The Kjellstrom Family Foundation Final Distribution Form There are field errors on this form. Please complete all required fields before submitting. Organizational Information Organization Name:(*) Invalid Input Email Address:(*) Invalid Input Organization Executive Director/CEO:(*) Invalid Input Month and year organization was incorporated?(*) Invalid Input Brief history of your organization and your vision for the future:(*) Invalid Input Describe your programs/services and the beneficiaries of those services.(*) Invalid Input How many individuals does your organization serve in Winnebago Counties?(*) Invalid Input What outcomes (changed behaviors/conditions) are resulting from your programs/services?(*) Invalid Input Describe major affiliations and partnerships with other entities (both nonprofit and/or for-profit):(*) Invalid Input Next > Endowment Vision (please be concise) Explain why an endowment fund is important to your organization:(*) Invalid Input How might this endowment gift impact your mission work?(*) Invalid Input Explain your organization’s strategy for using and growing the endowment:(*) Invalid Input If applicable, provide a brief history of your organization’s current endowment:(*) Invalid Input Describe how your endowment will leverage other opportunities or assist in meeting defined goals. (attach your goals/strategic plan/long-term strategy)(*) Invalid Input (Accepted file types: pdf, doc, docx, xls, xlsx, or txt) Will your application support a collaboration? If so, please list your formal collaborative partners and share how an endowment will support expanded collaboration and impact within your ecosystem.(*) Invalid Input < PrevNext > Attachments Provide a letter signed by the organization's Executive Director/President/CEO and the Board President/Chair, that: States the organization's commitment to apply. States the organization's KFF endowment fund request amount not to exceed $1M. Verifies that the information stated on the organization's application is accurate and complete to the best of both parties' knowledge. By Laws Most recent audited financial statements and 990. Provide a list of board members and their community and professional affiliations. If applicable, a complete copy of the most recent accreditation or licensure report. IRS ruling letters indicating that the organization is a 501(c)(3) tax-exempt organization. Organization's investment policy. If you do not have an investment policy and wish to receive a template, please contact Patrick McKnight, Creative Planning, This email address is being protected from spambots. You need JavaScript enabled to view it. document.getElementById('cloak19d904bdfd7d94e7d35dc461008f61e4').innerHTML = ''; var prefix = 'ma' + 'il' + 'to'; var path = 'hr' + 'ef' + '='; var addy19d904bdfd7d94e7d35dc461008f61e4 = 'Patrick.mcknight' + '@'; addy19d904bdfd7d94e7d35dc461008f61e4 = addy19d904bdfd7d94e7d35dc461008f61e4 + 'creativeplanning' + '.' + 'com'; var addy_text19d904bdfd7d94e7d35dc461008f61e4 = 'Patrick.mcknight' + '@' + 'creativeplanning' + '.' + 'com';document.getElementById('cloak19d904bdfd7d94e7d35dc461008f61e4').innerHTML += ''+addy_text19d904bdfd7d94e7d35dc461008f61e4+''; . Certificate of Good Standing from the State of Illinois. Business Search / Certificate of Good Standing Attachments:(*) Add another file Invalid Input (Accepted file types: pdf, doc, docx, xls, xlsx, or txt) Your application must be submitted no later than January 30, 2027 at 5 p.m. Electronic submissions only at www.kjellstromfdn.org. Use the endowment tab to follow instructions. For inquiries or troubleshooting, contact Pam Clark Reidenbach at This email address is being protected from spambots. You need JavaScript enabled to view it. document.getElementById('cloak9188ee7cc578aed816e0abded820a410').innerHTML = ''; var prefix = 'ma' + 'il' + 'to'; var path = 'hr' + 'ef' + '='; var addy9188ee7cc578aed816e0abded820a410 = 'p.reidenbacha' + '@'; addy9188ee7cc578aed816e0abded820a410 = addy9188ee7cc578aed816e0abded820a410 + 'comcast' + '.' + 'net'; var addy_text9188ee7cc578aed816e0abded820a410 = 'p.reidenbacha' + '@' + 'comcast' + '.' + 'net';document.getElementById('cloak9188ee7cc578aed816e0abded820a410').innerHTML += ''+addy_text9188ee7cc578aed816e0abded820a410+''; or (815) 494-6815. The Trustees reserve the right to conduct additional meetings and interviews of any and all finalists, executive leadership and board representatives. < PrevSubmit
