1 Start 2 Complete Phase 38, year 2020-2021, Emergency Food and Shelter Program (EFSP) funding has been announced. The total amount for our jurisdiction is $61,165. EFSP Advisory Board working with the United Way Tar River Region, acting as the administrative facilitator, will oversee the distribution of these funds for Nash and Edgecombe Counties.Prior to completing the application, please review the Quick Reference Guides and Eligible & Ineligible Expenditures. All funded Local Recipient Organizations (LROs) will be required to submit reports to the Local Board Contact every 3 months.Phase 38 applications are due by 12:00 Noon on Monday, February 1, 2021. If you have any questions, please email Mary Scott Anderson at email@example.com or call 252-937-2213 ext. 204.Thank you for your service to those in need within our community. I certify that our organization meets the following minimum requirements of a Local Recipient Organization (LRO):(all must be checked) Guideline 1 * Be nonprofit or an agency of government Guideline 2 * Funding request is for a fully operational program (applications for new programs will not be accepted) Guideline 3 * Not be debarred or suspended from receiving Federal funding Guideline 4 * Have a checking account and sign up for EFT (cash payments are not allowed) Guideline 5 * Has an organized accounting system Guideline 6 * Have a Federal Employer Identification Number (FEIN) Guideline 7 * Have a Data Universal Number System (DUNS) Guideline 8 * In compliance with the USA Patriot Act and other counterterrorism laws, I hereby certify that all EFSP funds will be used in compliance with all applicable anti-terrorist financing and asset control laws, statutes and executive orders. Guideline 9 * Agrees to expend monies only on EFSP eligible costs Guideline 10 * Have a valid email address for program communication and electronic signature processes Guideline 11 * Conduct annual audit, if expending $750,000 or more in Federal funds, in compliance with the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards at 2 CFR 200 of the Office of Management and Budget (Uniform Guidance) Guideline 12 * If you are required to complete an audit, you received an unqualified or unmodified opinion. Guideline 13 * Be providing services and using its other resources in the area in which they are seeking funding Guideline 14 * Practice nondiscrimination (those agencies with a religious affiliation wishing to participate in the program must not refuse services to an applicant based on religion or require attendance at religious services as a condition of assistance, nor will such groups engage in any religious proselytizing in any program receiving EFSP funds Guideline15 * Have a voluntary board if private, not-for-profit Guideline 16 * To the extent practicable, involve homeless individuals and families, through employment, volunteer programs, etc., in providing emergency food and shelter services Guideline 17 * Equipment requests must be greater than $300.00 Guideline 18 * Agrees to submit required reports every 3 months to Local Board Contact AGENCY NAME * PROGRAM NAME * MISSION STATEMENT * MAILING ADDRESS * CITY, STATE ZIP * COUNTY * DUNS# * FEIN# * PHONE * EMAIL * CONTACT PERSON * EXECUTIVE OFFICER * PROGRAM DESCRIPTION * Explain how the funds will be used: * Please list the number of meals served or number of individuals sheltered within the last 12 months: * Please list the number you anticipate serving with Phase 38 funding: * *Before completing the Funding Request below, please review the attached Quick Reference Guides. These will help you better understand the details of each category.Below, please breakdown your funding request. We recommend no more than two categories.Please add Dollar Sign ($) and commas when necessary. Served Meals: Other Foods: Mass Shelter (on site): Other Shelter (motel/hotel): Rent/Mortgage: Supplies/Equipment: Rehabilitation (Emergency Repairs/Building Code): Utility Assistance: Total Amount Requested: * Type full name below for electronic signature. Signature Date * Year Year20192020202120222023 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Phase 38 applications are due by 12:00 Noon on Monday, February 1, 2021. If you have any questions, please email Mary Scott Anderson at firstname.lastname@example.org or call 252-937-2213 ext. 204. Leave this field blank CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. View the discussion thread.