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Grants:APG/Proposals/2013-2014 round1/Wikimedia Serbia/Letter of intent

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Purpose of this document

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This document is the first critical step of the funds application process. Funds-seeking entities will fill out the top of this document a few months ahead of the application deadline (8 June for Round 1 and 8 November for Round 2) to indicate their interest in applying for funds in the upcoming round. WMF staff will use the checklist on the bottom half of this document to ensure that applicants are eligible to apply for FDC funds. Entities are responsible for meeting eligibility criteria before applying for FDC funds.

It is important to note that entities submitting letters of intent are now asked to include a dollar figure (or a figure in local currency). Entities will not be tied to these notional figures. The initial request amount will be used internally for FDC planning purposes.

Letter of intent

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To be completed by applying organization

Date: 6 June 2013


Dear Members of the Funds Dissemination Committee:


I am authorized by the Executive Board of the Wikimedia Serbia to inform you that Wikimedia Serbia intends to seek funding from the Funds Dissemination Committee for our organization's annual plan as part of the Annual Plan Grants process.


We recognize that seeking funds from the FDC is contingent upon compliance with the eligibility requirements outlined by the eligibility checklist, and that, to the best of our knowledge, our organization is eligible or plans to be eligible by the date eligibility is confirmed based on these criteria.


With this letter, we agree that we will provide the Wikimedia Foundation with details about the members of the board, senior management, and key employees associated with our organization to be screened for compliance with US law, upon request. We understand that WMF may contact us to request these details if and when they are needed. For each individual, we will provide a full name in English and in the language of origin, any other names used, the country of residence, the place and date of birth, and a copy of a government issued photo identification document if requested.


We currently plan to request funds in Round 1. At that time, we will submit our annual plan with full financials. We anticipate that our funding request may be approximately $100,000.


Sincerely,
Goran Obradović
President


Eligibility checklist and rubric

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To be completed by WMF staff

To be considered an "eligible entity," organizations should be in compliance with legal and contractual obligations, as outlined below:

Criteria Obligation Met obligation?
Affiliate Organization Recognized as an affiliate organization as defined in the Board Resolution dated March 31, 2012 Yes/No/NA
Track record of grant requests or successful campaigns

Has received at least two prior grants from WMF; OR
Has received at least one grant and participated in one fundraising campaign as a payment processor; OR
Has participated in at least two fundraising campaigns as a payment processor

Yes/No/NA
In compliance with Chapter Agreement Supplied a written activity and financial report in English at least once a year to the Foundation, within four months of entity's fiscal year end. Yes/No/NA
WMF has verified that Chapter adequately meets conditions of the Chapter Agreement Yes/No/NA
In compliance with WMF Grant Agreement (if applicable) Published a complete report on the funded activities within 3 months of the project end date Yes/No/NA
In compliance with local laws In compliance with all applicable laws governing organizations of their type in their country Yes/No/NA
In compliance with relevant U.S. laws Organization has the necessary controls and monitoring in place to know that the organization, its Board, senior management, key employees and any individuals or groups that it provides funding to are not on any terrorist watchlist, are not engaged in money laundering, and are using all donor funds for charitable, non-political purposes. Yes/No/NA