Asheboro Covid-19 Food Insecurity Relief Application


Funding for this grant is provided by federal dollars. Any assistance provided must primarily benefit low/moderate income persons. The applying non-profit must be physically located within Asheboro city limits and the physical location of the assistance operation (food distribution) must also be within Asheboro city limits. Any Asheboro non-profit, faith-based or local government agency that provides food and shelter services may apply.

Any funds awarded are expected to be spent before December 31, 2022.

All awardees will be required to document (1) how funding is spent and (2) the benefits provided to the community. In addition, the federal government requires the following information to be compiled during the duration of the grant unless the location of food distribution activities is in a residential area designated by U.S. Department of Housing and Urban Development as a Low-Moderate Income (LMI). Please refer to the Asheboro Map provided with this application; requirements for information collection will be provided by UWRC.

1.  Total number of low/moderate income persons anticipated to be helped
2.  Estimated number of disabled persons
3.  Estimated racial characteristics of those to be assisted
4.  Estimated number of female-headed households.
5.  Estimated number of elderly (62 and over)
6.  Estimated number that are homeless
7.  Number of meals anticipated to be provided
8.  Monthly reports must be provided on actual persons assisted.

Documents Required to Complete Application
  • 501(c)(3) Letter from IRS – if letter not received, provide explanation of current tax status
  • Most recent annual independent audit or annual financial report for your agency
  • List of current board members and officers
  • Letter from Board Chair authorizing the application and committing cooperation by the organization to provide documentation required by the funding agency.
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Address
Executive Officer
Authorizing Board Member
Program Contact Information

How do you intend to use the funds:
Please list your six (6) month funding request:
PLEASE NOTE: NO PURCHASE RELATED TO THIS APPLICATION IS AUTHORIZED UNTIL AN AWARD AGREEMENT IS EXECUTED. ANY PURCHASE MADE PRIOR TO EXECUTION OF THE AWARD AGREEMENT WILL NOT BE REIMBURSED. SAMPLE AWARD AGREEMENT LANGUAGE IS AVAILABLE BY CONTACTING THE UWRC OFFICE. ANY AGREEMENT WILL BE SUBJECT TO 24 CFR PART 570 - COMMUNITY DEVELOPMENT BLOCK GRANT REGULATIONS AVAILABLE FOR REVIEW AT https://www.hudexchange.info/resource/3689/24-cfr-part-570-cdbg/.

Required Documents

(Please include the following with your application)

  • 501(c)(3) Letter from IRS – if letter not received, provide explanation of current tax status

  • Most recent annual independent audit or annual financial report for your agency

  • List of current board members and officers

  • Letter from Board Chair authorizing the application and committing cooperation by the organization to provide documentation required by the funding agency.


Upload requirements
Signature  of chief  staff person or officer  of the Board  indicates  Board  approval  of this request.  This signature  certifies  the  agency’s  commitment  to the  appropriate  use of any funds allocated  and their individual and agency commitment to abide by the reporting requirements for any funds granted.