Form Builder

Section I

Name of Applicant Organization

Applicant contact person:

Phone Number

Email Address

Mailing Address:

City

State

Zip

Federal ID number (or EIN):

Board of Directors

Name of umbrella organization/fiscal agent:

(If applicant does not have 501(C) 3 or non profit status)

Fiscal Agent contact person:

Phone

Email Address

Board of Directors

TMVOA Funding

If you have received TMVOA funding in the past, please list the funded amount for the past 3 years:

a. 2021 Funding Amount:

b. 2022 Funding Amount:

c. 2023 Funding Amount

Mission Statement

Provide a clear and concise statement of organization's mission, not including goals & objectives.

Goals & Objectives

Goals = desired future state or direction (1 year or more)
Objectives = intended results or outcomes that are measures of progress towards a goal (1 year or less)

a. Program, Activities & Accomplishments

b. Planning Efforts and Strategies:

c. Charitable Contributions, including scholarships, community outreach, etc.

2024 Calendar of Events

Date(s) of Event:

Total Number of Days for the Events:

Economic Impact:

Event/Program Attendance:

*Provide breakdown of local attendees and visitors (i.e. 100 locals + 100 visitors = 200 attendees)

Event/Program Attendance for 2021:

Event/Program Attendance for 2022:

Event/Program Attendance for 2023:

Event/Program Attendance for 2024 (estimated):

Economic Indicators, including:

Income Demographic of Attendees (range):

Mountain Village Lodging Impact

Estimated # of attendees using Mountain Village Lodging:

Estimated # of Room Nights:

Estimated Cost Per Room:

Total Estimated Lodging Spend (in dollars):

Mountain Village Restaurant Impact

Restaurant Spend Assumptions:

*Show formula to support spend assumptions.
(i.e. 100 attendees x 1 meal/day x $35/meal x 3 days = $10,500)

Estimated Restaurant Spend (in dollars):

Mountain Village Retail Impact

Retail Spend Assumptions:

*Show formula to support spend assumptions.
(i.e. 100 attendees x $25 spend/day x 3 days = $7,500)

Estimated Retail Spend (in dollars):

Staffing

Full time employees:

Part time employees:

Volunteers:

Number of local employees:

Mountain Village Event Presence

Provide a brief description of how funding will stimulate economic development within Mountain Village

How will the event benefit Mountain Village Homeowners?

How will the event help promote Mountain Village merchants, restaurants, and lodging properties?

How many years are you proposing to have your event in Mountain Village?

Describe ways that you plan to grow the event presence in Mountain Village:

Funding Details

Cash

Amount requested:

Description of Funding Needs

TCC Funding*

Amount requested:

Description of Funding Needs

Gondola Funding*

Amount requested:

Description of Funding Needs

Dial A Ride Funding*

Amount requested:

Description of Funding Needs

Plazas*

Amount requested:

Description of Funding Needs

Support Equipment

Amount requested:

Description of Funding Needs

* For current policy, procedure, and pricing, information, please contact:
-Telluride Conference Center - Tony Kalyk at (970) 369-8030.
-Gondola – Jim Loebe at (970) 369-8245.
-Dial A Ride – Heidi Stenhammer at (970) 728-1904
-Town of Mountain Village’s Plazas and permits – Amy Ward at (970) 369-8236

Total Funding Request:

Date Funds Needed:

Funding Need and Funding Alternatives

2024 Projected Revenue:

2024 Projected Expenses:

2024 Projected Net Income:

List all Grants, Sponsorships, or Donation monies received, or expected to receive for 2024:

Description of local and national sponsors:

Other funding alternatives that are available to your event/organization:

Self-sustaining goals and timeline to sustainability:

Describe the impact of TMVOA funding for your event/organization:

How many years has your event/organization been in existence?

Historical Sales Tax Revenue Data (if available):

How will you evaluate and measure the success of your event/organization?

Please describe any challenges that your event/organization has faced in the past:

Please describe additional ways that TMVOA can help support your event/organization (non-monetary):

Sponsorship Fulfillment:

Describe the sponsorship package available to Telluride Mountain Village Owners Association at the requested
level of funding, including such items as marketing, PR exposure, signage, program passes and privileges, etc.

Should Telluride Mountain Village Owners Association provide your organization with grant funding, TMVOA will expect the following:

a) Your organization/event will share sponsor contact information with Telluride Mountain Village Owners
Association. Telluride Mountain Village Owners Association will not contact any sponsors without prior
notification to the event/organization.
b) Telluride Mountain Village Owners Association will promote your event/organization to our sponsors for
potential collaboration opportunities, pending no direct sponsorship conflict with your existing sponsors.
If you have received Economic Development Grant funding in the past, please submit examples of collateral
noting TMVOA’s sponsorship.

Section II

1. Names of members of key officers and key employees:

2. Financial information of organization (as attachments):

a. Provide a 3-year comparison for the following:
i. Balance Sheet
ii. Income Statement
b. 2023 budget vs. actual income statement
c. 2024 proposed budget

3. Additional information:

a. 2022 tax returns
b. 2022 annual report and audit (if any)

Section III

1. Copy of Articles, Bylaws and your most recent determination letter from the Internal Revenue Service, recognizing federal tax-exempt status (Not necessary if you have submitted these in past granting cycles.)

2. Copy of the State of Colorado Certificate of Good Standing (if applicable)

Acknowledgement

The following must be signed by the organization’s Executive Director or CEO or the governing Board Chairperson and
included in Economic Stimulus Funding Application.
In submitting this Application, I hereby acknowledge my understanding that any event/project/program occurring in the
Town of Mountain Village may require the issuance of permits from the Town of Mountain Village. I agree to comply with
all requirements of the Town of Mountain Village and understand that such compliance is my responsibility and that
TMVOA has no obligation to participate or otherwise assist in obtaining necessary approvals from the Town.
For information on event permitting, please visit the Town of Mountain Village’s website at https://
townofmountainvillage.com/business/plaza-use/special-event-permit/
The Applicant hereby certifies that all information and representations set forth in this Application are true and
accurate. The Applicant acknowledges that TMVOA is relying on the veracity and accuracy of the information and
representations made by the Applicant in TMVOA’s consideration of this Application. If it is determined that any
representations of the Applicant regarding this Application are false or misleading, TMVOA reserves the right to
immediately withdraw this Application from consideration.

Name:

Title:

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