2022 Ricks-Wheeler Fund Grant Application

The proceeds of the James Wynn Ricks, Jr. and Kenneth Wayne Wheeler Fund, a gift of the late Jim Ricks, are designated to support programs and activities which minister to persons living with HIV/AIDS. The Ricks-Wheeler Grants Committee recommends allocations to the Chapter and Endowment Board, based on annual applications. 

Applications should be submitted by noon on Friday, September 16, 2022. 

(* Denotes Required Fields)

Organization Information
Organization name: *
Contact/title: *
Phone: *
Email: *
Address: *
Year Organization Founded: *
Brief Mission Statement: *
Amount Requested: *
Intended Use of Funds: *
Have you previously received a Ricks-Wheeler Fund Grant?: *	Yes No
If yes, what year?:
Uploads
Letter of Request:
Two years of most current audited financials:
Most recent IRS Form 990:
IRS letter of exemption certifying 501(c)3 status (unless previously submitted):
One page report of use of last year’s grant funds (prior recipient only):