Discretionary-Grant-Application | New Mexico Simon Scholars

Organization Name(Required)

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Same as physical address

Street Address Address Line 2 City State ZIP Code

Website

Primary Contact

Name(Required)

Title(Required)

Phone(Required)

Email(Required)

Executive Director

Name(Required)

Title

If different than Executive Director

FEIN(Required)

An FEIN is a Federal Employer Identification Number or Federal Tax ID for your business.

Date of incorporation(Required)

Is your organization tax exempt under Section 501(c)3?(Required)

Yes

No

Please upload your IRS Determination Letter(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Please upload a copy of your most recent 990.(Required)

Accepted file types: pdf, Max. file size: 24 MB.

Please upload a Certificate of Good Standing(Required)

from your state's Office of the Secretary of State.

Accepted file types: pdf, Max. file size: 24 MB.

All non-profits awarded a grant by The Simon Charitable Foundation must be in Good Standing with the Secretary of State's Office. If your non-profit was organized in New Mexico, you can learn more at the Office of the New Mexico Secretary of State. If your non-profit was organized in another state, please ensure that your filings are up-to-date with your state's Office of the Secretary of State.

New Mexico Charitable Registry(Required)

My organization is registered with the New Mexico Attorney General's Registry of Charitable Organizations and our registration is up-to-date.

All organizations awarded a grant by The Simon Charitable Foundation must be a registered non-profit with the New Mexico State Attorney General's Office. This includes non-profits organized both in New Mexico and in other states.
Learn more at Charity Registration FAQs.

Fiscal Sponsor

Because the IRS has not yet determined your status under Section 501(c)3, you will need to have a fiscal sponsor or fiscal agent in order to receive a grant from The Simon Charitable Foundation. Please complete the information below. Grant awards will be made to your fiscal sponsor.

Organization(Required)

Contact Name(Required)

Contact Title(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

Email

Project or Event Title(Required)

Amount Requested(Required)

Please enter a number less than or equal to 5001.

Project or Event Description(Required)

Please provide a brief description of the project/event.

Project Beneficiaries(Required)

Who will directly benefit from the project/event? What is the primary population group served by your project or event?

Authorized Representative(Required)

Please type your name

Signature(Required)

Date Signed(Required)

Comments

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NEW MEXICO SIMON SCHOLARS
Empowerment through self-discovery, exploration, and education.

Grant Application I

Primary Contact

Executive Director

Fiscal Sponsor