Community Grant- US
The mission of the IRONMAN Foundation is to create positive and lasting impact through grant funding and volunteerism by supporting various athletic, community, education, health, human services and public benefit non-profit organizations around the world.
The IRONMAN Foundation intends to provide funding and financial support to any program that furthers this mission and is offered by either (1) an organization which is described in section 501(c)(3) of the Internal Revenue Code of 1986, as amended (the code), or (2) an organizations which is not described in section 501(c)(3) of the code but uses such funding and financial support for the foregoing charitable mission.
The IRONMAN Foundation will make decisions regarding grant proposals based upon the needs and programs of the applicant and their fulfillment of the mission and purposes of the Foundation.
Please Select Event:
IRONMAN 70.3 Muncie (9/30/2023)
Organization Name:
Organization Mailing Address 1:
Organization Mailing Address 2:
Organization City:
Organization State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other
Organization Zip:
Please provide your organization’s name as it should appear on the grant check:
If you would like the check mailed to a different address than the organization address, please provide that information below.
Check Mailing Address 1:
Check Mailing Address 2:
Check Mailing City:
Check Mailing State:
Check Mailing Zip/Postal Code:
Organization Type Required Documentation
Please upload your organization type's required documentation. Please note, if the proper documentation is not provided a grant cannot be issued.
1) 501c3 non-profit organization (DOCUMENT: IRS Letter of Determination)
2) Other type of non-profit or tax-exempt organization (DOCUMENT: IRS Letter of Determination or IRS issued Government Information Letter)
3) For-profit organization that will use funds for charitable purposes (DOCUMENT: Description of how the funds will be used for charitable purposes on organization letterhead)
Documents that will not be accepted
1) 990s
2) W-9
3) Articles of Incorporation
Upload Documentation as Described Above.:
Organization EIN Number:
Organization Contact First Name:
Organization Contact Last Name:
Organization's Contact Title:
Organization's Contact Phone Number:
Organization's Contact E-mail:
Organization Website URL or Social Page:
Organization’s Chief Executive Name and Official Title:
What geographic area does your organization serve?:
What is the purpose/mission of your organization?:
What category best describes your organization?:
Supporting Fire Fighters and Police
Supporting Military and Veterans
Youth Health & Wellness
Adult Health & Wellness
Diversity, Equity & Inclusion
Other
If other please share what category you would use to describe your organization.:
How many volunteers does your organization have?:
Number of Full-Time Employee Staff:
Number of Part-Time Employee Staff:
What is your total project budget amount?:
Amount Requested from the IRONMAN Foundation:
Please provide a brief budget narrative for expected expenses for the program.:
How would your organization utilize this grant?:
What is the timeline in which these funds would be used?:
What is your anticipated outcome from this grant?:
Please provide three goals you hope to achieve through the execution of your program.:
How many people would be served by this grant?:
How would this grant further your organization’s mission?:
What are some of your organization’s most notable accomplishments?:
Please list any previous support you have received from the IRONMAN Foundation::
What other financial or in-kind support is your organization receiving for its proposal if any?:
Please provide any additional information you deem pertinent to your request:
Name of Authorized Representative Completing this Application:
Electronic Signature:
ACCEPTANCE OF GRANT
The grant to your organization from The IRONMAN Foundation is made solely for the purpose(s) described above. The donation of the grant is made conditional to your acceptance of the terms described herein:
TERMS OF THE GRANT
The funds shall be donated only to the above-named organization or agency and no assignment, transfer, or encumbrance in favor of any party shall be recognized. In the event that your grant needs to be reprocessed due to incorrect information being received in this application, an administrative cost of $50 associated with reprocessing will be deducted from the amount of your initial grant donation. A third request for a grant to be reprocessed will be declined and result in the loss of grant funds. I acknowledge that the check is void after 180 days, and if I fail to cash it a new check will not be issued.
I Agree:
PROVISIONS
To use the funds solely for the stated purpose(s).
I Agree:
To repay any portion of the grant that is not used for the stated purpose(s).
I Agree:
To maintain program and financial records adequate to verify expenditure and activity related to this grant.
I Agree:
To provide acknowledgment of this gift from The IRONMAN Foundation.
I Agree: