Operating Support FY21

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Operating Support FY21

ArtsMemphis

Organization Overview

Organization Name for Publication*

Please note how you would like your organization name to be listed in ArtsMemphis publications.

Character Limit: 250

Project Name*

For the FY21 Operating Support grant, you MUST enter the project name as follows:

Your Organization Name_FY21_OS

Please enter the name of your organization in place of "Your Organization Name."

Example: ArtsMemphis_FY21_OS

Group Designation*

Select your Group assignment. Please note that Groups 2-4 are determined by averaging the 3- year expense average as reported on Form 990 for past 3 fiscal years.

Group 1: Current fiscal year budget less than $100,000

 Note: If your 3-Year budget average is higher than $100,000 but your current fiscal year budget is less than $100,000, you must select Group 1.

Group 2: 3-Year Budget average* of $100,000-$399,999 Group 3: 3-Year Budget average* of $400,000-$1,499,999 Group 4: 3-Year Budget average* of $1,500,000+

 3-year expense average as reported on Form 990 will determine funding category for Groups 2-4.

 You will enter your 3-year 990 revenue and expense averages on the financial template required for the application. Your entries will be verified by ArtsMemphis staff.

Choices

Group 1: Current fiscal year budget less than $100,000 Group 2: 3-Year Budget average* of $100,000-$399,999 Group 3: 3-Year Budget average* of $400,000-$1,499,999

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Group 4: 3-Year Budget average* of $1,500,000+

Organization Website

Social Media: Facebook*

Please enter your Facebook page link. If you do not have a Facebook page, please enter NA.

Social Media: Instagram*

Please enter your Instagram handle. If you do not have an Instagram page, please enter NA.

Social Media: Twitter*

Please enter your Twitter handle. If you do not have a Twitter account, please enter NA.

Mission Statement*

Please note your board-approved mission statement.

Vision or Impact Statement

Please note your board-approved vision or Impact statement, if applicable.

Artistic Discipline - Primary*

Please select your primary artistic discipline.

Choices

Visual Art Music Theater Performing Arts Literary Arts Dance Media Arts Other

Artistic Discipline*

Please select all disciplines that you address through your programs and activities.

Choices

Visual Art Music Theater Performing Arts

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Literary Arts Dance Media Arts Other

Artistic Discipline - Detail

Please add any clarification or additional information you feel is important regarding artistic discipline.

Organization Purpose*

Please briefly explain what your organization does and why is it important.

 How do you achieve your mission?

 What are your primary activities?

 Who is your target audience?

 Why is your work important?

Year Founded*

Incorporation Year*

EIN*

Please enter your organization's tax identification number.

Shelby County Service History

If your organization's 501c3 registration is not in Shelby County, TN, you may only submit an application if you have a permanent location in Shelby County and you have a history of minimally three years of providing programming in Shelby County.

If your 501c3 registration is outside of Shelby County and you meet the criteria noted above, please explain where your corporation is registered, what your permanent Shelby County location is, and what is your programming history in Shelby County.

LIVEGIVEmidsouth Profile*

Do you have a current LIVEGIVEmidsouth profile?

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Please Note: LIVEGIVEmidsouth is the new version of WHEREtoGIVE. If you need your updated link, please visit: https://www.livegivemidsouth.org/nonprofit-directory/

Choices

Yes No

LIVEGIVEmidsouth Profile Page

If you answered "yes" above, please provide a link to your organization's LIVEGIVEmidsouth profile page.

Please Note: LIVEGIVEmidsouth is the new version of WHEREtoGIVE. If you need your updated link, please visit: https://www.livegivemidsouth.org/nonprofit-directory/

Form 990

If you do not have a LIVEGIVEmidsouth profile, please upload your most recent Form 990.

File Size Limit: 5 MB

Audit

If you do not have a LIVEGIVEmidsouth profile, please upload most recently completed audit. If you do not have an audit of your financials, please explain why.

Character Limit: 10000 | File Size Limit: 5 MB

Past Operating Support*

Have you received an operating support grant from ArtsMemphis in the past three years? If you answer "no," please contact Tracy Lauritzen Wright at [email protected] or 901-578-2787 prior to advancing your application.

Choices

Yes No

Financial Information

Fiscal Year End*

Please note the last day of your fiscal year. For example, June 30.

Last Fiscal Year Revenue*

Please enter your total revenue from the most recently completed fiscal year.

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Last Fiscal Year Expense*

Please enter your total expenses from the most recently completed fiscal year.

Current Fiscal Year Budgeted Revenue*

Please note your total revenue budgeted for the current fiscal year.

Current Fiscal Year Budgeted Expenses*

Please note your total budgeted expenses for the current fiscal year.

Note: Your grant request may not exceed 5% of this number.

Current Fiscal Year Budget*

Please upload a copy of your current fiscal year budget, in a format of your choice. Please make sure that all columns fit on one page. Rows may fill multiple pages.

If you have budgeted a deficit, please explain how that will be covered.

Character Limit: 10000 | File Size Limit: 5 MB

Revenue Sources - Earned*

For your most recently completed fiscal year, please note the PERCENTAGE of your revenue that was earned income.

Revenue Sources - Foundation / Grants*

For your most recently completed fiscal year, please note the PERCENTAGE of your revenue that was from foundations or grants, from non-government entities. Revenue from

ArtsMemphis Operating Support and Enhancement grants should be included in this percentage.

Revenue Sources - Corporate*

For your most recently completed fiscal year, please note the PERCENTAGE of your revenue that was from corporations. Revenue from ArtsFirst and ArtsZone grants should be included in this percentage.

Revenue Sources - Government*

For your most recently completed fiscal year, please note the PERCENTAGE of your revenue that was from city, county, state or federal government sources. Revenue from Arts Build Communities grants should be included in this percentage.

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Revenue Sources - Other*

For your most recently completed fiscal year, please note the PERCENTAGE of your revenue that was from other sources.

Revenue Sources - Explanation

Please provide any detail or explanation you feel is important regarding your revenue sources.

Endowment or Reserve Fund*

Do you have an endowment or reserve fund?

Choices

Yes No

Endowment Balance

If you have an endowment, please note the balance here.

Reserve Fund Balance

If you have a reserve fund, please note balance here.

Endowment or Reserve Fund Distribution

Please briefly note your policies in place to restrict use of either your endowment or reserve fund to preserve the corpus. Please note your current fiscal year projected distribution percentage, if applicable.

Line of Credit*

Do you have an available line of credit?

Choices

Yes No

Line of Credit - Funds Available

If you have a line of credit, please indicate the total funds available.

Line of Credit - Balance

If you have a line of credit, please note the total amount you currently owe.

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Debt

If your organization currently carries debt for capital improvements or other initiatives, please note the total amount owed, your repayment plan, and details about the debt.

Demographic and Program Information

Program Partnerships*

Please list any organizations you partnered with to offer a program, event, or performance during your most recently completed fiscal year.

Program Locations - Zip Codes*

Please check all zip codes in which you offered a program, event, or performance during your most recently completed fiscal year.

Do not check the zip codes of your audience members' homes, or zip codes of schools from which students visit your location. Rather, only check locations where you conducted programming.

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38002 38016 38017 38018 38028 38053 38103 38104 38105 38106 38107 38108 38109 38111 38112 38113 38114 38115 38116 38117 38118 38119 38120

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38122 38125 38126 38127 38128 38133 38134 38135 38138 38139 38141 38152

Outside of Shelby County Outside of Tennessee

Program Locations - Detail*

Please list the location name and street address for up to five locations where you offered a program, event, or performance outside of your primary address during your most recently completed fiscal year. If you wish to enter location details for all programs, you may do so.

If you provided programming outside Shelby County or outside Tennessee, please provide details on those program locations.

Total Participants: All Programs*

As a requirement of funding from the Tennessee Arts Commission, ArtsMemphis reports on demographic information of all grantees.

"Participant" refers to the estimated total number of individuals directly benefiting from your operations and program. This may include donors, subscribers, members, ticket buyers, audiences, education/outreach/engagement program participants, event attendees, listeners, etc.

Please note the total participants in your organization for your most recently completed fiscal year. Please make sure your numbers are accurate.

Total Participants: Core Program

Please note the total participants in your core program, such as total performance or admission tickets sold/distributed, for your most recently completed fiscal year.

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Total Core Programs*

Please note the number of programs or events you offered within your core program during the last fiscal year. Use a method in quantifying the number of programs or events that is

appropriate for your organization.

Core Program Description

Please provide a brief description of your Core Program and how you calculate the total number of participants. Please note the total number of programs offered for your most recently completed fiscal year.

Total Participants: Other Programs

Please note the total participants for your secondary program(s), such as education programs, special events, for your most recently completed fiscal year.

Total Other Programs*

Please note the number of programs or events you offered through other programs during the last fiscal year. Use a method in quantifying the number of programs or events that is

appropriate for your organization. If this does not apply to your organization, enter zero.

Other Programs Descirption

Please provide a brief description of your other program(s) and how you calculate the total number of participants. Please note the total number of each type of program offered for your most recently completed fiscal year.

Participant Demographics*

Please select the participant totals about which you can report demographic information. If you do not track participant demographic data, please select "DNT" for Do Not Track.

Based on your selection, use the numbers provided above to calculate the percentages requested below to answer the participant demographic questions.

Choices

Total Participants: All Programs Total Participants: Core Program Total Participants: Other Programs Other

DNT

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Participants under age 18

Please note the PERCENTAGE of total for your most recently completed fiscal year. If you do not track this information, please leave blank.

Participants over age 65

Participants living in rural or isolated settings

Participants living with disabilities

Participants who are White

Participants who are Black / African American

Participants who are Hispanic / Latinx

Participants who are Asian

Participants who are of another heritage

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Demographic Data Collection Method*

Please indicate your participant demographic data collection method. Please select all that apply.

Choices

Observation Survey

Ticket / Admission Data

Registration (program or school) Other

Do Not Track

Demographic Data Collection Method Explanation*

Please provide detail on your participant demographic data collection method(s) to explain how you arrive at the numbers noted above. If you do not track participant demographic numbers please explain why not.

Total Artists Engaged*

As a requirement of funding from the Tennessee Arts Commission, ArtsMemphis reports on demographic information of all grantees.

"Artist" refers to the number of artists directly involved in providing art or artistic services specifically identified with an organizational program or activity; including the number of individual artists of a company, troupe, or touring group.

Please note the total artists engaged in your organization for your most recently completed fiscal year. Please make sure your numbers are accurate. If you do not track your total artists engaged enter the number zero.

Paid Artists

Please note the NUMBER of paid artists participating your your most recently completed fiscal year programming. If you do not track this information, please leave blank.

Unpaid Artists

Please note the NUMBER of unpaid artists participating in most recently completed fiscal year programming. If you do not track this information, please leave blank.

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Artist Payments

Please note the total dollars paid to artists in your most recently completed fiscal year. If you do not track this information, please leave blank.

Average Hourly Artist Payment

Please note the average hourly pay rate for artists paid during your most recently completed fiscal year. If you do not track this information, please leave blank.

Artists who are White

Artists who are Black / African American

Artists who are Hispanic / Latinx

Artists who are Asian

Artists who are of another heritage

Artist Demographic Data Collection Method*

Please indicate your artist demographic data collection method. Please select all that apply.

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Observation

Employment Documents Survey

Self-Identification Other

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Do Not Track

Artist Demographic Data Collection Method Explanation*

Please provide detail on your artist demographic data collection method(s) to explain how you arrive at the numbers noted above. If you do not track artist demographic numbers please explain why not.

Board of Directors and Staff Composition

In the grant application you will be asked to provide a list of your board and staff members and demographic information about these individuals. For this LOI/Organization Profile, please provide demographic information about the composition of your staff and board.

Total Staff*

Please note the total number of staff members, part- and full-time, at your organization for your current fiscal year. You may include contract and temporary staff.

Staff Details - Number of Full-time Staff

Please note the number of full-time, paid staff.

Staff Details - Number of Part-time Staff

Please note the number of part-time, paid staff.

Staff Details - Number of Administrative Staff

Please note the number of paid administrative staff.

Staff Details - Number of Artistic Staff

Please note the number of paid artistic staff.

Staff Details - Number of Education Staff

Please note the number of paid education staff.

Staff Details - Number of Contract/Temporary Staff

Please note the number of paid contract or temporary staff.

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Staff Details - Number of Unpaid Staff

Please note the number of unpaid staff.

Staff Details

Please provide details or explanations on the numbers you provided above that you feel are important.

Staff who are White

Please note the PERCENTAGE of total for your current fiscal year. If you do not track this information, please leave blank.

Staff who are Black / African American

Staff who are Hispanic / Latinx

Staff who are Asian

Staff who are of another heritage

Administrative Staff Demographics

Please note the PERCENTAGE of total administrative staff for your current fiscal year who are people of color (Black / African American, Hispanic / Latinx, Asian, etc.). If you do not track this information, please leave blank.

Staff who are Seniors (age 65+)

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Staff: Other designations

Please note any other designations you wish to document regarding your staff demographics.

Staff Tenure

Please describe the tenure of your team.

CEO / Executive Director*

Is your chief executive a person of color?

Choices

Yes No

Volunteers

Please note the total number of active volunteers for your last fiscal year.

Volunteer Hours

Please note the total hours worked by volunteers in your last fiscal year, if known.

Total Board of Directors*

Please note the total number of members of your Board of Directors.

Board members who are White

Board members who are Black / African American

Board members who are Hispanic / Latinx

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Board members who are Asian

Board members who are of another heritage

Board: other designations

Please note any other designations you wish to document regarding your board demographics.

Board Terms*

Please describe the terms of service for your Board of Directors.

Board Chair / Vice Chair*

Is your Board Chair or Vice Chair a person of color?

Choices

Yes No

Certifications

Civil Rights Act 1964, Title VI Compliance*

In order to be eligible for funding, you must certify that your programming will be accessible to all Shelby County citizens regardless of race, color, sex, religion, age, national origin, marital status, sexual orientation, disability or any characteristic protected by law.

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Yes, this organization adheres to the Title VI of the Civil Rights Act of 1964.

Child Protection Policy*

By checking a box below, you acknowledge that a board-approved Child Protection Policy must be in place in order to receive grant funds from ArtsMemphis, if your organization works with anyone under the age of 18 as a participant in a program or in a volunteer capacity.

If your organization does work with anyone under the age of 18 as a participant in a program or in a volunteer capacity, but does not have a board-approved Child Protection Policy, please contact Colleen McCartney, [email protected] for information.

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Choices

Yes, we have a board-approved Child Protection Policy.

Our organization does not work with anyone under the age of 18.

Our organization does not have a board-approved Child Protection Policy.

Child Protection Policy - Approval

If you have a board-approved Child Protection Policy, please note the date of approval.

Child Protection Policy - External Review

If you have a board-approved Child Protection Policy, have you requested the staff at the Memphis Child Advocacy Center review your plan for thoroughness?

Choices

Yes No

Child Protection Policy - Internal Review

If you have a board-approved Child Protection Policy, do you review this with your volunteers, staff and board regularly, and minimally on an annual basis?

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Yes No

If you answered NO to either of the above two questions, ArtsMemphis strongly recommends you pursue both an external and an internal review of your board-approved Child Protection Policy, and that you establish a schedule by which the policy will be reviewed with volunteers, staff and board members.