ASI Atlantic Union Funding Application 2019 If you are human, leave this field blank. Important notice: Please login before you start filling out the application. Then you can scroll to the bottom of this page to Save for Later. Please note: Applicants should be non-profit ASI member organizations. Organization Name * Primary Officer/Contact Person * First Name Contact Person Last Name * Last Name Address * City * State/Province * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other State/Province Zip/Postal Code * Country * United States Canada Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d‘Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Work Phone * Home Phone * Mobile Number * Email * Date of incorporation & beginning of operations * Number of full-time employees/volunteers * Year organization joined ASI (if applicable) Financial Status Total assets * Property market value * Current liabilites, including mortgages * Total Budget 2017 * Total Budget 2016 * Total Budget 2015 * Average worker remuneration (monthly): * Amount of highest paid worker (monthly): * List all donations of $5,000 or more for the last three years: 2017 Donations * List one amount per line 2016 Donations * List one amount per line 2015 Donations * $ List one amount per line Outstanding Debt: 60 days * 90 days * 120 days * Total debt * Budget Total project budget * Current funds available * Amount requested from ASI * Expected project launch date * Expected completion date * Project Narrative 1. Provide a detailed description of the project (intended use of requested funds). * 2. Describe your organization's recent history with regard to meeting its budget and generating sufficient income for operating needs. * 3. If project requires more than ASI funding, explain how you propose to raise additional monies. * 4. Describe the organization's background (i.e. years of operation, regular income sources, ministry activities and accomplishments). * 5. What is your organization's reputation within the local community where it operates? * 6. How do the people you serve and others in your area benefit from your organization? * 7. Mission and Vision Statements * 8. Description of how the project’s success will be determined * 9. Potential applications to other entities or settings * 10. Assessment of community needs * Funding Application Documents Financial Statements * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 516MB List of Directors * Drop a file here or click to upload Choose File Maximum upload size: 516MB Articles of Incorporation * Drop a file here or click to upload Choose File Maximum upload size: 516MB By-Laws * Drop a file here or click to upload Choose File Maximum upload size: 516MB IRS Tax Exempt Letter * Drop a file here or click to upload Choose File Maximum upload size: 516MB Board Minutes * Drop a file here or click to upload Choose File Maximum upload size: 516MB Please attach the vote taken by your board of directors to authorize this application. Project Budget * Drop a file here or click to upload Choose File Maximum upload size: 516MB Photo 1 * Drop a file here or click to upload Choose File Maximum upload size: 516MB Additional Items Drop a file here or click to upload Choose File Maximum upload size: 516MB Multiple photos or docs may be uploaded. Mailing address for funds, if approved * City * State/Province * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other State/Province Zip/Postal Code * Country * United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d‘Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe These guidelines support those working policies of the Seventh-day Adventist Church which have been established to recognize nonprofit organizations that enhance the ministry of the Seventh-day Adventist Church. The leaders of supporting ministries shall be members in good and regular standing of the Seventh-day Adventist Church. The theological positions of the supporting ministries shall be in harmony with the fundamental beliefs of the Seventh-day Adventist Church. In supporting these beliefs, both the Bible and the writings of Ellen G. White shall be faithfully consulted. The leaders of supporting ministries shall support and cooperate with the goals and purposes of the Seventh-day Adventist Church by words, actions and publications. Their work shall positively supplement that of the Church in carrying out the gospel commission. Supporting ministry leaders, whether or not ordained, shall not represent their supporting ministry as an official Church project. Supporting ministries shall not solicit or knowingly accept tithe from Seventh-day Adventist church members. They shall encourage their supporters to faithfully return tithe and appropriate offerings through the authorized channels of the Seventh-day Adventist Church. Supporting ministries shall make available a formal statement of mission, including plans and objectives. Supporting ministries that accept contributions shall be registered with the appropriate tax bodies as nonprofit organizations and shall provide copies of their annual audited financial statements upon the request of ASI or the North American Division. I affirm by signing this application that the organization I represent is in compliance with the above listed guidelines. Signature * Draw It Type It Clear