FY24_RCDG_Applicant_In_Kind Match_Verification_Template.docx
DOCX document 35 KB Posted
- Attached to
- Rural Cooperative Development Grant
- Opportunity number
- RBCS-RCDG-2024
About this file
This document is a template for verifying an applicant's in-kind contribution for the Rural Cooperative Development Grant (RCDG) program, which is a federal grant opportunity offered by the U.S. Department of Agriculture (USDA) Rural Housing Service and Rural Business Cooperative Services.
The template requires the applicant to provide information about the legal name of the applicant, the proposed grant period, the total project costs, and the total value of the applicant's in-kind contribution. Applicants must describe the nature of the goods and/or services to be donated, how they will be used, when they will be donated, and the value of the goods and/or services. The authorized representative must sign and date the form, and indicate whether a governing body resolution is required to authorize the cash matching contribution. The RCDG program's primary objective is to improve the economic condition of rural areas by assisting individuals or entities in the startup, expansion, or operational improvement of rural cooperatives and other business entities.
Applicant -in-kind-Match Verification
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Text version
RCDG
Verification of Applicant IN-KIND Contribution
For purposes of carrying out the Work Plan and Budget Activities identified in our FY 2024 Rural Cooperative Development Grant (RCDG) Program application, I verify the following information:
Legal Name of Applicant:
Beginning and End Dates for Proposed Grant Period:
Total Project Costs: $ Total Applicant In-Kind Value: $ In the chart below for Applicant In-Kind Contributions, describe (a) the nature of the goods and/or services to be donated to the RCDG project during the proposed grant period and how they will be used, (b) when the goods and/or services will be donated during the proposed grant period, and (c) the value of the goods and/or services.
| Description of the Goods and/or Services |
| How They Will Be Used On Project Activities |
| When They Will Be Donated (month/day/year) |
| Value of the Goods and/or Services |
| $ |
| $ |
| $ |
| $ |
| $ |
Total Value
|_| Our governing body (i.e., Board of Directors or Tribal Council) has formally Resolved / Confirmed the Cash Matching contribution amount for RCDG purposes on .
|_| I/We do not need a Resolution because it is not required by our governing body for us to authorize the Cash Matching contribution amount described above.
Print Name of Authorized Representative:
Signature of Authorized Representative: _____________________________________ Date:
Title of Authorized Representative:
USDA is an equal opportunity provider, employer, and lender.
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