Grant Application Please complete this form and provide the requested information below with your application.Date MM slash DD slash YYYY Name of Organization* Hollywood Chamber Member Status:*Active MemberInactive MemberNot an HCC MemberIf a member, list the year you or your organization joined:* Year joined:* Contact Name:* Contact Title:* Contact Email:* Organization Address* Street Address City State ZIP / Postal Code Company legal structureSole proprietorLLCPartnershipNon-profitC-Corp or S-CorpDo one or more of the following apply to your business? (Select all that apply)* EMPOWERING WOMEN - Organizations that serve and support women UNDERSERVED ORGANIZATIONS - Underestimated and determined small business owners SUSTAINABILITY - Leading the charge towards an eco-friendly future CREATIVE ARTS - Enriching the world through art Please attach a copy of the IRS Determination Letter 501)c)3 that designates your organization as a tax-exempt, publicly supported charity organization.*Max. file size: 300 MB.Organization’s Mission Statement • Why your company ExistsValue Propositions • What are your business’s strengths?A short description of the product(s) and/or service(s) you offer:Briefly explain the primary problem your organization solves:Who is affected by the problem, and explain it’s the impact?What are the industry challenges (Economic, Changes in technology, is the industry shrinking or growing)?How do your product(s) and/or service(s) respond to the problem statement?Outline the customer benefits and the product life cycle.Does your organization have copyright, intellectual property, and/or patent filings? Briefly explain your organization’s target market. (Include demographics: age, race, sex, etc.), geography (town, region, state or country, worldwide)*Outline the competitive environment, telling us who your business’s competitors are, how much of the market they control, and other relevant details about the competition.*List the ways your business will gain a competitive advantage.* Explain how your company will make money (direct sales, membership fees, selling advertising space, donations, etc…)*If your company has multiple revenue streams, list them all.* Describe how you will attract and retain customers:*List the ways you will promote your organization: Grand openings, community markets, trade shows, or other events.* HiddenExplain your product life cycle:*List any other ways you intend to get your message out to potential customers and the costs associated with them:* Are you currently open for business?Not yetYes**PLEASE NOTE: We may ask for up to 3 years of financial statements prior to awarding a grant.**Provide an itemized list of costs the business will incur before opening.* Briefly explain the historical financial data for the past 2 years.*HiddenProvide a brief analysis of all financial data featuring ration and trend analysis for all financial statements.*List the Founder(s) of the organization and include what expertise they bring to the business.* List your board members/advisors and key personnel* Number of employees*Goals / Milestones • Answer the following questions per quarter. SMART Goals: Specific, Measurable, Attainable, Realistic, Timely:Specific: What are you trying to achieve?*Measurable: How can you measure it?*Achievable: Can it be done?*Realistic: Can you actually do what needs to be done?*Time-Oriented: How long will it take?*Additional comments:What are your projected sales over the next year should you secure funding through the Community Foundation? Describe what you are seeking funding for and how it will be used.* Δ
