Fluxx Grantmaker Portal — California Arts Council (CAC) Mock Application

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Funder Instruction: Character limits are strictly enforced by the server on final submission. Text exceeding stated limits will be truncated.

Section 1: Applicant Legal Entity & Tax Identification

Official statutory applicant identity registered with the State of California.

Applicant Legal Organization Name *

Enter the full corporate name exactly as registered with the California Secretary of State and IRS (Max 150 chars).

0 / 150 characters

Federal Employer Identification Number (FEIN / Tax ID) *

Format: XX-XXXXXXX

SAM.gov Unique Entity Identifier (UEI) *

12-character alphanumeric code

Organizational Mission & Core Purpose *

Succinct statement of your organization's mission and civic purpose. Maximum 1,000 characters.

0 / 1,000 characters

Section 2: Project Narrative & Community Impact

Detailed scope of work, community challenges, and target youth reach.

Project / Initiative Title *

Maximum 120 characters.

0 / 120 characters

Executive Project Description & Artistic Vision *

Describe the proposed program activities, artistic disciplines, and mentorship curriculum. Maximum 3,000 characters.

0 / 3,000 characters

Community Need, Equity Focus & Underserved Demographics *

Explain the systemic barrier or artistic deficit in the targeted community and how this program promotes cultural equity. Maximum 2,500 characters.

0 / 2,500 characters

Measurable Program Objectives & Anticipated Outcomes *

Detail quantitative participant targets, performance milestones, and skill acquisitions. Maximum 2,000 characters.

0 / 2,000 characters

Evaluation Plan & Success Metrics *

Describe data collection instruments, student surveys, recital assessments, and attendance tracking. Maximum 1,500 characters.

0 / 1,500 characters

Section 3: Budget, Financial Stewardship & Request Amount

Grant request calculations and expense allocations.

Grant Funding Amount Requested ($) *

Requested amount must be between $10,000 and $50,000.

Is the requested funding amount greater than $25,000? *

Yes (Requires Additional Audit Controls Narrative) No

Section 4: Mandatory Document Uploads & Exhibits

Upload required verification PDFs.

4.1 IRS 501(c)(3) Federal Tax Exemption Determination Letter *

4.2 Most Recent Complete IRS Form 990 / 990-EZ Filing *

⚖️ Statutory Certification & Signature

By submitting this application, the Authorized Organization Representative (AOR) certifies under penalty of perjury that all information is true, correct, and authorized by the governing board.

I certify as Authorized Representative that all statements are accurate.