percentage of granted funding will be passed through to residents for assistance (as opposed to using the funding to pay for administrative or overhead costs of the organization)?

13. If less than all the funding will be passed through to residents for assistance, please describe (in 500 words or less) what administrative or overhead costs of the organization will benefit from the grant funding and why that is of benefit to the residents receiving assistance?

14. Please provide a copy of your organization’s 2019 business license (or 2020 business license renewed prior to March 15, 2020)

Click Here to Upload

15. Please provide a copy of your organization’s 2020 business license

Click Here to Upload

16. Please provide a copy of your organization’s Articles of Incorporation recorded by the Secretary of State (prior to March 15, 2020)

Click Here to Upload

17. Please provide a copy of your organization’s Internal Revenue Service 501(c)3 certification letter

Click Here to Upload

18. Please provide a copy of your organization’s 2020 registration (or proof of payment) with the Secretary of State

Click Here to Upload

19. Please provide a copy of your organization’s bylaws

Click Here to Upload

20. Please provide a copy of your organization’s organizational chart

Click Here to Upload

21. Please provide a copy of dated minutes from your organization’s last four board meetings

Click Here to Upload

22. Please provide a copy of your organization’s current approved budget

Click Here to Upload

23. Please provide a copy of your organization’s last independent audit

Click Here to Upload

24. Please complete the applicant certification below

Section 3. Applicant Certification

I certify that, I am authorized to submit this application on behalf of the organization, the information provided in this application is true and accurate to the best of my ability, and no false or misleading statements have been made in order to secure approval of this application.

Individuals performing service to administer the City of Johns Creek CARES Vulnerable Populations Grant Program are authorized to make all the inquiries that they deem necessary to verify the accuracy of the information contained herein. Additionally, applicant agrees that in the event that money is provided pursuant to this application, the City or its agent shall be entitled to access and audit such records as may be necessary to prevent fraud in this process or ensure compliance with federal requirements.

Under penalties of perjury, I declare that I have read the foregoing application and that the facts stated in it are true. I understand that knowingly making a false written declaration, I will be required to refund and any all grant funds awarded to me and/or my organization.

Documents submitted to Georgia governments and agencies are subject to the Georgia Open Records law (O.C.G.A. § 50-18-71 et. seq.). The Georgia open record law has certain exceptions where disclosure is limited or not required. All information in the submitted Application, including attachments, may not have to be disclosed (See O.C.G.A. § 50-18-72(a)(20)(A through E) or if O.C.G.A. § 50-18-72(a)(34) is complied with); however, Applicant understands that the City of Johns Creek, Georgia and those administering the City of Johns Creek CARES Vulnerable Populations Grant Program cannot warrant, represent, or guarantee the applicability of any such exception. To that end, Applicant understands and expressly agrees that they submit the Application, including attachments, subject to the Georgia Open Record laws, and that there exists a possibility that information submitted could have to be disclosed under Georgia Open Record laws.

Applicant Title

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Today's Date