Fund Application

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Grant Recommendations

Grants may be recommended from your organization to Kiwi Energy NY LLC via:

Grant Requests

Kiwi Energy NY LLC has the final authority over the distribution of grants, and must review and approve all grants applications and all recipient organizations.

Eligible charities

The following entities are generally eligible to receive grants from the Ecogold Environmental Fund:

The following entities or causes are generally not eligible to receive grants:

Recurring Requests

Advisors or Contact to organization may request that a qualified grant be distributed to the proposed charity in multiple payments according to a recommended installation plan.

Account Information

Recipient Organization

Purpose of Grant

Describe how the grant should be used by the recipient organization (e.g., for operating expenses or a special project)

Indictate the amount of the grant that the organization is to receive:

Grant Amount

Grant Frequency

Is this a recurring grant? YesNo
Issue the approved grant on a recurring basis as indicated below for the amount in the above section.
N/AMonthlyQuarterlySemi-Annually

Support Documentation Confirmation

The following supporting documentation is included with the application:

  • W9 Form - verification of IRS Tax Identification
  • 501 (c) (3) Proof of Non-Profit Organization


Signature

On behalf of myself and if relevant, any other donors, advisors, and successors of the donor-advised fund, agree that this a recommendation not a direction. I further understand that Kiwi Energy NY LLC reviews all grant applications and that this purpose of this application is in a charitable nature. Kiwi Energy may deny the grant if it does not meet the criteria or there are more significant applications. By ticking the box below, I certify that the grant is NOT intended to:

  • Fulfill an existing pledge (an existing pledge that has been pre-approved)
  • Acquire a benefit, good or service for any specific individual or myself
  • Pay for dues, membership fees, tuition, goods or charitable auction, or other goods or services
  • Support political campaigns, candidates or parties, or lobbying organizations or activities
  • Support a private non-operating foundation or Type III supporting organizations that is not functioning integrated
I certify that my grant meets the above criteria.