This Agreement is entered into by and between <**insert-name**> (the "Fiscal Agent") and <**insert-name**> (the "Sponsored Organization"). Purpose of Agreement The Sponsored Organization has proposed that the Fiscal Agent sponsor a project (the "Project") which is described in a document labeled "Exhibit A" which is attached hereto and incorporated herein by this reference. The Fiscal Agent has determined that sponsorship of the Project would be consistent with its goals, and wishes to make arrangements with the Sponsored Organization for the implementation and operation of the Project. 1. The Fiscal Agent hereby agrees to sponsor the Project and to assume administrative, programmatic, financial, and legal responsibility for purposes of the requirements of funding organizations. The Sponsored Organization agrees to implement and operate the Project, in accordance with the terms of this agreement and with any requirements imposed by funding organizations. 2. The Project shall be operated in a manner consistent with the Fiscal Agent's tax-exempt status and as described in this agreement. No material changes in the purposes or activities of the Project shall be made without prior written permission of the Fiscal Agent. The Sponsored Organization agrees to comply with any and all requirements imposed by organization that have provided funding for the Project. The Sponsored Organization agrees not use Project funding to carry on any activity that will in any way that jeopardize the Fiscal Agent's tax-exempt status. 3. The Sponsored Organization shall not directly or indirectly use any funding provided to it for Project purposes to attempt to influence legislation or participate or intervene in any political campaign on behalf (or in opposition to) any candidate for public office or otherwise engage in the carrying on of propaganda (within the meaning of section 501(c)(3) of the Internal Revenue Code of 1986). 4. The Sponsored Organization shall provide the Fiscal Agent with reports describing programs and services of the Project in accordance with the following schedule: <**insert-schedule-here**>. In addition, the Project Sponsor shall provide the Fiscal Agent with a final written report that includes a summary of how the funds were used, as well as a short summary of what work was accomplished through this Project. 5. The Sponsored Organization shall provide all information and shall prepare all reports (including interim and final reports) regarding the Project that has been reasonably requested by the Fiscal Agent and/or by any organizations that has provided funding for the Project. 6. The Fiscal Agent shall establish and operate for the use of the Project a designated account ("Account") segregated on the Fiscal Agent's books. All funds received by the Fiscal Agent from organizations providing funding for the Project shall be deposited into this Account. The use of all such funds shall be governed by the provisions contained in the Fiscal Agent's agreement with the organization that provided the funding. All amounts deposited into this Account shall be used to support the Project (in a manner that is consistent with the funding source's requirements), less any reasonable administrative costs incurred by the Fiscal Agent, and shall be subject to the conditions set forth herein. 7. The Fiscal Agent shall disburse funds from the Account at the request of the Sponsoring Organization only after the Sponsoring Organization has provided it with a written disbursement request. Each such written request must include documentation demonstrating that the proposed disbursement shall be used for exclusively for Project purposes. The Fiscal Agent may request additional documentation as a precondition to making the requested disbursement. 8. The Sponsored Organization hereby designates <**insert-name**> to act as its authorized agent with regards to this Agreement. The authorized agent shall act as principal coordinator of the Project's daily business with the Fiscal Agent, and shall have authority to sign disbursement requests. 9. The Fiscal Agent and Sponsored Organization shall maintain all financial records relating to the Project according to generally accepted accounting principles, retain records as long as required by law, and make records available to auditors as required by law. 10. The Fiscal Agent and the Sponsored Organization shall reflect the activities of the Project, to the extent required, on their state and federal government tax returns and financial reports. All disbursements from an Account shall be treated as payments made to or on behalf of the Sponsored Organization to accomplish the purposes of the Project. The Sponsored Organization shall provide the Fiscal Agent with any and all documentation requested by the Fiscal Agent including the Sponsored Organization's Federal Employer Identification Number. 11. The Sponsored Organization will give reasonable credit to the Fiscal Agent in all Project related publicity in the following form: 12. This agreement will terminate if any of the following events occur: a. The Fiscal Agent requests the Sponsored Organization to cease activities that it deems might jeopardize its tax-exempt status and the Project fails to comply within a period of ten (10) days;13. In the event this Agreement is terminated, the Fiscal Agent and Sponsored Organization will comply with any termination conditions imposed by funding organizations. 14. This Agreement shall become effective on the earliest date that both parties have executed this document with the signatures of their respective agents (below). IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and year first written above. Accepted for the Fiscal Agent: ____________________________ Date: ____________ Authorized signer ____________________________ Legibly Print Name and Title For the Sponsored Organization: ____________________________ Date: ___________ Legibly Print Name and Title ____________________________ Title |