GRANT RE WEBSITE WITH VIRGINIA G PIIPER CT.PDF

VIRG! 4.IA G.
PIPER_
CHANTABLE TRUST
BOARD Or, TRosTM
James U. armlet- October 14, 2013
:jos:•. A. Cardenas
Paul N, C.7.6tchGeld Dr, Robert England
Arthur W. Dcelhooter Administrator
Maricopa County Department of Public Health
La ura R. Grafman 4041 North Central Avenue
Sharon C. Harper Phoenix, AZ 85012
Judy olky Mohraz
Stephen J. Zabilski Dear Dr. England:
Virginia G. Piper Charitable Trust is pleased to support the work of Maricopa
D ENT County Department of Public Health. The Trustees have awarded a grant in the
Judy Jolley Mohrn amount of $50,000 for the FindHelpPhoenix project. in partnership with the
Maricopa Family Support Alliance. All of us at Piper Trust are delighted to assist
with this worthwhile project.
Two copies of the Piper Trust's grant terms and conditions are enclosed. Please
sign both copies and return one to the Trust at your earliest convenience.. Please
note that deposit of the enclosed check will indicate Maricopa County
Department of Public Health's agreement to the terms of the grant. Also
enclosed are the reporting requirements for your grant.
We ask that you consult. the Trust regarding any public 'communications about
the grant award. You may contact Karen Leland, Director, Communications &
External Relations, at kiela.nd@pipertrust.org or 480.556.7125 to discuss
communications strategies.
We look forward to working with you throughout the grant term on this
important project,
y Motalaz
Presided' f and CEO
Enclosures
cc:
Linda Cannon
1202 East Missouri Avenue I Phoenix, Arizona 85014 ph. 480.948.553 1 N. 480.348.1.31.6 www.pipertrhst.otg

VIRGINIA G. PIPER CHARITABLE TRUST
GRANT TERMS 8z CONDITIONS
WITH
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Tax-Exempt Status. By entering into this Grant Contract, Grantee hereby represents that it
is a Governmental Unit described in Section 170(c)(1) of the Internal Revenue Code of 1986,
as amended (the "Code), and is not a private foundation. According to information made
available to us, we understand your organization is so qualified. Grantee agrees to notify the
Trust within five business days after any event during the term of this grant which might affect
Grantee's continued status as an organization described in Code Section 170(0(I).
Use of Grant Funds. In addition, we must be a.ssured that. our grant will be expended for a
charitable purpose. We ask that you use grant. funds exclusively in accordance with your
proposal and accompanying budget for the FindHelpPhoenix project in partnership with the
Maricopa Family Support Alliance. Also, we ask that you not use any of the funds to influence
legislation, to influence the outcome of any election, to carry on any voter registration drive
or to support, directly or indirectly, any acts of violence or terrorism. or for an.y organization
engaged in or supporting such acts.
Reporting. We ask that any funds not expended for the purpose for which the grant is being
made be returned to us. We also ask that you provide U.S with a final report on December 13,
2014 or no later than two months after the project is complete. This report and any project
related communications should be directed to Marilee L. Dal Pra, Vice President of Programs.
Public Reporting. You are welcome to publish the grant. Our policy is to review all
external communications prior to being disseminated to ensure proper reference to Virginia
G. Piper Charitable Trust, You may contact Karen Leland, Director, Communications
External Relations, at kleland@pipertrust.org or 480.886,712.5 to discuss communications
strategies.
signay your agreement with these conditions by returning a signed copy copy of - this g-rani,
agreement to us.
Acknowledged by:
Date:

C-86-14- ATTACHED TO AND A PART OF
Virginia G. Piper Charitable Trust,
FindHelpPhoenix.com Project
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date

VIRGINIA G. PIPER CHARITABLE TRUST
FINAL REPORT QUESTIONNAIRE FOR PROGRAMMATIC GRANTS
Organization Name: Maricopa County Department of Public Health
Contact: Dr. Robert England
Administrator
(602) 372-8409
is this the person who completed the report? Yes . No; lino, please fill in the name., title and phone number of whom we should
contact have questions regarding this report.
AuthnrE ccd Sqii) a tore
Grant Award: $50,000
Grant Period: October 14, 2013 — October 13, 2014
Grant Description: Support the FindHelpPhoenix project in partnership with the Maricopa Family
Support Alliance.
Per your grant agreement, the following report are due:
Report Due Date Dort Descri ition
12/13/2014 Final narrative and financial report for activities and expenditures between
October 14, 2013 and October 13, 2014
As part of your final report, please respond to the following questions in reference to your project
results:
What did you hope to accoi ph:3h from the grant, and what were you able to accomplish?
2. Did the project go as expected? Describe both those things that went well and those things that
were challenges.
3. Attach the project budget versus actual comparison report. Please explain any significant
variances,
Piper Trust encourages the electronic submission of reports. Please Mail this questionnaire and au related documents to
requirementt@pipertrust.org, Alternatively, you con mail the report to: Marilee L. Do./ Pia, Vice President of Programs, Virginia
C. Piper Charitable Trutt, 1202 East Missouri Avenue, Phoenix, AZ 85014
Maricopa County Department of Public Health, Octoinr 2013
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