LYNEHAM AND BRADENSTOKE PARISH COUNCIL

Application for Grant for Clubs/Organisations
Local Government Act 1972, Section 137

Lyneham and Bradenstoke Parish Council is empowered to give grants to local clubs and organisations under S137 of the Local Government Act 1972.

There are a number of limitations placed on the Council’s power the most notable of which is that any grant must demonstrate benefit to some or all of its community. The size of the grant must also relate to the benefit achieved. You are therefore, encouraged to demonstrate in your application the number of people that will benefit in Lyneham and Bradenstoke from the grant aid requested.

Please note that this application will not be considered unless it is accompanied by a copy of the latest set of annual accounts showing the organisations income, expenditure and level of balances. If the organisation does not prepare annual accounts, copies of the bank statements covering the previous six months must be enclosed.

1.	Name of Organisation
2.	Name, Address and Status of Contact
3.	Telephone Number of Contact
4.	Email address of Contact
5.	Is the Organisation a Registered Charity? If so please give your Charity Registration No.	Yes/No
6.	Amount of grant requested	£
7.	For what purpose or project is the grant requested?
8.	What will be the total cost of the above project?	£
9.	If the total cost of the project is more than the grant, how will the residue be financed?
10.	What monies is the organisation/club contributing to the project?	£
11.	Have you applied for grant for the same project to another organisation? If so, which organisation and how much?
12.	Who will benefit from the project?
13.	Approximately how many of those who will benefit are residents?
14.	What financial information have you included?

You may use a separate sheet of paper to submit any other information which you feel will support this application.

Signed ..........................................................................................................Date...........................................................

Position..........................................................................................................Contact Details..........................................

Address..........................................................................................................................................................................

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Please return the completed application form together with your statement of accounts to:

Lyneham & Bradenstoke Parish Council
Mrs Deborah Bourne
22 Tennyson Road
Royal Wootton Bassett
Wiltshire
SN4 8HL

Email clerk.lyneham@gmail.com

OFFICE USE ONLY
Date considered
Grant Award YES/NO
Amount Granted.