Application Endowment for the Humanities

Louisiana Culture Care Fund 2021

Louisiana Endowment for the Humanities

Organization Information In an effort to help ensure the survival of Louisiana’s critical cultural institutions and assist in their recovery from the economic impacts of the COVID-19 pandemic, the Louisiana Endowment for the Humanities (LEH) has relaunched the Louisiana Culture Care Fund, a grant program providing funding to humanities organizations and other cultural entities. With funding provided by the National Endowment for the Humanities (NEH), awards will range between $3,000 and $20,000, and applications will open Friday, May 21.

The LEH especially encourages applications from minority-serving institutions and organizations as well as from rural and underserved areas of the state, but applications are welcome regardless of an organization’s size, audience, and location. No cost share is required for grants offered through the Louisiana Culture Care Fund.

Project Name* Please use this format: Name of Organization, LCCF 2021 Character Limit: 100

Type of Organization* Select the description that best fits your organization. Choices Archive Art Museum Community Cultural Heritage Organization Festival Film or Media Organization Historic House Museum Historical Museum Historical Society Publisher Other

If other, please explain. Character Limit: 250

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Organization Summary* Please describe the humanities-based work done by your organization. For a list of humanities disciplines, click here. Specifically, please highlight any public (in-person or virtual) humanities programming facilitated by your organization. Character Limit: 1000

Audience* On average, how many people does your organization serve yearly? Character Limit: 250

Primary Contact* This individual will be considered the primary contact for all grant communications and is responsible for completing all required materials, including a final report. Character Limit: 250

Primary Contact Email* Character Limit: 100

Primary Contact Phone Number* Character Limit: 100

Authorizing Official* In the event that your proposal is awarded, please provide the name of the authorizing official at your organization who will sign off on grant paperwork. Character Limit: 100

Authorizing Official Email* Character Limit: 250

Parish* Please enter the parish where your organization is located. Choices Acadia Allen Ascension Assumption Avoyelles Beauregard Bienville Bossier Caddo Calcasieu Caldwell Cameron Catahoula

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Claiborne Concordia DeSoto East Baton Rouge East Carroll East Feliciana Evangeline Franklin Grant Iberia Iberville Jackson Jefferson Jefferson Davis Lafayette Lafourche LaSalle Lincoln Livingston Madison Morehouse Natchitoches Orleans Ouachita Plaquemines Pointe Coupee Rapides Red River Richland Sabine St. Bernard St. Charles St. Helena St. James St. John St. Landry St. Martin St. Mary St. Tammany Tangipahoa Tensas Terrebonne Union Vermilion Vernon Washington Webster West Baton Rogue West Carroll

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West Feliciana Winn

Region* Choices NE NW Central SE SW

LA House District* Visit the website of the Louisiana Legislature to identify the appropriate state representative for your organization's physical address. Choices 1 Danny McCormick 2 Samuel Jenkins Jr. 3 Tammy Phillips 4 5 6 Thomas Pressly 7 8 9 10 Wayne McMahen 11 Patrick O. Jefferson 12 Christopher Turner 13 Jack McFarland 14 15 16 Frederick D. Jones 17 Pat Moore 18 Jeremy LaCombe 19 Francis C. Thompson 20 Neil Riser 21 C. Travis Johnson 22 Michael Gabe Firment 23 Kenny Ray Cox 24 25 26 27 Michael T. Johnson 28 Daryl Deshotel 29 30 Chuck Owen 31 Jonathan Goudeau 32 R. Dewith Carrier

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33 Les Farnum 34 Wilford Dan Carter Sr. 35 Brett Geymann 36 Phillip Tarver 37 Troy Romero 38 Rhonda Butler 39 40 41 Phillip DeVillie 42 43 44 45 Jean-Paul Coussan 46 Mike "Pete" Huval 47 Ryan Bourriaque 48 Beau Beaullieu 49 50 Vincent St. Blanc III 51 Beryl Amedee 52 53 54 Joseph Orgeron 55 Bryant Fontenot 56 Gregory A. Miller 57 58 Ken Brass 59 60 Chad M. Brown 61 C. Denise Marcelle 62 Roy Adams 63 Barbara Carpenter 64 65 66 67 Larry Selders 68 Steven McKnight 69 70 Barbara Freiberg 71 Buddy Mincey Jr. 72 73 William Wheat Jr. 74 Larry Frieman 75 Malinda Brumfield White 76 Robert Owen 77 Mark Wright 78 John Illg Jr. 79 Debbie Villio 80 Polly Thomas 81

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82 Laurie Schlegel 83 Kyle Green Jr. 84 Timothy Kerner 85 Joseph Marino III 86 Nicholas Muscarello 87 88 89 Richard Nelson 90 Mary DuBuisson 91 Mandie Landry 92 Joseph Stagni 93 Royce Duplessis 94 95 Sherman Q. Mack 96 Marcus Bryant 97 Matthew Willard 98 Aimee Adatto Freeman 99 100 Jason Hughes 101 Edward James 102 Gary Carter Jr. 103 104 105

LA Senate District* Visit the website of the Louisiana Legislature to identify the appropriate state representative for your organization's physical address. Choices 1 2 Ed Price 3 Joseph Bouie Jr. 4 Jimmy Harris 5 6 7 Vacant 8 9 Cameron Henry 10 11 Patrick McMath 12 13 J. Rogers Pope 14 15 Regina Barrow 16 17 Rick Ward III 18 Eddie J. Lambert 19 Gary Smith Jr.

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20 21 22 23 24 25 26 Bob Hensgens 27 Ronnie Johns 28 29 30 Mike Reese 31 32 33 Stewart Cathey Jr. 34 35 36 Robert Mills 37 38 39 Gregory Tarver

U.S. Congressional District* Please list your organization's U.S. Congressional District. Choices District 1: District 2: Vacant District 3: District 4: Mike Johnson District 5: Julia Letlow District 6:

Nonprofit Status* Does your organization have nonprofit status?

501(c)(3) tax-exempt status, accredited public and 501(c)(3) institutions of higher education, state and local governmental agencies, and federally recognized Native American tribal governments are eligible to receive NEH funds. Choices Yes No

Proof of Status* Please upload your organization's IRS determination letter. File Size Limit: 2 MB

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Tax ID Number* Please provide your organization's tax ID number. Character Limit: 250

DUNS Number* LEH is required to ensure that all grantees obtain and retain a Data Universal Numbering System (DUNS) number. This DUNS refers to the nine-digit number established and assigned by Dun and Bradstreet, Inc. (D&B) which uniquely identifies business entities. A DUNS number may be obtained from D&B by telephone at 866.705.5711 or click here to register online. Character Limit: 20

Annual Operating Budget* Please list your annual general operating budget as reflected in your most recent form 990. Character Limit: 20

Form 990 Upload* Please upload your most recently filed Form 990. We will use this form to gather information about your mission, core programs, and annual operating budget. If your organization is not a 501(c)(3), please submit your most recent annual IRS return. File Size Limit: 2 MB

Emergency Funding Requested Amount* Please list the dollar amount you are requesting from LEH to support your organization.

Awards range from $3,000 - $20,000 and are based on the annual operating budget of the applicant organization:

 Organizations with annual operating budgets of under $50,000 can request up to $3,000.  Organizations with annual operating budgets between $50,000 – $99,999 can request up to $7,000.  Organizations with annual operating budgets between $100,000 – $499,999 can request up to $10,000.  Organizations with annual operating budgets of $500,000 to $999,999 can request up to $15,000.  Organizations with annual operating budgets of $1 million or more can request up to $20,000. Character Limit: 20

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Use of Funds* If awarded, how will your organization utilize the Louisiana Culture Care Fund Grant? Please check all that apply. Choices Payroll Rent Mortgage Utilities Other

If other, please explain. Character Limit: 5000

Financial Impact of COVID-19* In what ways has your organization been affected by the economic impacts of the coronavirus? Select all that apply

Explanation of Conditions:  Lost Revenue: Significant total projected 2020 revenue was lost because of canceled programs between March 1, 2020 and July 31, 2021.  Lost Space: We are about to lose our space because we cannot make our monthly rent, mortgage, or utility payments through July 31, 2021.  Staff Layoff: We were forced, or may be forced, to lay off one or more staff members because we cannot make payroll through July 31, 2021.  Permanent Closure: We plan to permanently close our organization as a result of the financial impacts of COVID-19.  Other (please explain below) Choices Lost Revenue Losing Space Staff Layoff Permanent Closure Other (Please explain below)

If other, please explain. Character Limit: 250

Estimated Financial Loss* How would you estimate the total financial impact on your organization of COVID-19? We recognize this is a tentative approximation. Please quantify your losses from the date first affected by the virus through today. Character Limit: 20

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Financial Relief What other sources of financial relief are you seeking at this time? Choices IMLS Funding Direct NEH Grants Direct NEA Grants Louisiana Division of the Arts (LDOA) Grants Other

If other, please explain. Character Limit: 250

Impact Please provide a brief statement describing how a Louisiana Culture Care Fund grant will help your organization sustain the humanities in your community. Character Limit: 250

Additional Comments Please leave any additional comments for the review committee to consider in this space. If you have additional forms to upload, please do so here. Character Limit: 10000 | File Size Limit: 4 MB

Grant Agreement Electronic Signature* The applicant organization assumes all responsibilities as grantee and may not operate simply as the fiscal agent for the project. In signing and submitting a Grant application, the authorizing official certifies that the applicant organization will ensure that the acceptance paperwork and required reports are submitted on time and will comply with the certifications listed below.

LEH is required to ask each applicant for certification of compliance with nondiscrimination statutes, debarment, and suspension. By signing and submitting this form, the organization's authorizing official is providing these certifications. Character Limit: 250

Nondiscrimination Statutes and Regulations: (a.) Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000 et seq.), which provides that no person shall, on the grounds of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant received federal financial assistance; (b.) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicap in programs and activities receiving federal financial

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(d.) The Age Discrimination Act of 1975, as amended (42 U.S.C. 6106 et seq.), which prohibits discrimination on the basis of age in programs and activities receiving federal financial assistance, except that actions which reasonably take age into account as a factor necessary for the normal operation or achievement of any statutory objective of the project or activity shall not violate this statute; and (e.) The Americans with Disabilities Act (ADA) of 1990.

Certification regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion (45 CFR 1169): (a.) The applicant organization certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency; (b.) Where the applicant is unable to certify to any of the statements in the certification, such prospective participant shall attach an explanation to this proposal.

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