Grant Application

The Pennsylvania Council on the Arts (PCA) is excited to introduce a new grant program, the Creative Sector Flex Fund (CSFF), for the 2023-2024 grant year. The CSFF is designed to address the changing needs of dynamic PA arts organizations with average annual revenue between $10,000 - $200,000.
This grant program incorporates the current needs of the field by offering grantees the flexibility to use $5,000 grants in ways that ensure the most significant impact for their organizations and communities.
Eligible uses of funds are flexible, including the support of applicants’ administrative, programmatic, and project-related expenses.
Please be sure to review the guidelines before beginning this application.  Guidelines can be downloaded here: Region 13 CSFF Guidelines
If you have any questions or need assistance, please contact Melissa at m.fulton@uwclarionco.org or call (814) 226-8760.

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* 1. Before beginning the application, I confirm that the applicant's physical address is located in the Pennsylvania Council on the Art's Region 13 - Armstrong, Butler, Clarion, Indiana, or Jefferson

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* 2. Before beginning the application, I confirm that the applicant is a nonprofit, tax-exempt corporation OR unit of local government.

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* 3. Before beginning the application, I confirm that the applicant is registered to conduct business within the state of Pennsylvania.

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* 4. Before beginning the application, I confirm that the applicant has conducted least two years of consistent arts programming within Pennsylvania.

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* 5. Before beginning the application, I confirm that the applicant has an annual arts revenue of at least $10,000 but not more than $200,000.

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* 6. If you answered NO to any of the above questions, please contact Melissa Fulton at United Way of Clarion County at m.fulton@uwclarionco.org to discuss your eligibility.  
If you answered YES to all of the above, please proceed to the next question.

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* 7. Applicant Name/Fiscal Sponsor

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* 8. FEIN (9 digits, no spaces or hyphens) *if you encounter an error message, please submit your grant without the FEIN and email your number to m.fulton@uwclarionco.org*

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* 9. Mailing Address

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* 10. County

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* 11. Website URL

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* 12. PA House District

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* 13. PA Senate District

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* 14. Contact Information

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* 15. Are you applying as a Fiscally Sponsored Organization?

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* 16. Fiscal Sponsored Organization Information (If applicable)

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* 17. Financial Information: Total revenue for your most recently completed fiscal year as reported on your IRS Form 990 line 12 (revenue means all contributed and earned cash income, and realized income from investments, as applicable. Do not include in kind).

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* 18. Job Information:  Current Number of Full-Time Equivalent (FTE) jobs, where FTE is calculated as a minimum of 35 hours per week. As applicable, include contractors or leased employees providing consistent services under your organization’s direct supervision. For non-arts organizations, provide the number of FTEs working within your arts program.
To the extent that your FTE count varies during the year due to seasonality of programming or operational needs, provide your anticipated high mark of FTE jobs through the end of the grant period. As applicable, include contractors or leased employees providing consistent services under your organization’s direct supervision.

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* 19. Provide your mission statement. If you represent an arts program within a larger non-arts organization that does not have an arts-specific mission, provide an artistic statement and the goals of your arts program.

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* 20. Briefly describe the community you serve and why.

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* 21. Artistic offerings and/or services that strengthen its community culturally, educationally, and/or economically:  
Over the past year, how did your artistic offerings and/or services support your community culturally, educationally, and/or economically? (Your response may include a description of the value provided to your community, whether adding to its cultural landscape, educational opportunities, or economic opportunities promoted directly or indirectly within your community).

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* 22. Artists and artistic offerings and/or services involve and are meaningful to the community being served:
Over the past year, describe how artistic decisions were made and by whom. How did you know your artistic products and/or services were meaningful to your community?

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* 23. Relevant arts learning opportunities for community members:
Over the past year, describe how you defined and determined the impact of your arts learning initiatives within your community.

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* 24. Apart from being audience members or beneficiaries, community members are central to the design of the applicant’s work:
Over the past year, describe your community’s involvement in your work and its feedback related to your artistic products and/or services.

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* 25. Plans and action-oriented practices toward diversity, equity, inclusion, and access in ways that are relevant to your community, including reaching new audiences:
Over the past year, describe your organization's plans and work to advance diversity, equity, inclusion and/or access. How did you know that plans and actions were relevant to your community?

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* 26. Planning processes appropriate to the organization, mission, and goals:  
Describe your most recently completed planning process, including who was involved. Describe the key findings and goals that followed this planning process, and how you track and measure progress.

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* 27. Capacity to carry out programs and projects as planned:
Over the past year, how did you ensure that you were able to carry about your programs or projects? To what degree were you able to carry out programs as planned?

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* 28. Appropriate financial planning and oversight practices: 
Describe your financial planning and oversight practices, including who participates in and is accountable for financial management and organizational oversight. Describe the financial condition of your organization and key actions taken to ensure adequate resources are available to carry out your mission or arts program.

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* 29. Required Attachment:  IRS Determination Letter confirming nonprofit 501(c) status (does not apply to Local Governments)

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* 30. Required Attachment:  For arts organizations:
Attach your TWO most recently submitted form of 990 (or 990-N or 990-EZ) IRS tax filings.
If your revenue is below $50,000 and you submit a postcard 990, you MUST attach Board/Committee financial statement for your most recently completed TWO fiscal years. The program financial statement must include program revenue, including contributed and earned income and income realized from investments, as applicable, and expenses.  Attach Year #1 here.

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* 31. Required Attachment:  For arts organizations:
Attach your TWO most recently submitted form of 990 (or 990-N or 990-EZ) IRS tax filings.
If your revenue is below $50,000 and you submit a postcard 990, you MUST attach Board/Committee financial statement for your most recently completed TWO fiscal years. The program financial statement must include program revenue, including contributed and earned income and income realized from investments, as applicable, and expenses.  Attach Year #2 here.

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* 32. Required Attachment:  For non-arts organizations:
Attach a Board/Committee approved arts-specific program financial statement for your most recently completed TWO fiscal years. The program financial statement must include program revenue, including contributed and earned income and income realized from investments, as applicable, and expenses. In-kind is not included.

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* 33. Required Attachment:  For those applicants being fiscally sponsored:
Attach the fiscally sponsored entities’ arts-specific program financial statement for your TWO most recently completed fiscal years. The program financial statement must include program revenue, including contributed and earned income and income realized from investments, as applicable, and expenses.

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* 34. Required Attachment:  For those applicants being fiscally sponsored: 
Attach the Sponsorship Agreement between the fiscal sponsor and the entity being sponsored. This must include:
✓ duties and responsibilities of each party,
✓ the term of the agreement,
✓ termination provisions,
✓ ownership of intellectual property,
✓ dispute and indemnification clauses,
✓ and the method of the holding and distribution of funds.

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* 35. Required Attachment:  LLCs MUST submit its’ Certificate of Organization-Domestic Limited Liability Company filed with the Pennsylvania Department of State Bureau of Corporations and Charitable Organization’s-At least three organizers must be listed in the Certificate of Organization.

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* 36. Required Attachment:  Provide a succinct (no more than one page) list of arts activities (for example: 3 concerts; 2 workshops; 5 exhibitions)-THIS WILL BE SHARED WITH THE PANEL. You may submit up to three links to artistic content or programmatic highlights you generated during the previous two years. (Note: links can be to file sharing sites (Google Drive, DropBox, etc.), YouTube, Vimeo, websites, Instagram accounts, etc. Please be sure to grant proper access, as applicable.

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* 37. Representations and Warranties The Applicant makes the following representations and warranties to [PPA Partner]. Effective as of the submission of this Application, the Applicant hereby represents and warrants to the best of its knowledge and belief that:

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* 38. Submitted by:

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