C3 Grant

GRANT ACCEPTANCE FORM

Name of Organization: Collaborative for Colchester's Children
Address: 315 Halls Hill Road
Colchester, CT 06415
Total Amount of Grant: $3,200.00
Date Grant Approved: 2/19/2020
Purpose of Grant: To support People Empowering People (PEP)
Terms of Grant:

Under United States law, grant funds from the Liberty Bank Foundation may be expended only for educational,
health, social services, or other charitable purposes. This grant is made only for the purpose stated above, in
response to your grant application, and it is understood that these grant funds will be used for that purpose. It is
also understood that no substantial variances will be made from that purpose without the Foundation’s prior
approval in writing. Any grant funds not expended or committed for the purposes of the grant, or within the
period stated earlier, will be returned to the Foundation.

A follow-up report must be submitted to the Foundation’s online grant management system by 3/1/2021. You
will receive a reminder email one month before the due date.

In the application of its resources to serve the public interest, the Foundation gives high priority to the realization
of equality of opportunity for all members of society. Accordingly, it is the Foundation’s expectation that in
carrying out this grant, your organization will take appropriate affirmative action steps with respect to women and
disadvantaged minorities.

The Foundation may monitor and conduct a review of operations under this grant, which may include a visit from
Foundation personnel to observe your program, discuss the program and finances with your personnel, and review
financial and other records and materials connected with the activities financed by the grant,

The Foundation will include information on this grant in its periodic public reports. The Foundation may also
refer to the grant in a press release, in which case a copy would be provided to you in advance. If you wish to
make your own press announcement, please consult with your program officer.

If this form correctly sets forth your understanding of the terms of this grant, please indicate your organization’s
agreement to these terms by having the form signed by an appropriate officer of your organization and returned to
your program officer. It is also understood that, by signing this form, your organization confirms that there has
been no change in its qualification as an organization exempt from income taxation pursuant to Section 501(c)(3)
of the Internal Revenue Service Code or its classification as not a private foundation, If any change occurs, please
notify your program officer.

By signing below, you certify that this grant is a charitable contribution and that neither Liberty Bank nor the
Liberty Bank Foundation received any goods or services in return for it,

On behalf of the Liberty Bank Foundation, we wish you every success in this endeavor.

ACCEPTED AND AGREED:

 

 

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