Fillable Grant Application Form (Page 2 of 8) in pdf

 Gifts TO or FROM a charitable gift fund, or a family fund, family foundation or other

private foundation

 Gifts, which, either standing alone or in conjuction with a matching gift, result in the

donor or a specified individual receiving substantial benefits

 Advertising or fundraising drives

 Partisan, political or denominational expenses

 Endowment campaigns

 Intermediary funding agencies

 Requests not in the RMHCCI grant application format

Ronald McDonald House Charities of Central Illinois will only fund programs that serve

children who live in the following central Illinois counties: Adams, Brown, Cass, Champaign,

Christian, Coles, Dewitt, Douglas, Effingham, Ford, Fulton, Livingston, Logan, Macon, Mason,

McLean, Menard, Morgan, Moultrie, Peoria, Piatt, Pike, Sangamon, Schuyler, Shelby, Stark,

Tazewell, Vermillion, and Woodford.

The following information must accompany your application (if these items are not

included, your application will not be considered):

1. A one-two page cover letter on your letterhead, signed by senior management official(s),

briefly outlining your proposal. A detailed description of your proposal is required on the

application form. Requests that are not in the RMHCCI grant application format will be

returned without consideration.

2. A copy of the Internal Revenue Service (FEIN #) ruling of your organization’s tax

exempt status under section 501c3. Projects must have this status to be considered.

Note: Projects that fall under the jurisdiction of a city must include a letter from the

Mayor stating this jurisdiction. Public schools must include a letter from the

Superintendent stating that the school is within his/her district.

3. A copy of your organization’s most recent annual report.

4. A copy of your organization’s most recent audited financials.

5. A letter of endorsement from your local McDonald’s owner/operator who is familiar with

your organization and this project.

The following is the schedule for application submission dates for 2016. All applications must

be postmarked by the submission date below.

Submission Due Date

Review Date

Monday, August 1, 2016

September 2016

Please note: Grant award notification letters will be mailed in late November or December 201

after review by the RMHCCI Board of Directors and RMHC Global Board of Directors (this

process will take 8-12 weeks following the above review date).

Any application received after the submission due date for the current review session will not be

considered. Applications should be mailed to the attention of:

Kelly Thompson, Executive Director

Ronald McDonald House Charities of Central Illinois

610 North Seventh Street

Springfield, IL 62702

Grant Application Form Page 2