GRANT APPLICATION Organization Information Organization Name: Date: Address: EIN: Is your organization recognized by the Internal Revenue Service as exempt from federal income taxation under Section 501(c)(3) or 501(c)(4) of the Internal Revenue Code? Yes (If yes, attach copy of IRS determination letter) Chief Executive’s Name & Title: Contact Name & Title: Phone Number: Fax Number: E-mail Address: Website: Organization Demographics Geographic Area Served: Purpose/Mission of Organization: Population Served: Number of Volunteers (approximate): Number of Paid Staff: Full-Time: Part-Time: No Budgetary Information List previous support from the Cabela’s Outdoor Fund: Current Operating Budget: Fiscal Year: From To Total Annual Operating Budget: $ Sources of Income: Government: % Individual Contributions: % Foundation Gifts % Special Events % Membership % Other Grant Proposal Purpose of Grant (one sentence): Dates of Project: Amount of Request: Total Project Cost: Funds Needed By: Time Frame in Which Funds Will Be Used: Who Will Project Serve: How Many Will Project Serve: What Geographic Area Will Project Serve: % Other Supporting Information Please limit your response to a total of four (4) pages for the following questions. 1. Include the organization’s mission statement and purpose, history of accomplishments, brief description of organization’s current programs/activities, governance, area and population served, role of volunteers. 2. Identify the needs your organization or this specific proposal will address. 3. How will your project identify needs? 4. Project goals and objectives and how they will be accomplished. 5. Number and types of people who will benefit from this program. 6. Other financial or in-kind support for this proposal. 7. How does your project meet your organization’s mission? 8. Additional information you deem pertinent to your request. Supporting Materials Please attach the following documents to your completed grant application. Organizations submitting incomplete applications will have five (5) business days from notification by the Cabela’s Outdoor Fund to supply any missing materials. Determination letter(s) from the Internal Revenue Service, if any, Most recent Form 990, with Schedule A, if any, List of current officers and directors, Most recent annual report, Organization Budget, and Project Budget (if not general operating grant). Questions regarding the grant application or grant review process should be directed to: Cabela’s Outdoor Fund ATTN: Julie Davidson 2200 W. Cabela's Parkway Gonzales, LA 70737 Phone: 225-743-3451 E-Mail: OutdoorFund@cabelas.com ** We ask that you email/scan your application and documents to us for grant consideration as we are supporting a paperless reviewing process.