2026 CAAP NNAAC and AANM Wallace Funding Application LinkedInThis field is for validation purposes and should be left unchanged.Legal Name of Organization*Name should be same as on IRS determination letter and as supplied on IRS Form 990.Year the Organization was formed*Annual Operating Budget*What is your annual budget (total revenue and expense)? Any of the following is acceptable, provided budget is $25,000 to $500,000: Estimated budget for 2026, Budget for 2025, OR Average of last three years Executive Director* First Last Phone Number*Email* Address*Please use your principal or administrative office. 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 Amount Requested*Please note that organizational budget amount impacts the amount of funds you are eligible forNumber of Paid Staff*Number of Volunteer Staff*Number of Individuals Your Organization Serves Annually*Does your organization identify as Arab American?* Yes No Is your organization a 501c3 nonprofit?* Yes No If you are not 501c3, do you have a Fiscal Sponsor that has 501c3 status?* Yes No Name and EIN of Fiscal Sponsor*EIN #*Is your organization an arts and culture nonprofit in the United States?* Yes No Website Social media handles Describe your community, and how your organization and leadership reflects your community*Describe your work and how it serves your community*How has your work sought to advance well-being in your community?*What values drive your work, and how will these funds advance your work?*Please attach your organizational budget (MUST include revenue and expenses) for your Fiscal Year, 501c3 Letter from the IRS (if you have 501c3 status), and list of board members (if you have 501c3 status)* Drop files here or Select files Max. file size: 128 MB. Electronic Signature of Executive Director*Please type nameIf different than Executive Director, please list primary person we should communicate with about this grantPlease type nameTitle of primary contact personEmail of primary contact personPhone number of primary contact person Δ