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Finn Bangsgaard
Council
Chairperson, MD101, 2003-04
Täktvägen 2
S-511 58 Kinna
Sweden
Dear Past
Council Chair Bangsgaard:
I am
pleased to inform you that at their recent board meeting, the LCIF Trustees
approved LCIF Standard [d1]Grant 8565/MD-101, in the amount of US$75,000.00
to renovate a maternity hospital in Novozybkov, Russia. I take this opportunity
to congratulate you and your fellow Lions for your efforts on behalf of those
in need in your community. [d2]
As Council
Chairperson in office at the time this grant was approved, you have been
designated the grant administrator. You
are responsible for ensuring that grant funds are properly accounted for, that
all the grant objectives are met and that LCIF receives the appropriate project
reports. Reports must include a complete
and accurate record of the funds received and expenses incurred under this
grant, including receipts. The format of
the financial section of this report should show a comparison between
anticipated and actual expenditures.
This accounting should also detail exactly how the LCIF grant funds were
used.
Additionally,
project reports must include a narrative section on the project activities and
the benefits achieved, as well as newspaper clippings and photographs of the
equipment and facilities. These will
help us to publicize and promote the purposes and works of LCIF. Action photographs of publishable quality of
the project and of individuals benefiting from its use are especially helpful.
LCIF grant
funds are disbursed in the name of Lions districts. If you prefer that funds are sent
electronically to your district account, please provide LCIF with the following
information: name and number of the account, address, fax and telephone numbers
of the bank, name of contact person at bank, and routing code (known as ABA or
SWIFT code) of the bank. Should local
conditions necessitate special arrangements concerning the transfer of funds,
please advise LCIF.
This grant
has been approved to support the efforts of your district to renovate a
maternity hospital in Novozybkov, Russia and shall only be used for that
purpose. Any portion of the grant
unexpended at the completion of the project shall be immediately returned to LCIF. Similarly, the grant was based upon a
detailed expense budget provided in the grant application. No significant changes may be made to the
approved budgetary allocation without LCIF’s prior written approval. By making
this grant, LCIF assumes no obligation to provide other or additional support
to the grantee.
Your
district must also assure LCIF of proper recognition for its role in this
project, as required per grant criteria item 7.
A plaque bearing the inscription, "This project made possible through
the cooperation of Lions Clubs International Foundation" should be
prominently displayed. Information on
ordering this plaque from the Purchasing Department at International
Headquarters is enclosed. All
promotional materials must likewise acknowledge LCIF’s involvement with this
project. Confirmation acknowledging
LCIF’s involvement with the project must be included with your final
report.
You will
find a grant agreement at the end of this letter. Please sign the agreement and return it to the
LCIF Humanitarian Programs Department within 30 days to confirm your
willingness to accept the responsibility of serving as grant administrator as
outlined in this letter. Should you have
any questions concerning these requirements, feel free to contact Barbara Flanagin of the LCIF Humanitarian
Programs Department at Bflanagin@lionsclubs.org. All correspondence to LCIF regarding this
grant should make reference to the grant number 8565/MD-101.
The Trustees
hope that this grant will stimulate interest in the work of LCIF and the Lions
of your area. Please make the most of
this opportunity to inform the public of the fine work being done by Lions and
the assistance of LCIF in this project.
Stress to your district that this grant was made possible through the
generous contributions of Lions worldwide and that, in the spirit of serving
better together, their own unrestricted contributions are needed to help fund
similar worthy projects elsewhere.
Once again,
we would like to express our respect and gratitude to you and the Lions of
District MD101 for their interest,
concern and efforts on behalf of those in need.
We believe your action effectively demonstrates the true purpose and
meaning of Lionism-- We Serve. We send
our best wishes and look forward to hearing from you soon.
Sincerely,
Finn Bangsgaard
Council
Chairperson, MD101, 2003-04
Täktvägen 2
S-511 58 Kinna
Sweden
Dear Past
Council Chair Bangsgaard:
I am
pleased to inform you that at their recent board meeting, the LCIF Trustees
approved LCIF Standard [d1]Grant 8565/MD-101, in the amount of US$75,000.00
to renovate a maternity hospital in Novozybkov, Russia. I take this opportunity
to congratulate you and your fellow Lions for your efforts on behalf of those
in need in your community. [d2]
As Council
Chairperson in office at the time this grant was approved, you have been
designated the grant administrator. You
are responsible for ensuring that grant funds are properly accounted for, that
all the grant objectives are met and that LCIF receives the appropriate project
reports. Reports must include a complete
and accurate record of the funds received and expenses incurred under this
grant, including receipts. The format of
the financial section of this report should show a comparison between
anticipated and actual expenditures.
This accounting should also detail exactly how the LCIF grant funds were
used.
Additionally,
project reports must include a narrative section on the project activities and
the benefits achieved, as well as newspaper clippings and photographs of the
equipment and facilities. These will
help us to publicize and promote the purposes and works of LCIF. Action photographs of publishable quality of
the project and of individuals benefiting from its use are especially helpful.
LCIF grant
funds are disbursed in the name of Lions districts. If you prefer that funds are sent
electronically to your district account, please provide LCIF with the following
information: name and number of the account, address, fax and telephone numbers
of the bank, name of contact person at bank, and routing code (known as ABA or
SWIFT code) of the bank. Should local
conditions necessitate special arrangements concerning the transfer of funds,
please advise LCIF.
This grant
has been approved to support the efforts of your district to renovate a
maternity hospital in Novozybkov, Russia and shall only be used for that
purpose. Any portion of the grant
unexpended at the completion of the project shall be immediately returned to LCIF. Similarly, the grant was based upon a
detailed expense budget provided in the grant application. No significant changes may be made to the
approved budgetary allocation without LCIF’s prior written approval. By making
this grant, LCIF assumes no obligation to provide other or additional support
to the grantee.
Your
district must also assure LCIF of proper recognition for its role in this
project, as required per grant criteria item 7.
A plaque bearing the inscription, "This project made possible through
the cooperation of Lions Clubs International Foundation" should be
prominently displayed. Information on
ordering this plaque from the Purchasing Department at International
Headquarters is enclosed. All
promotional materials must likewise acknowledge LCIF’s involvement with this
project. Confirmation acknowledging
LCIF’s involvement with the project must be included with your final
report.
You will
find a grant agreement at the end of this letter. Please sign the agreement and return it to the
LCIF Humanitarian Programs Department within 30 days to confirm your
willingness to accept the responsibility of serving as grant administrator as
outlined in this letter. Should you have
any questions concerning these requirements, feel free to contact Barbara Flanagin of the LCIF Humanitarian
Programs Department at Bflanagin@lionsclubs.org. All correspondence to LCIF regarding this
grant should make reference to the grant number 8565/MD-101.
The Trustees
hope that this grant will stimulate interest in the work of LCIF and the Lions
of your area. Please make the most of
this opportunity to inform the public of the fine work being done by Lions and
the assistance of LCIF in this project.
Stress to your district that this grant was made possible through the
generous contributions of Lions worldwide and that, in the spirit of serving
better together, their own unrestricted contributions are needed to help fund
similar worthy projects elsewhere.
Once again,
we would like to express our respect and gratitude to you and the Lions of
District MD101 for their interest,
concern and efforts on behalf of those in need.
We believe your action effectively demonstrates the true purpose and
meaning of Lionism-- We Serve. We send
our best wishes and look forward to hearing from you soon.
Sincerely,
 |
Kay K.
Fukushima
Chairperson,
LCIF Board of Trustees
8565/MD-101
Enclosures
cc: Sten Akestam, PIP
Jan Holtet, International
Director
Håkan Johansson, CC, MD 101
Frank Smith, DG, 101-U
Alexander Titov, DG, 123
Russia
Bertil Ravnell, IPDG, 101-U
Monica Antonsson, Project
Chair
|
LCIF GRANT AGREEMENT
Standard[d4] Grant Program
Grantee: Multiple
District 101
Grant
administrator: Finn Bangsgaard
Council
Chair, 2003-2004
Grant
number: 8565/MD-101
Amount of
grant: US
$75,000.00
Purpose of
grant: Renovate Maternity Hospital in Novozybkov, Russia
Approval
date: 6/29/2004
Reporting schedule: A progress report should be
submitted every three months. [d5]A final report is due no more than
45 days after the completion of the project. Such reports should include a
narrative overview of project activity, photographs, budget/expense information
and should highlight the Lions volunteer involvement.
Disbursement schedule: Please note that this agreement must be
signed and returned to LCIF before any disbursements can be made. Disbursements are made dependent upon the
status of project activity, receipt of a report detailing the use of previous
grant installments, and submission of appropriate expense documentation (see
conditions #2 and #6 below).
GENERAL
CONDITIONS
1. Purpose:
The grant shall be used solely for the described purpose or purposes as
approved by the Board of Trustees [d6]of Lions Clubs International
Foundation and confirmed in correspondence dated September 1,
2018.
2. Accounting
and financial review: LCIF grant
funds must be deposited in the district bank account and then disbursed to the
project, following the guidelines outlined below. There must be at least three signatories on
the project account, including the grant administrator, project chairperson,
and current cabinet secretary or treasurer[d7].
A complete and accurate record of the funds received and expenses
incurred under this grant must be maintained by the grantee, and submitted
regularly to LCIF. The format of the financial section of this report should
show a comparison between the anticipated and actual expenditures. Banking and financial controls include:
· Checks, demand drafts/cashiers
checks, or wires from a project account may only be issued to a certified
project supplier or contractor. Such
payments or checks may never be made out to “cash” or to “bearer.”
· Bank accounts for LCIF projects
shall only be established in commercial or national banks that are properly
accredited and which have deposit insurance if required in that country. Use of ‘cooperative banks’ or community banks
are prohibited. Additionally, fixed-length
deposit accounts (e.g., certificates of deposit) shall not be used unless
approved by LCIF.
· Control of accounts/signature
authority: The project bank account must
have three signatories: project
chairperson, grant administrator, and the district cabinet treasurer or
secretary currently in office[d8]. Of these three signatories, two
signatories shall be required to affect any withdraw or issue payments, and of
those two required signatories, one shall always be the district cabinet
treasurer or secretary[d9].
· For LCIF projects where checks are
made payable to the district, the district is prohibited from disbursing the
funds to any individual, including the project chairperson or grant
administrator, or otherwise release said funds to any bank account controlled
solely by an individual. Unless otherwise approved by LCIF, such project
disbursements received by a district should be re-issued to the implementing
partner (e.g., university or hospital, home for the blind) or to project
suppliers and vendors, per the approved project and budget.
· In situations where there is
determined to be improper use or misappropriation or LCIF grant monies by a
grant administrator or any person involved in an LCIF-funded project, the
foundation shall pursue all necessary legal actions to retrieve said funds and
to hold parties liable for any improper actions.
3. Budget: This grant has been based upon a detailed
expense budget provided in the grant application. No significant changes may be made to the
budgetary allocation as provided in your grant application without LCIF’s prior
written approval.
4. Reversion of grant funds: This grant is intended to support a specific
project as stated in the award letter and this accompanying agreement. Any portion of the grant unexpended at the
completion of the project shall be immediately returned to LCIF.
5. Additional
support: By making this grant, LCIF
assumes no obligation to provide other or additional support to the grantee.
6. Reporting: In accordance with the schedule listed above,
the grantee shall furnish to LCIF a detailed written report on the activity
associated with this grant. These
reports are to be submitted on a regular basis, independent of a need for funds
and should include: a) a detailed narrative progress update; b) copies of
receipts and supporting documentation for items purchased or costs incurred
consistent with the approved budget; and c) photos of work/activity. The grant administrator and/or the project
chairperson shall keep in regular contact with LCIF throughout the duration of
project activity. The grantee shall
furnish an appraisal of results achieved under the grant for any specific
reporting period in which a report is made.
Additional reporting requirements include:
· Copies of project bank account
statements by month, showing interest.
· Copies of cancelled checks, payment
stubs, or signed letters of ‘payment confirmation’ from the project’s vendors,
suppliers or contractors.
· Submission of detailed and itemized
statements of project revenue and expenses with each report.
· For any grant that extends into a
‘second’ Lionistic year after approval, the grant administrator/project
chairperson shall submit copies of their progress and final grant reports to
the district governor and district secretary[d10] in addition to LCIF.
7. Publicity: Copies of any publicity received as a result
of this grant must be submitted to LCIF as part of the record of grant
activities. Publicity materials and media regarding this project should
acknowledge the support and involvement of LCIF and Lions.
8. Compliance: Failure to comply with any of the terms of
this agreements may result in one or more of the following: a) termination of
the grant, b) suspension of future grant payments until compliance is demonstrated,
c) immediate reimbursement to LCIF of the amount of any LCIF grant funds
expended for purposes not previously approved, d) immediate reimbursement to
LCIF of all unexpended LCIF grant funds, and e) replacement of the grant
administrator and/or project chairperson.
The grantee
accepts and agrees to comply with the above listed conditions and by signing
this document agrees to comply with all reporting requirements and to provide
appropriate documentation to verify those reports. Acceptance of this agreement
is indicated by the grant administrator’s signature below. Return this form to the LCIF Humanitarian
Programs Department. Please retain a
copy for your records.
_____________ ______________________________
Date Grant
Administrator, Finn Bangsgaard
Council
Chair, MD101, 2003-04
_____________ ____________________________________
Date Monica
Antonsson, Project Chairperson
Page: 1
[d2]In reviewing the proposal, the Board of Trustees determined that the request for US$ met the criteria of the LCIF grant program however, (reason for reduction). Therefore, the award was reduced accordingly.
[d2]In reviewing the proposal, the Board of Trustees determined that the request for US$ met the criteria of the LCIF grant program however, (reason for reduction). Therefore, the award was reduced accordingly.
Page:
1
[d3]A check in the amount of US$ , representing the first increment of the LCIF grant, has been enclosed.
[d3]A check in the amount of US$ , representing the first increment of the LCIF grant, has been enclosed.
Page: 4
[d7](add in if applicable: Since Senegal is part of a multiple-country district and the current cabinet secretary or treasurer lives in another country, the district cabinet shall appoint a third signatory. This person should live in Senegal and hold a current office such as sub-treasurer for Senegal, the zone chairperson, etc.) (or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d7](add in if applicable: Since Senegal is part of a multiple-country district and the current cabinet secretary or treasurer lives in another country, the district cabinet shall appoint a third signatory. This person should live in Senegal and hold a current office such as sub-treasurer for Senegal, the zone chairperson, etc.) (or the multiple district treasurer or secretary in the case of multiple district grant awards).
Page: 5
[d8](or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d8](or the multiple district treasurer or secretary in the case of multiple district grant awards).
Page: 5
[d9](or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d9](or the multiple district treasurer or secretary in the case of multiple district grant awards).
Page: 6
[d10](or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d10](or the multiple district treasurer or secretary in the case of multiple district grant awards).
|
Kay K.
Fukushima
Chairperson,
LCIF Board of Trustees
8565/MD-101
Enclosures
cc: Sten Akestam, PIP
Jan Holtet, International
Director
Håkan Johansson, CC, MD 101
Frank Smith, DG, 101-U
Alexander Titov, DG, 123
Russia
Bertil Ravnell, IPDG, 101-U
Monica Antonsson, Project
Chair
LCIF GRANT AGREEMENT
Standard[d4] Grant Program
Grantee: Multiple
District 101
Grant
administrator: Finn Bangsgaard
Council
Chair, 2003-2004
Grant
number: 8565/MD-101
Amount of
grant: US
$75,000.00
Purpose of
grant: Renovate Maternity Hospital in Novozybkov, Russia
Approval
date: 6/29/2004
Reporting schedule: A progress report should be
submitted every three months. [d5]A final report is due no more than
45 days after the completion of the project. Such reports should include a
narrative overview of project activity, photographs, budget/expense information
and should highlight the Lions volunteer involvement.
Disbursement schedule: Please note that this agreement must be
signed and returned to LCIF before any disbursements can be made. Disbursements are made dependent upon the
status of project activity, receipt of a report detailing the use of previous
grant installments, and submission of appropriate expense documentation (see
conditions #2 and #6 below).
GENERAL
CONDITIONS
1. Purpose:
The grant shall be used solely for the described purpose or purposes as
approved by the Board of Trustees [d6]of Lions Clubs International
Foundation and confirmed in correspondence dated September 1,
2018.
2. Accounting
and financial review: LCIF grant
funds must be deposited in the district bank account and then disbursed to the
project, following the guidelines outlined below. There must be at least three signatories on
the project account, including the grant administrator, project chairperson,
and current cabinet secretary or treasurer[d7].
A complete and accurate record of the funds received and expenses
incurred under this grant must be maintained by the grantee, and submitted
regularly to LCIF. The format of the financial section of this report should
show a comparison between the anticipated and actual expenditures. Banking and financial controls include:
· Checks, demand drafts/cashiers
checks, or wires from a project account may only be issued to a certified
project supplier or contractor. Such
payments or checks may never be made out to “cash” or to “bearer.”
· Bank accounts for LCIF projects
shall only be established in commercial or national banks that are properly
accredited and which have deposit insurance if required in that country. Use of ‘cooperative banks’ or community banks
are prohibited. Additionally, fixed-length
deposit accounts (e.g., certificates of deposit) shall not be used unless
approved by LCIF.
· Control of accounts/signature
authority: The project bank account must
have three signatories: project
chairperson, grant administrator, and the district cabinet treasurer or
secretary currently in office[d8]. Of these three signatories, two
signatories shall be required to affect any withdraw or issue payments, and of
those two required signatories, one shall always be the district cabinet
treasurer or secretary[d9].
· For LCIF projects where checks are
made payable to the district, the district is prohibited from disbursing the
funds to any individual, including the project chairperson or grant
administrator, or otherwise release said funds to any bank account controlled
solely by an individual. Unless otherwise approved by LCIF, such project
disbursements received by a district should be re-issued to the implementing
partner (e.g., university or hospital, home for the blind) or to project
suppliers and vendors, per the approved project and budget.
· In situations where there is
determined to be improper use or misappropriation or LCIF grant monies by a
grant administrator or any person involved in an LCIF-funded project, the
foundation shall pursue all necessary legal actions to retrieve said funds and
to hold parties liable for any improper actions.
3. Budget: This grant has been based upon a detailed
expense budget provided in the grant application. No significant changes may be made to the
budgetary allocation as provided in your grant application without LCIF’s prior
written approval.
4. Reversion of grant funds: This grant is intended to support a specific
project as stated in the award letter and this accompanying agreement. Any portion of the grant unexpended at the
completion of the project shall be immediately returned to LCIF.
5. Additional
support: By making this grant, LCIF
assumes no obligation to provide other or additional support to the grantee.
6. Reporting: In accordance with the schedule listed above,
the grantee shall furnish to LCIF a detailed written report on the activity
associated with this grant. These
reports are to be submitted on a regular basis, independent of a need for funds
and should include: a) a detailed narrative progress update; b) copies of
receipts and supporting documentation for items purchased or costs incurred
consistent with the approved budget; and c) photos of work/activity. The grant administrator and/or the project
chairperson shall keep in regular contact with LCIF throughout the duration of
project activity. The grantee shall
furnish an appraisal of results achieved under the grant for any specific
reporting period in which a report is made.
Additional reporting requirements include:
· Copies of project bank account
statements by month, showing interest.
· Copies of cancelled checks, payment
stubs, or signed letters of ‘payment confirmation’ from the project’s vendors,
suppliers or contractors.
· Submission of detailed and itemized
statements of project revenue and expenses with each report.
· For any grant that extends into a
‘second’ Lionistic year after approval, the grant administrator/project
chairperson shall submit copies of their progress and final grant reports to
the district governor and district secretary[d10] in addition to LCIF.
7. Publicity: Copies of any publicity received as a result
of this grant must be submitted to LCIF as part of the record of grant
activities. Publicity materials and media regarding this project should
acknowledge the support and involvement of LCIF and Lions.
8. Compliance: Failure to comply with any of the terms of
this agreements may result in one or more of the following: a) termination of
the grant, b) suspension of future grant payments until compliance is demonstrated,
c) immediate reimbursement to LCIF of the amount of any LCIF grant funds
expended for purposes not previously approved, d) immediate reimbursement to
LCIF of all unexpended LCIF grant funds, and e) replacement of the grant
administrator and/or project chairperson.
The grantee
accepts and agrees to comply with the above listed conditions and by signing
this document agrees to comply with all reporting requirements and to provide
appropriate documentation to verify those reports. Acceptance of this agreement
is indicated by the grant administrator’s signature below. Return this form to the LCIF Humanitarian
Programs Department. Please retain a
copy for your records.
_____________ ______________________________
Date Grant
Administrator, Finn Bangsgaard
Council
Chair, MD101, 2003-04
_____________ ____________________________________
Date Monica
Antonsson, Project Chairperson
Page: 1
[d2]In reviewing the proposal, the Board of Trustees determined that the request for US$ met the criteria of the LCIF grant program however, (reason for reduction). Therefore, the award was reduced accordingly.
[d2]In reviewing the proposal, the Board of Trustees determined that the request for US$ met the criteria of the LCIF grant program however, (reason for reduction). Therefore, the award was reduced accordingly.
Page:
1
[d3]A check in the amount of US$ , representing the first increment of the LCIF grant, has been enclosed.
[d3]A check in the amount of US$ , representing the first increment of the LCIF grant, has been enclosed.
Page: 4
[d7](add in if applicable: Since Senegal is part of a multiple-country district and the current cabinet secretary or treasurer lives in another country, the district cabinet shall appoint a third signatory. This person should live in Senegal and hold a current office such as sub-treasurer for Senegal, the zone chairperson, etc.) (or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d7](add in if applicable: Since Senegal is part of a multiple-country district and the current cabinet secretary or treasurer lives in another country, the district cabinet shall appoint a third signatory. This person should live in Senegal and hold a current office such as sub-treasurer for Senegal, the zone chairperson, etc.) (or the multiple district treasurer or secretary in the case of multiple district grant awards).
Page: 5
[d8](or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d8](or the multiple district treasurer or secretary in the case of multiple district grant awards).
Page: 5
[d9](or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d9](or the multiple district treasurer or secretary in the case of multiple district grant awards).
Page: 6
[d10](or the multiple district treasurer or secretary in the case of multiple district grant awards).
[d10](or the multiple district treasurer or secretary in the case of multiple district grant awards).
