HomeMy WebLinkAbout131-12 RESOLUTIONRESOLUTION NO. 131-12
A RESOLUTION TO ACCEPT A GENEROUS GRANT IN THE AMOUNT OF
$2,000.00 FROM THE AMERICAN SOCIETY FOR THE PREVENTION OF
CRUELTY TO ANIMALS FOR THE RANGER'S PANTRY PET FOOD BANK
AND TO APPROVE A BUDGET ADJUSTMENT RECOGNIZING THIS
REVENUE
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby accepts
a generous grant in the amount of $2,000.00 from the American Society For The Prevention Of
Cruelty To Animals for the Ranger's Pantry Pet Food Bank and approves a budget adjustment
recognizing this revenue.
PASSED and APPROVED this 19th day of June, 2012.
APPROVED: ATTEST:
By:
' N or,Mayor
G.-- By: 6A� • 4144./I"-)
SON -RA E. SMITH, City Clerk/Treasurer
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Yolanda Fields
Submitted By
City of Fayetteville Staff Review Form
City Council Agenda Items
and
Contracts, Leases or Agreements
6/19/2012
City Council Meeting Date
Agenda Items Only
Community Services
Division
Action Required:
Development Services
Department
Approval of the ASPCA award in the amount of $2000 for the purchase of dog food for Ranger's Pantry Pet Food
Bank and a budget adjustment to recognize the funds.
Cost of this request
2180.4945.5390.01
Account Number
12003.1201
Project Number
Budgeted Item
2,000.00
Category / Project Budget
Program Category / Project Name
Funds Used to Date Program / Project Category Name
2,000.00
Community Development
Remaining Balance Fund Name
Budget Adjustment Attached
Department Dir or
City Attorney
Finance and Internal Services Director
Ol 1A •1 t -
Date
Date
S-2:3-2412.
Date
Previous Ordinance or Resolution #
Original Contract Date:
Original Contract Number:
05-21-12PO4:38 RCVD
Received in City
Clerk's Office
c/
Staff recommends approval of the Budget Adjustment.
Revised January 15, 2009
�Fav'e.:evle
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENT CORRESPONDENCE
ARKANSAS
www.accessfayettevi#I e.arg
CITY COUNCIL AGENDA MEMO
To: Mayor and City Council
Thru: Jeremy Pate, Dir. Development Service
From: Yolanda Fields, Dir. Community Ser
Date: May 18, 2012
Subject: ASPCA Award for Ranger's Pantry Pet Food Bank
PROPOSAL:
In February of 2012 the Community Services Division submitted a Letter of Inquiry to the. ASPCA to
determine whether Ranger's Pantry Pet Food Bank would be eligible for an ASPCA award. Upon
reviewing the Letter of Inquiry, the ASPCA invited us to submit a full funding proposal, which was
submitted in March.
The ASPCA granted the requested $2000 for Ranger's Pantry to purchase dog food. The Letter of
Inquiry, Invitation to Proceed, Application for Funding and Grant Award Letter are attached.
RECOMMENDATION:
Staff recommends approval of the award and the attached budget adjustment.
BUDGET IMPACT:
$2000 increase to Community Services Outreach account.
RESOLUTION NO.
A RESOLUTION TO ACCEPT A GENEROUS GRANT IN THE AMOUNT OF
$2,000.00 FROM THE AMERICAN SOCIETY FOR THE PREVENTION OF
CRUELTY TO ANIMALS FOR THE RANGER'S PANTRY PET FOOD BANK
AND TO APPROVE A BUDGET ADJUSTMENT RECOGNIZING THIS
REVENUE
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby accepts
a generous grant in the amount of $2,000.00 from the American Society For The Prevention Of
Cruelty To Animals for the Ranger's Pantry Pet Food Bank and approves a budget adjustment
recognizing this revenue.
PASSED and APPROVED this 19th day of June, 2012.
APPROVED: ATTEST:
By: By:
LIONELD JORDAN, Mayor SONDRA E. SMITH, City Clerk/Treasurer
GRANT AGREEMENT REFERENCE:
NAME:
Program
PROJECT:
City of Fayetteville Community Services Division - Animal Services
Ranger's Pantry Pet Food Bank
AMOUNT: $2,000.00
GRANT TERM: April 26, 2012 - October 26, 2012
ASPCA GRANT OFFICER: Lou Guyton
GRANT ACCOUNT LOGIN: https://www.arantrequest.com/SID 900?SA=AM
April 26, 2012
Mr. Kyle Belt
Redevelopment Officer
City of Fayetteville Community Services Division - Animal Services Program
113 W Mountain Street
Fayetteville, AR 72701
Dear Mr. Belt,
The American Society for the Prevention of Cruelty to Animals (the "ASPCA") is deeply
honored to be able to grant to City of Fayetteville Community Services Division - Animal
Services Program (the "Grantee," and together with the ASPCA, the "parties" and each a
"party") the amount of $2,000.00 (the "Grant"). These funds are designated for the purpose set
forth below and as outlined in your grant request and as further described in this agreement (this
"Agreement") and, if applicable, its amendments: Ranger's Pantry Pet Food Bank (the "Project").
Unless otherwise noted in the payment schedule below, the ASPCA shall pay the grant to the
Grantee approximately two to six weeks following receipt of your online acknowledgement of
this Agreement. By endorsing and depositing the Grant check, you represent and warrant that
Grantee will meet the obligations specified in this Agreement.
Intending to be legally bound and in consideration of the Grant provided to the Grantee and the
desire of the Grantee to conduct the Project, the parties hereby agree to the following terms and
conditions as of the first date listed above (the "Effective Date"):
1. Grantee Requirements.
Type
Notes
Schedule Date
Acknowledgement of Award
May 26, 2012
Letter
Total # of Payments
Approximate
Schedule Date
Grant Recognition
1
July 26, 2012
Final Report
$2,000
October 26, 2012
Financial Report/Receipts
October 26, 2012
Photographs
October 26, 2012
Press Information
October 26, 2012
The Grantee shall communicate with Lou Guyton (lou.guyton@aspca.org) (the "ASPCA Grant
Officer") according to the schedule and additional instructions (if applicable) to review and
evaluate the use of the Grant funds. (Grant Agreement acknowledgements are required and
should be made online by accessing your ASPCA Grants account*; formal letters of
acknowledgement and thank you letters are optional and should be mailed or emailed to your
ASPCA Grant Officer.)
* Requirements must be submitted through your ASPCA Grants account at:
https://www.grantrequest.com/SID_900?SA=AM
An explanation of additional grant requirements you may be asked to fulfill are described in
Schedule 1 and on our website at http://www.aspcapro.org/grant-reporting-requirements.php
You are required to provide additional information relating to this Grant upon the ASPCA's
request. Such additional information may include but is not limited to: receipts (up to three years
after the Grant end date), photographs, and press information. In addition, you are required to
provide access to the ASPCA upon the ASPCA's request so that the ASPCA may conduct a site
visit of your location(s) during standard business hours, or at a day and time mutually agreed
upon by the ASPCA and the Grantee. The ASPCA will provide you with reasonable notice of
any such request unless otherwise mutually agreed upon.
You may submit requirements upon completion at any point during the grant term.
Organizations that fail to submit required documentation in a timely manner may jeopardize
future grants and/or grant payments. Should you need a due date extension, please forward your
request, prior to the due date, to lou.guyton@aspca.org with the requirement type (e.g. Final
Report, Financial Report, etc.), an explanation for your request (including the reason for the
anticipated delay) and your preferred new due date.
2. Use of Grant Funds. The ASPCA shall pay the Grant to the Grantee according to the
following schedule:
Payment Number
Total # of Payments
Approximate
Schedule Date
Amount
1
1
May 26, 2012
$2,000
The Project shall consist of the activities outlined in the Grant request submitted to the ASPCA
("Ranger's Pantry Pet Food Bank"). The Project shall also include the following: .
The Grantee acknowledges and agrees that the grant shall be used exclusively for costs incurred
directly in connection with the Project and as set forth in this Agreement, and that failure to do
so will result in the Grantee having to return the grant to the ASPCA within ten (10) days of the
ASPCA's request to do so.
The Grantee hereby grants to the ASPCA a license to use the Grantee's name and trademarks on
materials directly related to the activities of the Project and/or the Grant. The Grantee Key
Contact is Mr. Kyle Belt (the "Grantee Key Contact"), and the Grantee Key Contact shall
communicate with Lou Guyton (lou.guyton@aspca.org) monthly to review and evaluate the
progress of the Project.
3. Acknowledgment of ASPCA Support. In consideration of the grant, the Grantee shall
publicly acknowledge that the Project was made possible through a generous grant from the
ASPCA and shall reference the ASPCA in all "Project Materials." "Project Materials" shall
include, but not be limited to, all copy, script, text, graphics, photographs, video, audio,
promotional and advertising materials, and all other editorial matter(s) or press releases relating
to the Project. The Grantee shall submit the Project Materials for review and approval by the
ASPCA Grant Officer prior to its inclusion in any materials prepared and intended to be
distributed regarding the activities of the Project. No changes on the approved version of any
Project Materials shall be instituted by the Grantee without the prior written approval of the
ASPCA Grant Officer. The ASPCA hereby grants to the Grantee a license to use the ASPCA
Trademarks on materials directly related to the activities of the Project. "ASPCA Trademarks"
are: "ASPCA®", which must always appear in PMS 422 and 021, unless used in materials that
are completely black and white in nature, in which case it may appear in black; and "The
American Society for the Prevention of Cruelty to Animals®". The ASPCA has the right in its
sole discretion to require the Grantee to remove all references to the ASPCA's involvement if the
ASPCA determines that the Grantee is not fulfilling its obligations under this Agreement or if for
any other reason the ASPCA determines that it is no longer in the ASPCA's best interest to be
referenced in such manner.
Two jpegs of the ASPCA logo are embedded below for your cut-and-paste use on your website
or other collateral. Instructions regarding links to the ASPCA's website can be found at this
URL: www.aspca.org/about-us/legal-information/link-to-us.html. Link banners can be found via
this URL: http://www.aspca.org/about-us/free-aspca-stuff/free-link-banners.html.
For assistance regarding recognition of your Grant, including press releases, advisories, or
general media outreach, please contact the ASPCA's Media Department at press@aspca.org.
GATS,
GRANTS
E E THEIR V E,`
4. Records. The Grantee will keep accurate books and records with respect to the grant in
accordance with generally accepted accounting principles and business practices. The Grantee
will maintain its books and records in such a manner that the receipts and expenditures of the
Grant funds will be shown separately on such books and records in any easily checked form.
The Grantee will keep records of receipts and expenditures made of Grant funds as well as
copies of the reports submitted to the ASPCA and supporting documentation for at least three
years after completion of the use of the Grant funds, and will furnish or make available such
books, records, and supporting documentation to the ASPCA for inspection at reasonable times
from the time of the Grantee's acceptance of the Grant through such period.
5. Maintenance of Tax -Exempt Status. In carrying out the Project, the Grantee shall comply
with all applicable federal, state and local laws and regulations. If the Grantee is a 501(c)(3)
organization, the Grantee certifies that it is in good standing with the Internal Revenue Service
and shall notify the ASPCA immediately of any change in, or challenge by the Internal Revenue
Service to, its status as a 501(c)(3) tax-exempt organization.
6. Termination. The ASPCA may, in its sole discretion (i) withhold payment of funds until in
its opinion the situation has been corrected or (ii) declare the Grant terminated in any of the
following circumstances:
(a) If, as the result of the consideration of reports and information submitted to it by the
Grantee or from other sources, the ASPCA, in its sole discretion, determines that
continuation of the Project is not reasonably in furtherance of the ASPCA's mission to
provide effective means for the prevention of cruelty to animals throughout the United
States (the "ASPCA Mission") or that the Project is not being executed in substantial
compliance with the grant request (or work plan as revised) or that the Grantee is
incapable of satisfactorily completing the work of the Project;
(b) In the case of any violation by the Grantee of the terms and conditions of this Agreement;
(c) In the event of any change in, or challenge by the Internal Revenue Service to, the
Grantee's status as a 501(c)(3) tax-exempt organization if applicable; or
(d) If it is revealed that, during the Project, the Grantee is or was involved in any activity or
makes any statement disparaging of, or reflecting unfavorably upon the ASPCA,
tarnishes the reputation of the ASPCA or is not in alignment with the ASPCA Mission.
If the ASPCA terminates the Grant, it shall so notify the Grantee, whereupon it, if so requested
by the ASPCA, shall promptly refund and pay back to the ASPCA any unexpended balance of
the Grant funds in the Grantee's hands or under its control.
Upon completion of the Project or termination of this Agreement for any reason, the ASPCA will
withhold any further payments of Grant funds and the Grantee shall, at the option of the ASPCA,
repay to the ASPCA any portion of the Grant funds that were not spent for the Project. All such
determinations by the ASPCA under this Section 6 will be final, binding and conclusive upon the
Grantee.
7. Future Funding. The Grantee acknowledges that the ASPCA and its representatives have
made no actual or implied promise of funding except for the amounts specified in this
Agreement. If any of the Grant funds are returned or if the Grant is rescinded, the Grantee
acknowledges that the ASPCA will have no further obligation to the Grantee in connection with
this Grant as a result of such return or rescission.
8. Modification. No amendment or modification of this Agreement shall be valid, unless made
in writing and duly executed by the parties hereto.
9. Miscellaneous. This Agreement is intended to be binding upon the Grantee and the ASPCA.
This Agreement represents the final agreement between the parties with respect to the subject
matter hereto, and supersedes any and all prior agreements, written or oral, between the parties
with respect to the matters contained herein. This Agreement is not intended to, nor shall it be
deemed to create, any partnership or joint venture between the Grantee and the ASPCA. This
Agreement shall be interpreted, governed by and construed in accordance with the internal laws
of the State of New York, without regard to the conflict of laws principles thereof. The parties
hereto acknowledge and consent to personal jurisdiction and venue exclusively in New York,
New York with respect to any action or proceeding brought in connection with this Agreement.
This Agreement may be executed by the parties hereto in counterparts, each of which, when
executed and delivered, shall be deemed to be an original and all of which shall constitute
together the same document.
By endorsing and depositing the Grant check, you represent and warrant that you are capable of
binding the Grantee to the terms set forth in this Agreement.
We extend our best wishes to you for continued success and look forward to hearing about your
accomplishments during the year. It is a pleasure to be among your current supporters.
Sincerely,
Michael Barrett
Vice President, Grants Management
CC: grants(a,aspca.org
Schedule 1
Grant Reporting Requirements
We require ASPCA grantees to fulfill a variety of requirements based on the grant size and purpose. We
make every effort to minimize the reporting burden on grantees while employing best practices in all of
our grants programs.
Please follow these guidelines when submitting requirements:
• Submit ALL requirements online by logging into your ASPCA Grant Account at
https://www.grantrequest.com/SID_900?SA=AM
• Please adhere to the due dates — you may submit fulfilled requirements at any point during the
grant term. Should you need extra time to submit any particular requirement, please contact the
ASPCA Contact on your award letter prior to the due date with 1) a request for a due date
extension, 2) the preferred due date and 3) an explanation for the request.
Grantees will be asked to submit some or all of the following requirements:
• Acknowledgement of Agreement — all grant awards in the amount of $5,000 or less must be
acknowledged online as your official indication that you intend to use the funds as instructed in
the grant agreement and be bound by all terms and conditions set forth in the grant agreement.
• Final Report— indication of results/outcomes and an analysis of your project plus an estimation
or exact indication, if measurable, of the number of animals impacted by the grant.
• Financial Report — a comprehensive list of expenditures for which grant money is/has been used
(typically best submitted in a spreadsheet). Financial Reports for projects that produce accurate,
easily measurable outputs, such as targeted spay/neuter programs, should identify the cost per
animal as part of a detailed report on the project.
• Grant Recognition Report — press releases, photos, clips or links showing recognition of the
ASPCA's grant for your project. Please note that a grant does not imply endorsement,
certification or approval of your organization and its activities nor does it imply affiliation with
the ASPCA.
• Photos — Generally, we ask for photos that show pictorial evidence of the intended use of funds;
we may also ask for photos associated with human interest stories for promotional purposes.
• Press Information — links to or uploads of press stories or anecdotal information that could be
used for promotional purposes including human interest stories with accompanying photos.
• Progress Report — an interim report designed to inform your grant officer on the status of the
project.
• Receipts — receipts or invoices for expenditures made with grant funds.
• Signed Amendment — occasionally a term of the grant agreement, such as the purpose or amount
of a grant, will change during the grant term. Grants that exceed $5,000 require a signed
amendment.
• Signed Contract — payments of all grant awards that exceed $5,000 are contingent upon your
submission of two signed contracts mailed to ASPCA, Attn: Grants Department, 520 8th Avenue,
7th Floor, New York, NY 10018
• Site Visit — indicates that a grant officer wishes to make a physical site visit of your facility during
the grant term, sometimes as a condition of payment or to provide your organization with
additional non-cash outreach and resources.
5/17/2012) Kyle Belt Acknowledgment of Seite 1
ASPCA Acknowld mtGrantAward
__.._._ ........ _ _�. � ...._., .�_.�,.. �.� w. .., a ,......
From: <grants@aspca.org>
To: <kbelt@ci.fayetteville.ar. us>
Date: 4/26/2012 12:34 PM
Subject: ASPCA Acknowledgment of Grant Award
Dear Mr. Belt,
The ASPCA granted your request for funding in the amount of $2,000 for Ranger's Pantry Pet Food Bank
To comply with the terms of the grant award, our auditors require us to receive from you the following
requirement/report: Acknowledgment of Grant Award. This is available online via your "My Account"
page. Click or copy and paste into a browser, the following link:
https://www.GrantRequest.com/SID_900?SA=AM
Log in with the user name/password you created when you submitted your request for funding. If you
have forgotten your user name or your would like to change it, forward this email to grants@aspca.org
with a reminder request. If you have forgotten your password, you will be able to retrieve that when you
attempt to log in at the above web link.
Once you have logged in, click the link at the top labeled "REQUIREMENTS" to take you to the
requirement page. You will see a current list of upcoming requirements due.
Please submit all requirements by their due date. Timely submission of grant requirements will maintain
your eligibility to apply for future funding from the ASPCA.
If you have previously corresponded with your grant officer with regard to the requirement requested in
this email, we still need your cooperation by submitting your requirements through your account
Requirements webpage.
If you have specific questions regarding our expectations for fulfilling this requirement, including requests
for due date extensions, please forward this email to your grant officer: Lou Guyton at
lou.guyton@aspca.org with your question(s).
For technical questions or issues, email a screen shot (Ctrl + Print Screen, then paste inside the email)
with a description of your problem to the Grants Department at grants@aspca.org.
PLEASE be sure to read all instructions carefully with regard to submission of requirements both in these
emails and on your Requirements webpage before reaching out to your grant officer or the grants
department.
Note that if you are uploading any attachments, you must still click on the Submit button in order to
complete your submission.
Thank you for your cooperation!
Michael Barrett
Vice President, Grants Administration
ASPCA
d (5/17/20)12) Kyle Belt - Your ASPCA Grants A
lication Submission Sete 1
From: "ASPCA Grants" <grants@aspca.org>
To: <kbelt@ci.fayetteville.ar.us>
Date: 3/19/2012 3:48 PM
Subject: Your ASPCA Grants Application Submission
Thank you for your submission. Your application has been submitted
successfully. You will be receiving more information on the status of
your application shortly. For your records, here is a copy of the
contents of your application.
Organization
Please review the information below for accuracy and edit
accordingly. You may return to your application at any time by clicking
the "Save and Finish Later" button at the end of the application.
Please DO NOT use all capital letters.
The pre -populated responses below contain information you
provided on your letter of inquiry. You may edit or add to those
responses if necessary.
Organizational Information
Organization Name
City of Fayetteville Community Services Division - Ranger's
Pantry Pet Food Bank
Mailing Address - Street
113 W. Mountain St.
City
Fayetteville
State
AR
Postal Code
72701
Phone
no hyphens - e.g. 2128767700
5/17/2412) Kyle Belt Your ASPCA Grants Application Submission
Seite
4795758260
Fax
no hyphens - e.g. 2128767700
4794443445
Web Site
If you are a governmental organization and do not have a
specific website for your department, enter the main web address.
h tt p: //www. a ccessfay ettev i l l e. o rg/government/co m m u n i ty_se ry ice s/i n d ex. cf
m
Federal Tax ID/Employer Identification Number (EIN)
No hyphens
716018462
Tax Status
Municipality/County
Organization Type
Other
Physical Address (ONLY if different than mailing address)
Include address, city, state and zip/postal code. Leave blank if
physical and mailing address are the same.
Finances, Facility, and Personnel
Total Organizational Budget (Current Year)
Multi -departmental educational institutions should enter the
budget of the department which will be the recipient of the proposed
grant project.
$589,066
Total Organizational Budget (Last Year)
If this is your first year of operation, enter zero.
Multi -departmental educational institutions should enter the budget of
the department which will be the recipient of the proposed grant
project.
$593,659
Total Organizational Budget (Two Years Prior)
5/17/2012) Kyle Belt Your ASPCA Grants Application Submission
If this is your first year of operation, enter zero.
Multi -departmental educational institutions should enter the budget of
the department which will be the recipient of the proposed grant
project.
$704,208
Financial Health
1 or more years of operating expenses
In what year was your agency/organization incorporated?
1859
Number of Full-time Staff
Multi -departmental educational institutions should enter the
staff of the department which will be the recipient of the proposed
grant project.
3
Number of Part-time Staff
Multi -departmental educational institutions should enter the
staff of the department which will be the recipient of the proposed
grant project.
2
Number of Current Active Volunteers
2
Contacts
Primary Contact Person for this Request
Prefix
e.g. Ms., Mr., Dr.
Mr.
First Name
Kyle
Last Name
Belt
Suffix
<None>
Title
Redevelopment Officer
(5/17/2012) Kyle Belt - Your ASPCA Grants Application Submission
Seite 4
E-mail
kbelt@ci.fayetteville.ar.us
Head of Organization
Prefix
e.g. Ms., Mr., Dr.
Ms.
First Name
Yolanda
Last Name
Fields
Suffix
<None>
Title
Community Services Director
E-mail
yfields@ci.fayetteville.ar.us
Proposal
Request Information
Project Title
Please provide a short, descriptive title for this request, e.g.
Community Pet Food Bank
good cause):
Ranger's Pantry Pet Food Bank
Request Amount (do not exceed the recommended maximum without
e.g. 1000
2000
Total Project Cost
e.g. 5000
2000
Project Description
Provide a detailed description of your request in 250 words or
less. Do not describe your organization or its mission. If you know
estimated or actual costs for line items, be sure to include these costs
1(5/17/2012) Kyle Belt Your ASPCA Grants Application Submission .,,,..� ... �..r. Seite
in your description.
If received the ASPCA award would be used to purchase dog food
for Ranger's Pantry. No money from donations is ever used for
staff -time, facilities or any other operating expenses. The facility
where the food is stored and distributed is donated by All Around
Storage. The City's Community Services Division staff administers the
program. Because Ranger's Pantry is entirely supported by donations
(monetary and actual pet food) it does not have a budget. However, we
can say that during the 20 months since the program's inception we have
spent $11,150 on pet food in addition to the food donations that we have
received. We have seen an approximately 82% increase in spending from
the first year's total of $3955 to $7,200 for just the first 8 months of
the second year of operation. This increase in spending reflects an
increased need for more pet food, specifically dog food.
be used?
Over how many months do you estimate the requested amount would
(In whole months)
6
Grant Timeline and Evaluation
Include your timeline for utilizing grant funds and explain how
you will measure the success of the project.
The requested grant funds would be utilized over a 6 month
period. The 6 month period is based on current purchasing patterns. Upon
receiving the grant funds, the success of the project will be measured
by tracking the amount (in pounds) of dog food purchased with the grant
funds by separating the amount of dog food purchased with grant funds
from all other donations; the amount of dogs receiving pet food; and the
total amount (in pounds) of dog food given during that time frame. While
Ranger's Pantry serves both dogs and cats, the demand for dog food is
much higher. Therefore this award would be utilized exclusively for dog
food.
(5/17/2012) Kyle Belt Your ASPCA Grants Application Submission
Geographical Area Served (for THIS request ONLY)
Choose your domicile location in the FIRST drop-down. You may
choose additional locations if they are applicable to THIS request.
AR
Population Served (for THIS request)
You may choose more than one, but ONLY select those populations
that will be served by THIS request. For example, if your organization
provides services for cats and dogs, but your request is for dog
kennels, you should choose "Dogs" ONLY.
Dogs
Program Area
Please select the program area most closely aligned with THIS
funding request.
Return to Owner/Anti-Surrender Programs (Shelter Outreach -Live
Release/Intake Reduction)
Type of Support
Other
Impact of Request on Animals
If you receive the FULL grant amount requested, approximately
how many animals will THIS grant impact? Fill in a number for each
category. Enter -0- (zero) if the category does not apply.
Cats
0
Dogs
100
Equines
0
Farm Animals
0
Birds
Seite'6 .
5/17/2012) Kyle Belt Your ASPCA Grants Application Submission
Seite 7
Rabbits
0
Wildlife
0
Programs and Services
Programs and Services
Briefly describe the types of programs your organization
provides the community it serves (in 100 words or less).
Ranger's Pantry provides free pet food to qualifying
low -to -moderate income families living within the Fayetteville city
limits to prevent the surrendering or abandonment of pets. Each
qualifying applicant receives a voucher that provides 3 months worth of
pet food. Vouchers are limited to 1 per household, no more than two
within a 1 year period, and have a max limit of 100Ibs of dog food per
month. In order to received a 2nd voucher, pets must be spayed or
neutered and the owner must provide proof.
Collaborations
What other animal groups do you work with regularly? List the
names, locations and contact information.
-Fayetteville Animal Services:
1640 S. Armstrong
Fayetteville, AR 72701
Tel: (479)444-3456
Fax: (479)444-3459
References
List professionals such as a veterinarian, persons from
organizations with which you collaborate, or others who have firsthand
knowledge of your organization. Be sure to include email addresses.
(5/17/2012) Kyle Belt Y- our ASPCA Grants Application Submission
Veterinarian Name
Dr. Robb Jones
Vet Email
rjones@ci.fayetteville.ar.us
Vet Phone
479-718-7696
Collaborator Name
(enter the name of a representative from an organization with
which you collaborate)
Justine Middleton
Collaborator Email
jmiddleton@ci.fayetteville.ar.us
Collaborator Phone
479-444-3456
Other Name
Lib Horn
Other Email
libhorn@att.net
Other Phone
479-575-9697
Please Note
If this grant request is approved, please indicate the status of
your current cash reserves or available credit to cover the costs of
your proposed project while waiting for payment from the ASPCA.
While we make every effort to review proposals quickly, please
note that reviews may take up to 90 days and, if funded, payment
processing may take an additional few weeks.
Seite 8
5/17/2012) Kyle Belt Your ASPCA Grants Application Submission
Cash Available
By submitting a letter of inquiry and/or an application for an
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submitted on such letter of inquiry/application in any way it deems
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uses may include, but are not limited to, reproducing such information
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Attachments
Title File Name
Form W-9 2012 City W-9 Form.pdf
<Https://www.grantrequest.com/SI D_900/Default.asp?SA=VA&SESI D=23060&I D=2
31 f4a8693c940239eb511135e9f6fe5>
Photograph Ranger's Pantry Photo.JPG
<Https://www.grantrequest.com/SI D_900/Default.asp?SA=VA&SESI D=23060&I D=8
3bf87432d674cbbba3a21 efcfb2d556>
submission.
Files attached to this form may be deleted 120 days after
Seite 9