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of Northeast Iowa
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TERMS OF GRANT
ACCEPTANCE OF GRANT: The grant to your organization from the Community Foundation of Northeast Iowa is for the
explicit charitable purpose(s) described below and is subject to your acceptance of the following terms. Please read this
document carefully.
GRANTEE: Waterloo Leisure Services
DATE AUTHORIZED: December 2009 Brd Amount Authorized: $5000.00
GRANT # 20093007 — PLEASE REFER TO GRANT NUMBER IN ALL CORRESPONDENCE
GRANT RESOLUTION:
$5000 Grant #20093007 from the Community Foundation - Black Hawk County Charitable
Unrestricted Endowment Fund for the following project/purpose: Pat Bowlsby - Off
leash Dog Park
EVALUATION: The Community Foundation requires a written summary, within 6 months of the date of this contract,
explaining the effective use of funds received by your organization. All grants are made in accordance with current and
applicable laws and pursuant to the Internal Revenue Service Code, as amended, and the regulations issued thereunder.
ACCOUNTING: The grantee organization is responsible for the expenditure of funds and for maintaining adequate
supporting records consistent with generally accepted accounting procedures. No benefits or services are being given to
the Foundation, the donor(s) or Advisor(s) to the named Fund(s), or their family members as a result of this grant.
PUBLIC REPORTING: The grantee shall list the Community Foundation logo with any other funder logos on
newsletters, letterhead, etc. The grantee shall send to the Foundation office copies of all publicity regarding the
grant, including print media and information materials that are related to the funded project. See the document
Publicity- Working Together to Tell Our Stories" for more information on the publicity requirements and wording for
publicizing your grant award. Document available on the website www.cfneia.org under "Publications".
The Grantee is also asked to send one or more photos of the funded project if possible.
REVERSION OF GRANT FUNDS: The grantee will return to the Foundation any unexpended funds at the close of the grant
period. Funds also will be promptly returned:
a. If the Foundation determines that the grantee has not performed in accordance with the Terms of
Grant or met the specific grant conditions of the approved program and its supporting budget
b. If the grantee loses its exemption from federal income taxation as provided for under Section
501(C)(3), formerly 101(6), of the Internal Revenue Code.
LIMIT OF COMMITMENT: Unless otherwise stipulated in writing, this grant is made with the understanding that the
Foundation has no obligation to provide other or additional support to the grantee.
The forgoing conditions are hereby accepted and agreed to as of the date indicated.
PLEASE SIGN AND RETURN.
Authorized Signature
vtes-f- 1 Cluric,
Print Name, Title & Date
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or
MUST be signed by Chief Executive, or Board Chair of Legal Recipient (501(c)(3) organization or authorized Fiscal Sponsor.
For good. For ever.