Provider of Assistance to Older Americans (Non-Profit)
- Includes adult day care, multi-purpose senior centers, and social, transportation, nutrition or legal services.
- Organizations must receive funds appropriated under the Older Americans Act of 1965, Title IV or Title XX of the Social Security Act, Titles VIII and X of the Economic Opportunity Act of 1964, or Community Services Block Grant Act.
- Required additional documentation that must be submitted with application:
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- Letter from IRS certifying status as a 501(C) non-profit. IRS ruling letter must include current name and address.
- Certification establishing that applicant is receiving state, federal or local government-appropriated funds for operation of older individual program under the Older Americans Act of 1965, Title IV or Title XX of the Social Security Act, Titles VIII and X of the Economic Opportunity Act of 1964, or Community Services Block Grant Act
- Complete narrative about your organization, including:
- Description of services provided;
- Description of facilities;
- Overview of key staff and their qualifications; and
- Number of individuals receiving assistance and frequency of assistance (daily, weekly or monthly).
- Proof of current accreditation, approval or licensing if appropriate (i.e. medical center)
- Articles of incorporations, bylaws, charter or other organizing document (optional)
