Citrus County Community Charitable Foundation, Inc. Grant Application

The Citrus County Community Charitable Foundation, Inc. (CCCCF) shall conduct one primary grant cycle per year. The CCCCF may conduct a special or supplemental cycle at the CCCCF Board’s discretion as circumstances and funding warrant. The first step of a grant cycle shall be the completion and submission of the Preliminary Section of the Grant Application by an interested charity. The Preliminary Section of the Grant Application must be submitted by the designated grant cycle deadlines as communicated by CCCCF in its website and within the Citrus County Chronicle.

Grant Applications should be submitted by (describe digital process).

Upon receipt of completed Preliminary Sections of the Grant Application, the CCCCF shall notify applicants if they are eligible to advance in the grant cycle and submit the Main Section of the Grant Application.

* Applicants should note that any materials submitted or meetings attended are subject to public records requirements and the Sunshine Law. Please submit Grant Applications only during the noticed grant cycle. Grant Applications submitted after or before the noticed due dates will not be reviewed or stored.

Preliminary Section

Date of Preliminary Section Submission:

Name of Primary Contact:

Legal Name of Organization:

Your Email:

Phone Number:

Check all boxes that apply to your organization
(Note: if you do not answer yes to all of the boxes below, you will be ineligible for grant review. If you have any questions, please contact Crystal Barton at [email protected].)

Organization is listed as active on Sunbiz
Organization is a 501(c)(3) (if other type of non-profit, explain below)
Organization has an active EIN
Organization has a physical presence in Citrus County
Organization has completed an IRS 990 within the past year
Application will address at least one area of need as identified in the current Citrus County Community Health Improvement Plan (CHIP) or by CCCCF

Please provide an explanation for any unchecked boxes above:

Main Section

1. Date of Main Section Submission:

2. Is this a grant request to:
launch a new project/program
expand an existing project/program
sustain an existing project/program

3. Name of Project or Program:

4. Grant amount requested:

5. Applicant's program or grant administrator:

6. Applicant's website, Facebook, and other online locations/addresses:

7. Primary address/location within Citrus County:

8. Years of operation in Citrus County:

9. Relationship of program/project to 501(c)(3):

10. Description of Applicant Organization:

11. Applicant Organization's mission statement:

12. List one or more Citrus County Community Health Improvement Plan (CHIP) priorities or goals to be addressed by applicant's proposal:
If one of more CHIP priorities or goals are listed, skip to item #15

13. If a CHIP priority/goal was not identified, list one or more health or medical needs as defined in the CCCCF Grant Funding Policy to be addressed by applicant's proposal. (See Grant Policy)

14. If a CHIP priority/goal was not identified, provide the research and supporting data for the above identified Citrus County health or medical needs to be addressed. You may also attach electronic documents of research and supporting data.

15. Define the population(s) to be served in terms of characteristics, location, and numbers/prevalence/incidence. Include or electronically attach any objective data.

16. Provide overview of how project/program currently functions or how the project/program would function upon implementation:

17. List the first year (grant year) goal(s):

18. List the first year (grant year) strategies:

19. How would the project/program would be implemented, expanded or sustained during first year (grant year)? Please include start date of grant period, 6 month benchmarks and one year benchmarks.

20. How will the project/program benefits/achievements will be measured and reported?

21. Will the project/program be sustained or expanded beyond the initial grant year? If so, how?

22. Please email the following financial document files to [email protected]:

Applicant organization's two most recent full year and current YTD income statements. Please break out Citrus County amounts if income statements include operations outside of Citrus County.
Applicant organization's two most recent year end and current month balance sheets.
Applicant organization's prior year and YTD sources of revenue (if not specified in applicant's income statements)
Project/program's first year (grant year) revenue/expense budget including revenue sources
Most recent IRS form 990

Provide any explanations regarding the above documents

23. Does your organization commit to maintain separate revenue, expense, and funds tracking for the project/program's Citrus County operations during the grant year?

24. Describe availability of any volunteers, free services, donated supplies/equipment assumed within the project/program's operations and budget.

25. Please email the following document files to [email protected]:

Resume/CV of program/grant administrator
Drug-Free Workplace policy
Equal Opportunity policy
Non-discrimination policy
HIPAA or privacy policy
No less than four (4) and no more than six (6) letters in support of your project/program

Provide any explanations regarding the above documents

Grant Cycles

Grant Schedule – 2022-2023

January 22, 23, 24 and 25, 2023, Public notice for Letters of Inquiry for new projects

January 22, 2023 – April 9, 2023, Grants Proposal submission period

April 9, 2023 by 5pm, Grants Proposal due via Website

April 12 and 13 (if needed), 2023, at 6pm Grants Committee meeting/grant review Lecanto Government Building Rm?

April 27, 2023, at 6pm full board meeting and Grants Awards approved by CCCCF, Inc. board at the Lecanto Government Building, room 166

April 28-30, 2023, Congratulations letters emailed out to grantees with Grant Agreements for review by grantees and invitation to May 25, 2023 CCCCF, Inc. board meeting

May 25, 2023 at 6pm CCCCF, Inc. board meeting, Grants Agreements approved, signed and delivered (including award check) to grantees, photo op

Grant News

Meeting Schedule

We Meet the 4th Thursday Every Month - 6 PM online via Zoom or at the:
Lecanto Government Building, Room 166
Check the meeting notice and calendar for details

Steering Committee Meeting on January 26, 2022 in the Lecanto Government Building at 9:00 am

ByLaws Committee - every fourth Thursday immediately following the Board of Directors meeting at the Lecanto Government Building as necessary

Grants Committee Meeting on January 26, 2022 at 4:00 pm in the Lecanto Government Builiding

Health News & Events

Citrus County Community Charitable Foundation, Inc.

PO Box 2706, Inverness, FL 34451

Email Us

Contact Information for Public Records Custodian
Board Secretary
Citrus County Community Charitable Foundation, Inc.
PO Box 2706, Inverness, FL 34451
352-201-6142
Email Us ([email protected])

Mission Statement

The Citrus County Community Charitable Foundation, Inc. is a non-profit 501(C)(3) entity whose purpose is to award grants to groups and organizations that establish programs, research, or initiatives that promote the health or satisfy the medical needs of the residents of Citrus County.

Notice: Governing documents, policies and financial statements are available to the public either as posted on the website or upon public record request to the organization. If a document is not available on the website, please contact the public records custodian.

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