GRANT APPLICATIONS REQUEST THE FOLLOWING INFORMATION FROM THE PROSPECTIVE RECIPIENT: (1)INCLUDE CONTACT INFORMATION, (2) PROOF OF TAX EXEMPT STATUS, (3) AMOUNT OF GRANT REQUESTED, AND (4) A SUMMARY OF THE CHARITABLE PURPOSE OF THE REQUESTED GRANT FUNDS. SUCCESSFUL APPLICANTS ARE ALSO REQUIRED TO EXECUTE A WRITTEN GRANT APPLICATION ACKNOWLEDGEMENT ATTESTING TO THE FOLLOWING: (1) THAT THE GRANT FUNDS WILL BE USED SOLELY FOR CHARITABLE PURPOSES AND CONSISTENTLY WITH THE INFORMATION PROVIDED IN THE GRANT APPLICATION, (2) THAT THE GRANTEE IS A TAX EXEMPT ORGANIZATION, AND (3) THAT THE GRANT FUNDS WILL NOT BE USED FOR ANY PROHIBITED PURPOSES (I.E. LOBBYING OR POLITICAL ACTIVITIES). A SAMPLE GRANT APPLICATION AND GRANT ACKNOWLEDGEMENT ARE BOTH ATTACHED.

GRANTS AND/OR AWARDS FROM THE JIM & CAROL MEMORIAL TRUST ARE LIMITED TO CHARITABLE ORGANIZATIONS UNDER SECTION 401 (C)(3) WHO FURTHER AGREE TO USE GRANT FUNDS SOLELY FOR CHARITABLE PURPOSES. WHILE NOT EXPLICITLY REQUIRED, PREFERENCE IS GIVEN TO CHARITABLE ORGANIZATIONS LOCATED IN SOUTHWEST MISSOURI.