Home » Community Arts » Creative Industries Recovery Grant Program » Creative Industries Recovery Grant Nonprofit Application ARPA CREATIVE INDUSTRIES RECOVERY GRANT PROGRAM NONPROFIT APPLICATION Eligibility Requirements(Required)Nonprofit applicants must meet all four requirements in order to be eligible. Our organization has a current City of Bessemer business license. Our organization's annual operating budget is less than $1 million. Our organization was established as a nonprofit before March 1, 2020. If awarded, our organization agrees to submit final reports and financial documentation no later than November 30, 2025, to ensure that funding expenditures align with the ARPA guidelines. Organization Name(Required)Organization Legal Name (if different from above)Do any of the following apply to your organization? Minority Led Woman Led LGBTQ+ Individual Led Person with Disabilities Led Military Service Member or Veteran Led Federal Tax ID #(Required)Year of Incorporation(Required)Organizations established as nonprofits after 2020 are not eligible.In which of the following years did your organization hold a City of Bessemer business license?(Required) 2020 2021 2022 2023 2024 Number of Full Time Staff(Required)If not applicable, enter zero.201920202021202220232024Number of Part Time Staff(Required)If not applicable, enter zero.201920202021202220232024Number of Contract Employees(Required)If not applicable, enter zero.201920202021202220232024Street Address(Required)City(Required)State(Required)Zip Code(Required)City of Birmingham District(Required)District 1District 2District 3District 4District 5District 6District 7District 8District 9Website Mailing Address (if different from above)AddressCityStateZipOrganization Director InformationName(Required) First Last Title(Required)Phone(Required)Email(Required) Enter Email Confirm Email How was your organization negatively impacted by the COVID-19 pandemic?(Required)Please be sure to include supporting financial documents below that align with the negative impact described in this section.How will these funds be utilized if received?(Required)Has your organization received any pandemic relief funding to date?(Required) Yes No Please provide the following information for each type of pandemic relief funding your organization has received.(Required)Source of Relief Funding / Year Received / Amount Received Were any of the awarded funds forfeited or recouped due to noncompliance or fraud?(Required) Yes No Please explain.(Required)Current City of Bessemer Business License(Required)Max. file size: 300 MB.IRS 501c3 determination letter(Required)Max. file size: 300 MB.Current W9(Required)Max. file size: 300 MB.IRS Form 990 for fiscal year 2023(Required)Form 990-N e-Postcards are also accepted. If your 990 for this year is not available at this time, please upload a document stating the reason and when you expect it to be available. Accepted file types: pdf, png, jpg, Max. file size: 300 MB.IRS Form 990 for fiscal year 2022(Required)Form 990-N e-Postcards are also accepted. If your 990 for this year is not available at this time, please upload a document stating the reason and when you expect it to be available. Accepted file types: pdf, png, jpg, Max. file size: 300 MB.IRS Form 990 for the fiscal year 2021(Required)Form 990-N e-Postcards are also accepted.Accepted file types: pdf, png, jpg, Max. file size: 300 MB.IRS Form 990 for the fiscal year 2020(Required)Form 990-N e-Postcards are also accepted.Accepted file types: pdf, png, jpg, Max. file size: 300 MB.IRS Form 990 for the fiscal year 2019(Required)Form 990-N e-Postcards are also accepted.Accepted file types: pdf, png, jpg, Max. file size: 300 MB.Supporting documents that demonstrate financial hardship during the pandemic(Required)Such as decreased revenue or gross receipts, financial insecurity, increased costs, decreased capacity to weather financial hardship, or challenges covering payroll, rent or mortgage, or other operating costs. *This attachment must be submitted as a single PDF.Accepted file types: pdf, Max. file size: 300 MB.EmailThis field is for validation purposes and should be left unchanged. Δ
