<p> NATIVE AMERICAN COMMUNITY ACTIVITIES CONTRIBUTIONS GUIDELINES</p><p>USE OF THIS APPLICATION This application is for use to request contributions from a Freeport-McMoRan operation to support local tribal activities.  Each request should be for no more than $5,000 each (per project/activity)  Most contributions awarded will be between $250 and $2,500 each  No more than $20,000 in total will be awarded to a single tribal community each year (through this Community Activities contributions program).  Any request for $10,000 or more should be submitted through the Freeport-McMoRan Foundation Native American Partnership Fund and must meet the criteria of the Fund. For an application, contact Cherie Rankin at [email protected] or 602.366.7370 or visit our website at www.FreeportInMyCommunity.com. </p><p>QUALIFYING TRIBES (in alphabetical order) Hualapai Tribe Tohono O’odham Tribe San Carlos Apache Tribe White Mountain Apache Tribe</p><p>APPLICATION DEADLINES Applications are accepted on a rolling basis. Applications require four weeks for review. You will be notified of your award status 30 days after the application is submitted. </p><p>APPLICATION SUBMISSION Native American Community Activities Applications should be completed/saved as a Word document and submitted via email to Cherie Rankin at [email protected]. </p><p>PROJECT/ACTIVITY ELIGIBILITY It is our aim to support organizations, programs and projects that are addressing a priority issue/need. The identified priority issue areas are: Education & Training, Health & Wellness, Cultural Preservation, Economic Development, and Environment. </p><p>We also seek to support projects within these priority areas that support women’s development and engage elders.</p><p>USE OF GRANT FUNDS – Funds will not be awarded to the following:  Organizations that do not have 501c-3 or other non-profit status as designated by the IRS. (Note: governmental/tribal offices or agencies are qualified as long as the project or activity is eligible as outlined in these guidelines).  Foundations that intend to re-grant the funds  Requests for individuals, including those for travel support, teams that are restrictive in participation or anything else that benefits a single individual or a very limited number of individuals.  Advertising efforts  Fraternal, labor or veteran organizations/activities limited to organization membership  Religious activities, churches or church sponsored activities limited to church membership  Political or lobbying activities  Organizations that discriminate on the basis of race, sex, religion, national origin, age, disability, or veteran status</p><p>QUESTIONS For more information on the Community Activities guidelines, application or the process to submit the application via email, please contact Cherie Rankin at 602-366-7370 or [email protected].</p><p>NATIVE AMERICAN COMMUNITY ACTIVITIES APPLICATION IMPORTANT NOTES: Your Application should not exceed two pages. This is page 1. Please be sure to complete each question. Incomplete questions may cause an application to be ineligible.</p><p>ORGANIZATIONAL OVERVIEW</p><p>Name of Tribe: Name of organization: Name / title of main contact person: Phone number: Email address: Mailing address: Organization website (if available): Freeport-McMoRan Operation located</p><p> closest to the Tribe: Total (annual) organization budget: </p><p>Name of project or activity: Grant amount requested: ($250 - $5,000; no more than $5,000 can be requested through this application program) Total project / activity budget:</p><p>Project or activity START date: Project or activity END date:</p><p>Check the Focus Area / Category Does your project address a special population? For which You Are Applying:</p><p>Education & Training Women’s Development Health & Wellness Elder Engagement Cultural Preservation Economic Development Other (please list): Environment</p><p>Briefly summarize the proposed project or activity, the clients it serves and its major objectives. Please limit your response to no more than 5 – 7 sentences. Native American Community Activities Application / Page 2</p><p>Please describe the need addressed by your project or activity.</p><p>Please describe the goals of the project or activity (what you hope to accomplish).</p><p>Please describe how the requested funds will be used. If funds will be used to purchase items/materials, please describe. (Please also include a simple budget detailing how funds will be used).</p><p>How will you know if you’ve achieved the goals of the project?</p><p>Please list any other partners in this project / activity who are providing funds or other resources.</p><p>Please be sure to include support documentation and sign the Statement of Understanding. See LAST PAGE of this document. Support Documentation Required (please check the boxes to ensure these items are attached)</p><p> Copy of 501c-3 status letter from the IRS or Related Certification  Detailed Project Budget (including other sources of funding/income)  Current Board of Directors list (if applicable)</p><p>Please return this application (and attachments) via e-mail:</p><p>Via e-mail: [email protected]</p><p>QUESTIONS</p><p>Cherie Rankin, Community Development Specialist Phone: 602-366-7370 E-mail: [email protected]</p><p>STATEMENT OF UNDERSTANDING</p><p>If awarded, grant funds must be used for developing and implementing the project as described in the award letter received at time of funding. The Freeport-McMoRan Copper & Gold Foundation has the right to disseminate information and materials developed as a result of the project. </p><p>Signature: </p>