Grant Request For Funds Form Grant Request for Funds Form Use this form to request that Park Pride remit funds from your fiscal account. Please be sure to provide appropriate documentation. "*" indicates required fields Date* MM slash DD slash YYYY Name of person submitting this form* First Last Email of person submitting this form* HiddenName of Parkold - Please IGNORE Name of Park*My park is not listed17th Street Park2310 Bolton Rd54 Columns Art and Sculpture ParkA.D. Williams ParkAbner Place ParkAdair Park IAdair Park IIAdams ParkAdamsville Gym ParkAlexander ParkAluma FarmAnderson ParkAnsley ParkArbor ParkArdmore ParkArlington Circle PlaylotArmand ParkArthur Langford Jr ParkAshby Circle PlaylotAshford Forest PreserveAshford ParkAtlanta Memorial ParkAtlanta Waterworks ParkAtwood Street ParkAvery-E. Park Lane TriangleAvery Park (Gilbert House)Avondale Dunaire ParkBarbara A. McCoy ParkBarclay MedianBarker Bryant Park (Formerly Buena Vista Park)Bass Recreation CenterBeaverbrook ParkBeecher ParkBeecher Triangle - Beecher CircleBen Hill ParkBenteen ParkBenton Place GardenBessie Branham ParkBeverly-Avery CircleBeverly-Avery TriangleBiffle ParkBirchwood-Arlene TriangleBitsy Grant Tennis CenterBlackburn II ParkBlackburn ParkBlue Heron Nature PreserveBobby Jones Golf CourseBonnie Brae ParkBouldercrest GreenspaceBouldercrest Greenspace IIBouldercrest ParkBoulevard-Angier ParkBoulevard Crossing ParkBriarlake Forest ParkBriarwood ParkBroadland and West Conway ParkBrookhaven ParkBrookline ParkBrookside ParkBrowns Mill/McWilliams ParkBrowns Mill Food ForestBrowns Mill Golf CourseBrowns Mill ParkBrownwood ParkBrownwood Park Community GardenBruce St ParkBurBanckCabbagetown ParkCallanwolde Fine Arts CenterCandler ParkCarver CircleCascade Springs Nature PreserveCastlewood TriangleCedar ParkCenter Hill ParkCentral ParkChanning Valley ParkChapel Hill ParkChapman Farm and Redan Nature PreserveCharles Allen MedianCharles L. Harper Memorial ParkCharlie Loudermilk ParkChastain Memorial ParkChatham and Avon ParkChattahoochee ParkChestnut Lakes ParkChosewood ParkClack's CornerCleopas R. Johnson ParkCleveland Avenue ParkClub Drive ParkCoan ParkCollier ParkColumbia Drive GreenspaceColumbia ElementaryConfluence GreenspaceConstitution Lakes ParkCounty Line ParkCumberlander ParkDale Creek ParkDaniel Johnson Nature PreserveDaniel Stanton Park (D.H. Stanton)Darlington Circle ParkDavidson and Lakehaven ParkDavidson-Arabia Mountain Nature PreserveDawn Drive ParkDean Rusk ParkDearborn ParkDeepdene-Dellwood ParkDeerwood ParkDeKalb Memorial ParkDellwood ParkDelta ParkDill Avenue ParkDr. Mary Shy Scott ParkDuck PondE. Pine Valley and W. Pine Valley ParkE. Rock Springs TriangleEast Andrews - Roswell ParkEast Brookhaven and Lakehaven ParkEast Lake ParkEastwood/Emerson TriangleEdgewater CircleEdwin Place ParkElinor Place ParkElla Mae Brayboy ParkEllenwood / River Road ParkEllsworth ParkEmma LaneEmma Millican ParkEmmie Smith ParkEmory Grove ParkEmpire ParkEnglish ParkEnota Place PlaylotEsther Peachy LefevreEubanks Park (The Prado)Everett ParkExchange ParkFairington ParkFalling Water (Kings Ridge)Fernwood ParkFindley PlazaFire Station #5 ParkFisher Trail ParkFitzgerald FieldFlat Shoals Hudson ParkFlat Shoals ParkFolk Art (Courtland) ParkFolk Art (Piedmont) ParkFork Creek Mountain ParkFountain Drive #1Fountain Drive #2Four Corners ParkFowler ParkFrazier Rowe ParkFreedom BarkwayFreedom ParkGarden Hills ParkGenier ParkGeorgia Hill CenterGeorgian Hills ParkGertrude PlaceGilliam ParkGlen Emerald ParkGlenwood TriangleGoldsboro ParkGordon-White ParkGotham ParkGrant ParkGreenbriarGreenwood-Charles Allen TriangleGregory Moseley ParkGresham ParkGrove ParkHairston ParkHamilton ParkHardy Ivy Park (Xernona Clayton Plaza)Harper ParkHaynes Manor ParkHeaton ParkHelen Drive ParkHenderson ParkHerbert Greene Nature PreserveHerbert Taylor ParkHeritage Park (Founder's)Hickory Grove ParkHidden Acres ParkHillside at Northside Drive ParkHistoric Bagley ParkHistoric Fourth Ward ParkHistoric Fourth Ward Skate ParkHolderness/Lucile ParkHolly Street ParkHome ParkHomestead ParkHope Hill ParkHowell Mill at Beaverbrook ParkHowell Mill Glenbrook ParkHowell ParkHummingbird ParkHurt ParkHutchens Road ParkIndian Creek ParkInman Circle at 17th St. ParkInman ParkInman Park Trolley BarnIntrenchment Creek ParkIra B. Melton ParkIsabel Gates Webster ParkIverson ParkJ. Allen Couch ParkJ.D. Sims Recreation CenterJacci Fuller Woodland Garden ParkJennie Drake ParkJohn's HomesteadJohn A. White ParkJohn C. Burdine CenterJohn Calhoun ParkJohn F. Kennedy ParkJohn Howell Memorial ParkJune Elois Mundy ParkKathryn Johnston Memorial ParkKelley Cofer ParkKensington Executive Square ParkKimpson ParkKinnett ParkKirkwood DicksonKirkwood Urban ForestKittredge ParkKnight ParkLake Charlotte Nature PreserveLake Claire ParkLake IvanhoeLakewood Fairgrounds & AmphitheaterLang-Carson ParkLangford Park (Brookhaven)Langsdale ParkLanier Boulevard ParkwayLanier Gardens ParkLavistaLenox and Johnson Road ParkLenox-Wildwood ParkLillian Cooper Shepherd ParkLindsay Street ParkLionel HamptonLithonia ParkLittle Creek Farm ParkLittle Nancy Creek ParkLongdale ParkLord Family ParkLoridans ParkLoring Heights ParkLouise Howard ParkLou Walker ParkLucious Sanders ParkLynwood ParkLyons ParkMaddox ParkMagnum and Lynhurst ParkManigault Street PlaylotMantissa RoadMargaret Mitchell SquareMarietta Street IslandMarkan ParkMary Scott Nature ParkMason Mill ParkMatilda Place ParkMattie Freeland ParkMayor's #1 ParkMayson ParkMayson RavineMcafee-Starmount ParkMcClatchey ParkMcKinley-Wilson Triangle ParkMedlock ParkMelvin Drive ParkMemorial Delano / Line St. ParkMemorial Drive GreenwayMemorial Drive Hagan ParkMichelle Obama TrailMidway ParkMiners Creek ParkMitchell-Haynes ParkMlk-South River ParkMontreal ParkMoores Mill-Northside Pkwy TriangleMorgan-Boulevard ParkMorningside Nature PreserveMornington CircleMountain Way CommonMozley ParkMt. Paran & Cave TriangleMt. Paran and Northside ParkMurphey Candler ParkMuscogee Park at Brookline TriangleMystery Valley Golf Course ParkN. Camp Creek Parkway Nature PreserveNeedham ParkNH Scott Park (Formerly Mark Trail)Noble ParkNorth and South Fork Peachtree Creek TrailsNorth Buckhead ParkNorthcliffe and Brookview ParkNorth Evelyn Place ParkNorth Highland Terrace ParkOak Creek ParkOak Grove ParkOak Knoll II ParkOak Knoll I ParkOakland CemeteryOakview II ParkOakview I ParkOld Ivy ParkOntario ParkOriole ParkOrme ParkOrmond-Grant ParkOsborne ParkOutdoor Activity CenterParkside ParkParkway-Angier ParkParkway-Merritts ParkParkway-Wabash ParkParkwood ParkPeaceland ParkPeachtree at 15th St. ParkPeachtree Battle ParkwayPeachtree Hills Community GardenPeachtree Hills ParkPea Ridge ParkPelham Road ParkPendergrast ParkPerkerson ParkPershing Point ParkPeters ParkPharr Circle ParkPhoenix III ParkPhoenix II ParkPiedmont Heights ParkPiedmont ParkPiedmont Road TrianglePinetree and Brentwood ParkPittman ParkPleasantdale ParkPleasant Hill ParkPollard & Albany Beauty SpotPoncey Highland Community GardenPrado at 17th Street TrianglePrado at Inman Circle ParkPrado-Maddox TrianglePrado-Peachtree Circle TrianglePrado-Piedmont Beauty SpotPrado-South Prado CirclePrado-Westminster TrianglePrinceton LakePrinceton ParkPryor-Tucker PlaylotRainbow Drive ParkRalph David Abernathy MedianRalph David Abernathy PlazaRanier CircleRawson-Washington ParkRay Kluka Memorial ParkRebel Valley PlaylotRedan ParkRedan Rd. Garcia ParkRenaissance ParkRev. James Orange Park at Oakland City ParkRidgewood Rutledge ParkRiversideRiverwalkRobert W. Woodruff ParkRobin Lane ParkRockbridge Road ParkRock Chapel ParkRock Chapel Ymca ParkRockdale ParkRodney Cook, Sr. ParkRogers Lake ParkRosa L. Burney Park (Dunbar)Rose Circle ParkRoseland CemeteryRosel Fann Park (Southeast Atlanta)Rowland ParkRumson & Pinetree ParkRumson Road CircleSalem ParkSara J. González ParkSeals & SinkfieldSelena S. Butler ParkShadyside ParkShady Valley ParkShirley Place ParkShoal Creek III ParkShoal Creek II ParkShoal Creek I ParkShoal Creek Santa Monica ParkShoal Creek Trail ParkSibley ParkSidney Marcus ParkSkyland ParkSmith ParkSmoke RiseSmokerise CrossingSouth Atlanta Park (Lucius Simon)South Bend ParkSouth East Athletic ParkSouth Evelyn Place ParkSouth Gordon TriangleSouth River GardensSouthside ParkSpellman-Morehouse Beauty SpotSpink-Collins ParkSpringbrook ParkSpringdale ParkSpringlake ParkSpringvale ParkSpring Valley Jewish CornerSpring Valley ParkStafford Circle ParkStafford Street ParkStanding Peachtree GreenspaceStephanie Drive ParkStephenson ParkStone Hogan ParkStoneview ParkStoney Point ParkSugar Creek ParkSummergate ParkSunken Garden ParkSunnybrook ParkSwann PreserveSylvan Circle PlaylotTanyard Creek ParkTanyard Creek Urban ForestTennyson CircleThomasville ParkTobie Grant ParkTodd Street TriangleTremont PlaylotTrenton Play LotTruelove ParkTucker Nature PreserveTucker RecTucker Town GreenTucson Trail ParkTullwater ParkUnderwood Hills ParkUnion Grove ParkValley Habersham ParkVedado-Greenwood TriangleVerbena Street PlaylotVermont ParkVickers Drive ParkVirgilee ParkVirginia Highland TriangleWade Walker ParkWalker ParkWalton Spring ParkWashington ParkWashington Park - DecaturWatkins ParkWD Thomson ParkWelch Street ParkWelika Trail ParkWesley Chapel-Kelly Chapel ParkWesley Chapel ParkWest Cascade ParkWest End ParkWest Manor ParkWestminister ParkWestside ParkWest Wesley ParkWhetstone CreekWhetstone GreenspaceWhite Oak ParkWhittier Mill ParkWildwood Gardens ParkWildwood PlaceWillard and Gordon ParkWilson Mill ParkWindsor Street ParkWinn ParkWoodward Way ParkYellow River North ParkYellow River South ParkYonah ParkZimmer Drive CircleZonolite ParkStart typing to find your parkHiddenPark Jurisdiction - Please IGNORECity of AtlantaCity of BrookhavenDeKalb CountyHiddenCity of Atlanta Parks - Please IGNOREMy park is not listed1237 Holly Streets17th Street Park2310 Bolton Rd25th Street Beauty Spot650 Canterbury Rd70 BoulevardA.D. Williams ParkAbner Place ParkAdair Park IAdair Park IIAdams ParkAdamsville Park (Old)Adamsville TriangleAlexander ParkAnderson ParkAnsley ParkArbor ParkArdmore ParkArlington Circle Beauty SpotArlington Circle PlaylotArmand ParkArthur Langford Jr ParkAshby Circle PlaylotAshview TriangleAtlanta Memorial ParkAtwood Street ParkAvery Park-Gilbert HouseAvery-E. Park Lane TriangleBarbara A. McCoy ParkBarclay MedianBass Recreation CenterBeaverbrook ParkBeech Valley TriangleBeecher ParkBeecher TriangleBen Hill ParkBenoitBenteen ParkBenton Place GardenBessie Branham ParkBeverly-Avery CircleBeverly-Avery TriangleBeverly-Montgomery Ferry TriangleBeverly-Polo TriangleBillings CircleBirchwood-Arlene TriangleBlue Heron Nature PreserveBonnie Brae ParkBoone and West LakeBoulevard CrossingBoulevard-Angier ParkBroadland and West Conway ParkBrookline ParkBrowns Mill Food ForestBrowns Mill Golf CourseBrowns Mill/McWilliams ParkBrownwood ParkC.T. Martin Natatorium and Recreation CenterCabbagetown ParkCampbellton Road ParkCandler ParkCapitol View GardenCarver CircleCascade Springs Nature PreserveCastlewood TriangleCativo and Dogwood Beauty SpotCativo CircleCenter Hill ParkCentral ParkChanning Valley ParkCharles Allen MedianCharles L. Harper Memorial ParkCharlie Loudermilk ParkChastain Memorial ParkChatham and Avon ParkChattahoochee ParkChattahoochee TrailChosewood ParkCleopas R. Johnson ParkCleveland Avenue ParkClub Drive ParkCoan ParkCollier ParkCollum Circle Beauty SpotCoventry Station CECumberlanderD.H. Stanton ParkDale Creek ParkDaniel Johnson Nature PreserveDarlington Circle ParkDavidson and Lakehaven ParkDean Rusk ParkDeerwood ParkDellwood Park (Olmsted Linear Park)Delta ParkDill Avenue ParkDoctors Memorial ParkDollar Mill MedianE. Club and Lakehaven ParkE. Pine Valley and W. Pine Valley ParkE. Rock Springs TriangleEast Andrews and Roswell ParkEast Brookhaven and Lakehaven ParkEast Lake ParkEastwood/Emerson TriangleEdgewater CircleEdwin Place ParkElinor Place ParkElla Mae Wade Brayboy Memorial ParkEllsworth ParkEmma Millican ParkEmpire ParkEnglish ParkEnota ParkEsther ""Peachy"" LefevreEubanks Park (The Prado)Falling Water (Kings Ridge)Findley PlazaFire Station #5 ParkFolk Art (Courtland) ParkFolk Art (Piedmont) ParkFort Peachtree LandingsFountain Drive #1Fountain Drive #2Fountainebleau Beauty SpotFour Corners ParkFrankie Allen ParkFreedom ParkFulton-Pryor IslandGarden Hills ParkGertrude PlaceGilliam ParkGlenwood TriangleGoldsboro ParkGordon-White ParkGrant ParkGreen Leaf CircleGreenbriarGreenwood-Charles Allen TriangleGrove ParkGun Club ParkHardy Ivy ParkHarold Avenue PlaceHarper ParkHavilon TriangleHaynes Manor ParkHelen Drive ParkHerbert GreeneHerbert Taylor ParkHeritage Park (Founder's)Hickory Grove ParkHillside at Northside Drive ParkHistoric Fourth Ward ParkHolderness/Lucile ParkHome ParkHomestead ParkHoward ParkHowell Mill at Beaverbrook ParkHowell Mill at Glenbrook ParkHowell ParkHurt ParkIndian Creek ParkInman Circle at 17th St ParkInman ParkIsabel Gates Webster ParkIverson ParkJ. Allen Couch Park (Burger Bowl @ GA Tech)J.D. Sims Recreation CenterJ.F. Kennedy ParkJacci Fuller Woodland Garden ParkJennie Drake ParkJohn A. White ParkJohn C. Burdine CenterJohn Calhoun ParkJohn Howell Memorial ParkJohn Wesley Dobbs ParkJonesboro TriangleJune Elois MundyKathryn Johnston Memorial ParkKimpson ParkKirkwood Urban ForestKlaus Park and Preserve in Bakers FerryKnight ParkLafayette-15th Street TriangleLake Charlotte Nature PreserveLake Claire ParkLakewood Fairgrounds & HiFi Buys AmphitheaterLang-Carson ParkLanier Boulevard ParkwayLarchmont CircleLeathers CircleLenox and Johnson Road ParkLenox Beauty SpotLenox-Wildwood ParkLillian Cooper Shepherd ParkLindsay Street ParkLionel HamptonLittle Nancy Creek ParkLoridansLoring Heights ParkLucius D. Simon, Sr. Memorial Park at South AtlantaMacon Drive ParkMaddox ParkMaddox-Avery TriangleMagnum and Lynhurst ParkManigault Street PlaylotMantissa RoadMargaret Mitchell SquareMarietta Street IslandMartin Luther King Jr. PlaylotMary Shy Scott ParkMatilda Place ParkMayflower Beauty SpotMayor's #1 ParkMayson ParkMayson RavineMcClatchey ParkMcKay CircleMcKinley-Wilson CircleMelvin Drive ParkMemorial Drive GreenwayMitchell-Haynes ParkMLK Recreation and Aquatic CenterMontgomery Ferry/Golf Cir. TriangleMonument Beauty SpotMoores Mill-Northside Pkwy TriangleMoreland Avenue PlantersMorgan-Boulevard ParkMorningside Nature PreserveMornington CircleMountain Way CommonMozley ParkMt. Paran and Northside ParkMt. Paran Rd. at Cave Rd. TriangleNoble ParkNorth Buckhead ParkNorth Camp Creek Parkway Nature PreserveNorth Evelyn Place ParkNorth Highland Terrace ParkNorthcliffe and Brookview ParkOak Grove Park (Olmsted Linear Park)Oak Knoll I ParkOak Knoll II ParkOakland CemeteryOakview I ParkOakview II ParkOld Ivy Road ParkOntario ParkOriole ParkOrme ParkOrme TriangleOrmond-Grant ParkOutdoor Activity CenterParkway-Angier ParkParkway-Merritts ParkParkway-Wabash ParkPeachtree at 15th St. ParkPeachtree Battle ParkwayPeachtree Cir. at 15th St. TrianglePeachtree Hills ParkPeachtree Park Nature TrailPelham Road ParkPerkerson ParkPershing Point ParkPharr Circle ParkPhoenix II ParkPhoenix III ParkPiedmont Harris ParkPiedmont Heights ParkPiedmont ParkPiedmont Road TrianglePiedmont-Avery TrianglePinetree and Brentwood ParkPittman ParkPollard and Albany Beauty SpotPrado at 17th St TrianglePrado at Inman Circle ParkPrado-Maddox TrianglePrado-Peachtree Circle TrianglePrado-Piedmont Beauty SpotPrado-South Prado CirclePrado-Westminster TrianglePrairie View Beauty SpotPryor-Tucker PlaylotQueen and White Beauty SpotRalph David Abernathy MedianRalph David Abernathy PlazaRanier CircleRawson-Washington ParkRay Kluka Memorial ParkRebel Valley PlaylotRenaissance ParkRev. James Orange Park at Oakland CityRiversideRobert W. Woodruff ParkRobin Lane ParkRockdale ParkRodney Cook Senior ParkRosa L. Burney ParkRose Circle ParkRose Circle TriangleRosel Fann ParkRoseland CemeteryRumson and Pinetree ParkRumson Road CircleSandpiper CircleSandtown TriangleSara J. Gonzalez ParkSelena S. Butler ParkShady Valley ParkShadyside Park (Olmsted Linear Park)Shirley Place ParkSibley ParkSidney Marcus ParkSmith ParkSouth Bend ParkSouth Evelyn Place ParkSouth Gordon TriangleSouthside ParkSpellman-Morehouse Beauty SpotSpink-Collins ParkSpring Valley Jewish CornerSpring Valley ParkSpringdale Park (Olmsted Linear Park)Springlake ParkSpringvale ParkStafford Circle ParkStafford Street ParkStephanie Drive ParkStone Hogan ParkStoney Point ParkSummerhill TriangleSunken Garden ParkSunnybrook ParkSwann PreserveSylvan Circle PlaylotTanyard Creek ParkTanyard Creek Urban ForestTennyson CircleThomasville ParkTodd Street TriangleTorrence CircleTremont PlaylotTucson Trail ParkTullwater ParkUnderwood Hills ParkValley Road and Habersham ParkVedado-Greenwood TriangleVeltre CircleVerbena Street PlaylotVermont Road ParkVirgilee Park (Olmsted Linear Park)Virginia Highland TriangleWalker ParkWalton Spring ParkWashington ParkWatkins ParkWelch Street ParkWest End ParkWest Manor ParkWest Wesley ParkWestminster ParkWestside ParkWhetstone Creek ParkWhittier Mills ParkWildwood Gardens ParkWildwood PlaceWillard and Gordon ParkWilson Mill ParkWilson Park TriangleWindsor Street ParkWinn ParkYonah ParkZimmer Drive CircleHiddenDeKalb County Parks - Please IGNOREMy park is not listedAvondale DunaireBarker Bryant (Formerly Buena Vista Park)BiffleBouldercrestBouldercrest GreenspaceBouldercrest Greenspace IiBriarlake ForestBrooksideBrowns MillBruce StCallanwolde Fine Arts CenterCedarChapel HillChestnut LakesColumbia Drive GreenspaceConstitution LakesCounty LineDavidson-Arabia Mountain Nature PreserveDawn DriveDearbornDeepdene-DellwoodDekalb MemorialEllenwood / River RoadEmmie SmithEmory GroveEverettExchangeFairingtonFisher TrailFlat ShoalsFlat Shoals HudsonFork Creek MountainFowlerFrazier RoweGenierGlen EmeraldGregory MoseleyGreshamHairstonHamiltonHeatonHidden AcresHummingbirdIntrenchment Creek (-8.871 Acre Land Swap)Ira B. MeltonKensington Executive SquareKinnettKittredgeLangsdaleLanier GardensLavistaLithoniaLittle Creek FarmLongdaleLou Walker (Formerly Meadowvale/Meadowdale) .Lucious SandersLyonsMarkanMary Scott Nature ParkMason MillMcafee-StarmountMedlockMemorial Delano / Line St.Memorial Drive HaganMidwayMiners CreekMlk-South RiverMystery Valley Golf CourseNeedhamNh Scott (Formerly Mark Trail)Oak CreekPeacelandPendergrast ParkPleasant HillPleasantdalePrincetonRainbow DriveRedanRedan Rd. GarciaRehobothRidgewood RutledgeRock ChapelRock Chapel YmcaRockbridge RoadRogers LakeSalemShoal Creek IShoal Creek IiShoal Creek IiiShoal Creek Santa MonicaShoal Creek TrailSouth East AthleticSouth Fork Peachtree Crk TrailSpringbrookStephensonStoneviewSugar CreekSummergateTobie GrantTrueloveUnion GroveVickers DriveWade WalkerWashingtonWd ThomsonWelika TrailWesley ChapelWesley Chapel-Kelly ChapelWhite OakYellow River NorthYellow River SouthZonoliteHiddenCity of Brookhaven - Please IGNOREMy park is not listedAshford Forest PreserveAshford ParkAshford Park Community BuildingBlackburn II ParkBlackburn ParkBriarwood Community CenterBriarwood ParkBrookhaven ParkClack's CornerFernwood ParkGeorgian Hills ParkLaVista ParkLynwood Community CenterLynwood ParkMurphey Candler ParkNorth Druid Hills GreenspaceOsborne ParkParkside ParkPeachtree Creek GreenwayPerimeter Trail at Murphey CandlerSkyland ParkTotal amount of previously submitted matching fundsRequired if you received a Small Change or Park Pride matching grant. If you are not sure of this amount, please refer to your last submitted request for funds form or email grants@parkpride.org.Amount of additional matching funds being submitted with this requestRequired if you received a Small Change or Park Pride matching grant. Please enter the amount of matching funds being submitted for this request (above field).Total matching funds to-dateRequired if you received a Small Change or Park Pride matching grant. This will field will auto-calculate the sum of what you entered for previously submitted matching funds and funds being submitted today.Documentation of Matching Funds - File #1Max. file size: 50 MB.Required if you received a Small Change or Park Pride matching grant. Please upload voided checks, paid invoices, or other documentation of matching funds being spent. You must have spent matching funds that equal or exceed your request from Park Pride. You do not have to upload documentation for matching funds submitted on previous requests.Documentation of Matching Funds - File #2Max. file size: 50 MB.Required if you received a Small Change or Park Pride matching grant. Please upload voided checks, paid invoices, or other documentation of matching funds being spent. You must have spent matching funds that equal or exceed your request from Park Pride. You do not have to upload documentation for matching funds submitted on previous requests.Documentation of Matching Funds - File #3Max. file size: 50 MB.Required if you received a Small Change or Park Pride matching grant. Please upload voided checks, paid invoices, or other documentation of matching funds being spent. You must have spent matching funds that equal or exceed your request from Park Pride. You do not have to upload documentation for matching funds submitted on previous requests.Do you have additional documentation for matching funds? Yes No Additional Documentation of matching funds for this request Drop files here or Select files Max. file size: 50 MB. Required if you received a Small Change or Park Pride matching grant. Please upload voided checks, paid invoices, or other documentation of matching funds being spent. You must have spent matching funds that equal or exceed your request from Park Pride. You do not have to upload documentation for matching funds submitted on previous requests.Total amount of previously submitted grant expenditures*If you are not sure of this amount, please refer to your last submitted request for funds form or email grants@parkpride.org.Amount of grant funds being requested*Total grant expenditures requested to-date*This will field will auto-calculate the sum of what you entered for previously submitted grant expenditures and expenditures being submitted today.Expenses to be reimbursed/paid*DateVendorDescriptionAmount Add RemovePlease upload a receipt or invoice for each expense listed above.Receipt #1 - Receipts/invoices for current payment request*Max. file size: 50 MB.Receipt #2 - Receipts/invoices for current payment requestMax. file size: 50 MB.Receipt #3 - Receipts/invoices for current payment requestMax. file size: 50 MB.Do you have additional receipts? Yes No Additional Receipts/invoices for current payment request Drop files here or Select files Max. file size: 50 MB. Please upload a receipt or invoice for the rest of the expenses listed above.HiddenReceipts/invoices for current payment requestoldMax. file size: 50 MB.Please upload a receipt or invoice for each expense listed above.Payee Name* Park Pride can either reimburse a member of your Friends Group for expenses or pay a vendor directly.Payee Phone Number*Is this a reimbursement? Yes A reimbursement does not require a W-9 or Certificate of Insurance (COI).Does this payment require Park Pride to have a W-9 for the payee on file?*YesNoIs the payee a contractor, freelancer, or consultant being paid more than $600? Did they provide goods for $5,000 or more? If so, Park Pride will need a W-9 from the payee. If we have their information on file, you can select 'no.'Upload Payee W-9*Max. file size: 50 MB.Does this payment require Park Pride to have a Certificate of Insurance (COI) for the payee on file?*YesNoIs the payee is a third party vendor or contractor conducting work in the park? If so, the payee must provide a certificate of insurance to protect Park Pride from liability for injuries or damages. If we have their information on file, you can select 'no.'Upload Payee Certificate of Insurance*Max. file size: 50 MB.Preferred Method of Payment*ACH direct depositMailed checkA member of your Friends Group or a vendor can be paid either via a mailed check or ACH direct deposit.Does Park Pride have the payee's ACH authorization on file?*YesNoTo remit payment via ACH direct deposit, we must have an authorization form and voided check on file.ACH authorization form*Max. file size: 50 MB.The ACH authorization fillable PDF form is linked here.Voided checkMax. file size: 50 MB.Please upload a voided check for ACH payment. If this in unavailable, we will call the vendor directly to confirm their information.Address for check recipient* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Any additional information you would like to share?Signature*EmailThis field is for validation purposes and should be left unchanged.
