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From the Desk of the President Message
|— President's Message 2007-08: Edmund Chew
|——— E-Club 3310 - Club Service
5 Pages 1 2 3 4 5
Author
bschew Singapore
Posted: 09-March-2006 at 10:42am | IP Logged
Here are some pictures for visual effects...
Budi bringing some water to mix the cement (left) and posing with Peggy during the progress of building the orphanage (right).
Back to Top
bschew Singapore
Posted: 21-March-2006 at 1:14pm | IP Logged
Dear All,
Congratulation on the approval of our MG application, to provide a vehicle for mobile library in Kupang.
Wish you success.
Best regards,
Thomas Aquinas thomasaq@indo.net.id
Back to Top
bschew Singapore
Posted: 21-March-2006 at 11:30pm | IP Logged
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
Host Cosponsor
International Cosponsor
Guido Fulbertus, Project Contact
Rotary Club of Kupang (D - 3400)
Jl. Perintis Kemerdekaan II, No.3 Oubufu
Kupang, N.T.T. Indonesia 85119
Setya Budiharja Soehardi, Project Contact
Rotary Club of Rotary E-Club of 3310 (D -
3310)
9 Rhu Cross #10-05
Costa Rhu, Livonia
Singapore, Singapore 437436
Ref: Matching Grant #59419
Dear Rotarians Fulbertus and Soehardi,
Congratulations! Your Major Matching Grant application, submitted by Rotary Club of
Kupang and Rotary Club of Rotary E-Club of 3310 for funding to help provide a vehicle for a
mobile library program in West Timor, Kupang City, Timor Island, Indonesia, has been
approved by The Rotary Foundation (TRF). The award is in the amount of US$8,050.00.
This letter is your formal notification and describes the enclosed forms. In all cases, the
primary partners must both sign the Agreement Form and ensure correct Payee
Information is sent to TRF. Any additional information and/or sponsor contributions TRF
requires in order to make grant payment are described in the Agreement Form and the
Sponsor Contributions Form.
Agreement Form. Be certain to refer to this document throughout the
implementation of the project to help ensure compliance with TRF requirements.
Sponsor Contributions Form. This form gives instructions for sending cash (non
SHARE/DDF) contributions to TRF. It is not included if your project is financed solely
through SHARE/DDF contributions.
Payee Information Form. Coordinate with your partner to establish an appropriate
payee. Complete and return the form to inform TRF where the grant payment should
be sent.
A.
B.
C.
Each partner is sent a copy of the forms. The same document need not be signed by all
partners. Keep a copy of the signed forms for your records before returning the forms to TRF.
Faxes are acceptable, and originals are not required. It is extremely important to remain in
constant contact with your partner to ensure the above requirements are completed.
Additional information you will find helpful is included. (If you are receiving this document via
e-mail, please see the accompanying e-mail message for links to the documents on the RI
website.)
Humanitarian Grants Staff
Phone: (847) 866-3281
Fax: (847) 866-9759
Terms and Conditions of Matching Grant Award. Read this document carefully,
and refer to it when you have questions about TRF requirements.
Report Form. Reporting on your project is mandatory. Progress reports are due
every twelve months, and a Final Report must be submitted within two months of your
project's completion.
Humanitarian Programs Promotional Guide has information about how to promote
in your community and in the media. A promotional plan is required before payment
will be issued for grant awards of US$25,001 or more.
Paul Harris Fellow Recognition/Contribution Form can be used to receive Paul
Harris Fellow (PHF) credit for cash contributions sent to TRF.
Making Your Sponsor Contributions Form. This form gives instructions about
sending cash contributions to TRF, particularly for clubs/districts outside the USA. It
is not included if your project is financed solely through SHARE/DDF contributions.
Mai Katayama
If you have any questions, please contact me.
Sincerely,
1.
2.
3.
4.
5.
Grant Coordinator
cc: Guido Fulbertus, President, Rotary Club of Kupang (D - 3400), RI
Shirin Rustom Ghadiali, President, Rotary Club of Rotary E-Club of 3310 (D - 3310), RI
Thomas Aquinas, DGSC, District 3400, RI
Patrick P. Sigar, DGSC, District 3310, RI
Matching Grant Agreement Form, Sponsor Contributions Form (if applicable),
Payee Information Form, Terms and Conditions of Matching Grant Award ,
Report Form, Humanitarian Programs Promotional Guide, Paul Harris Fellow
Recognition Form, and Making Your Sponsor Contributions Form (if
applicable).
Enclosures:
MATCHING GRANT #59419
MATCHING GRANT AGREEMENT FORM
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
This Matching Grant Agreement ("Agreement") is entered into by and between Rotary Club of
Kupang, Rotary Club of Rotary E-Club of 3310 ("The Partners") and The Rotary Foundation
of Rotary International ("TRF"). TRF agrees to pay the Partners a Matching Grant in the total
amount of US$8,050.00 to help provide a vehicle for a mobile library program in West Timor,
Kupang City, Timor Island, Indonesia. In consideration of receiving this Matching Grant from
TRF, the Partners acknowledge and agree that:
1) The Partners have each received and read a copy of the Terms and Conditions of
Matching Grant Award and will abide by all terms and conditions set forth therein.
2) Rotary Club of Rotary E-Club of 3310 will coordinate the project internationally and will
contribute US$2,000.00 to the project. Rotary Club of Kupang will coordinate the project
locally and will contribute US$100.00 to the project. The following districts will provide
SHARE (DDF) Fund contributions: D-3310, US$5,000.00; and D-3400, US$2,000.00.
Any amount received in excess of the aforementioned contributions will automatically be
counted as general giving to The Rotary Foundation and will not be applied to Matching
Grant #59419.
3) All Matching Grant funds provided by TRF for this project shall not be used for any
purposes other than those approved by TRF. TRF shall be entitled to receive
reimbursement for any and all funds deposited with, held by, or otherwise contributed to
either or both of the Partners that are spent for unapproved purposes as well as any
funds used to benefit a Rotarian or Rotary entity. In addition, TRF reserves the right to
audit the project at any time and suspend any or all payments if in its sole discretion
progress is not considered to be satisfactory.
4) The Partners will keep TRF informed on the project's progress by submitting progress
reports every twelve months during the implementation of the project. The Partners will
immediately inform TRF of any significant problems with the implementation of the
project or deviations from the project, including deviations in the budget. The Partners
project's completion.
5) The Partners shall defend, indemnify, and hold harmless RI, TRF, their respective
directors, trustees, officers, and employees (collectively "RI/TRF") from any and all
damages, losses, judgments, costs, fines, awards, liabilities, or expenses, including
without limitation reasonable attorney's fees and costs of litigation, asserted or recovered
from RI/TRF, that result or arise directly or indirectly from the project including any acts
or omissions of the Partners.
6) The entire responsibility of TRF is expressly limited to payment of US$8,050.00 plus all
SHARE fund contributions. Neither RI nor TRF assumes any further responsibility in
connection with this project.
7) TRF reserves the right to cancel this Agreement without notice upon the failure of either
or both of the Partners to abide by terms set forth in this Agreement and the Terms and
Conditions of Matching Grant Award. Upon cancellation, TRF shall be entitled to a refund
of any Matching Grant funds, including any interest earned, that have not been expended
pursuant to the terms and conditions of the approved Matching Grant project at the time
of cancellation.
8) This Agreement will automatically terminate in the event of the failure of either or both of
the Partners to comply with the Matching Grant Terms and Conditions or this Agreement
due to an act of God, strike, war, riot, civil unrest, hurricane, earthquake or other natural
disasters, acts of public enemies, or any reason beyond the reasonable control of the
parties. In such an event, the Partners shall refund to TRF all unexpended Matching
Grant funds within 30 days of termination.
9) This agreement is governed by the laws of the State of Illinois, USA. Any action brought
in connection with this Agreement shall be filed in the County of Cook, State of Illinois,
USA. The Partners agree to submit to the jurisdiction of the Circuit Court of Cook County
for the State of Illinois.
Staff Initials MK
By signing below, I certify that my Rotary club/district acknowledges and accepts the terms
and conditions of this Agreement and the Matching Grant Award and Acceptance.
Dated this
day of
20
President
President
Rotary Club of Kupang
Rotary Club of Rotary E-Club of 3310
SPONSOR CONTRIBUTIONS FORM
FOR the Rotary Club of Kupang
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
MATCHING GRANT #59419
This form indicates what method of payment your club will use in contributing to your
Matching Grant project.
As a Sponsor of Matching Grant #59419, the Rotary Club of Kupang will contribute
US$100.00, which represents the Rotary Club of Kupang's portion of the funding for this
project.
Name of person completing this form:
____________________________________________
Telephone Number:
__________________________________________________________
Email Address:
______________________________________________________________
There are four options of contributing toward a project. Please choose one and follow the
steps below.
OPTION 1 Forwarding the funds to the project account
OPTION 2 Check
OPTION 3 Wire/Bank Transfer
OPTION 4 Credit Card
For Paul Harris Fellow Recognition, please also send a completed copy of the Paul Harris
Fellow (PHF) Contribution Form. (Funds forwarded directly to a project account, as described
under Option One, are ineligible for PHF Recognition.) The PHF Recognition Form is available
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
No Paul Harris Fellow Recognition credit will be awarded for the contribution.
You must send confirmation that the contribution has been received for the project (a
letter from the project beneficiary, copy of deposit slip or paid invoice, etc.) to:
OPTION ONE: Forwarding the contribution to the project account
Please note:
The average processing time for contributions is three to six weeks, unless they are
forwarded directly to the project.
If contributions were forwarded to The Rotary Foundation prior to the approval date of
this grant, those funds may not be available for this project.
Please note that:
OPTION FOUR: Credit Card
Please complete this section, and return to The Rotary Foundation, One Rotary Center
1560 Sherman Avenue, Evanston, IL 60201-3698 USA, or fax to (847) 866-9759.
Please process my contribution of US$
_________
Designation: Matching Grant #59419
Please charge my
__
Visa, __Master Card, __Discover, __Diners Club, __American Express
Account#: _________________________________Expiration Date
: (________/_________)
Month Year
Signature:__________________________________ Today's Date:_
____________________
Name (as it appears on the credit card):__
_________________________________________
Address:__
____________________________________
City/State:__
___________________
Zip Code/Postal Code:
__________________________________
Country:
________________
Staff Initials MK
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution via a Check.
*****Please remember to write MG #59419 on check.*****
OPTION TWO: Check
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution Wire/Bank Transfer.
*****Please indicate MG #59419 in wire/bank transfer remitter area.*****
OPTION THREE: Wire/Bank Transfer
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
SPONSOR CONTRIBUTIONS FORM
FOR the Rotary Club of Rotary E-Club of 3310
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
MATCHING GRANT #59419
This form indicates what method of payment your club will use in contributing to your
Matching Grant project.
As a Sponsor of Matching Grant #59419, the Rotary Club of Rotary E-Club of 3310 will
contribute US$2,000.00, which represents the Rotary Club of Rotary E-Club of 3310's portion
of the funding for this project.
Name of person completing this form:
____________________________________________
Telephone Number:
__________________________________________________________
Email Address:
______________________________________________________________
There are four options of contributing toward a project. Please choose one and follow the
steps below.
OPTION 1 Forwarding the funds to the project account
OPTION 2 Check
OPTION 3 Wire/Bank Transfer
OPTION 4 Credit Card
For Paul Harris Fellow Recognition, please also send a completed copy of the Paul Harris
Fellow (PHF) Contribution Form. (Funds forwarded directly to a project account, as described
under Option One, are ineligible for PHF Recognition.) The PHF Recognition Form is available
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
No Paul Harris Fellow Recognition credit will be awarded for the contribution.
You must send confirmation that the contribution has been received for the project (a
letter from the project beneficiary, copy of deposit slip or paid invoice, etc.) to:
OPTION ONE: Forwarding the contribution to the project account
Please note:
The average processing time for contributions is three to six weeks, unless they are
forwarded directly to the project.
If contributions were forwarded to The Rotary Foundation prior to the approval date of
this grant, those funds may not be available for this project.
Please note that:
OPTION FOUR: Credit Card
Please complete this section, and return to The Rotary Foundation, One Rotary Center
1560 Sherman Avenue, Evanston, IL 60201-3698 USA, or fax to (847) 866-9759.
Please process my contribution of US$
_________
Designation: Matching Grant #59419
Please charge my
__
Visa, __Master Card, __Discover, __Diners Club, __American Express
Account#: _________________________________Expiration Date
: (________/_________)
Month Year
Signature:__________________________________ Today's Date:_
____________________
Name (as it appears on the credit card):__
_________________________________________
Address:__
____________________________________
City/State:__
___________________
Zip Code/Postal Code:
__________________________________
Country:
________________
Staff Initials MK
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution via a Check.
*****Please remember to write MG #59419 on check.*****
OPTION TWO: Check
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution Wire/Bank Transfer.
*****Please indicate MG #59419 in wire/bank transfer remitter area.*****
OPTION THREE: Wire/Bank Transfer
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
PAYEE INFORMATION FORM FOR MATCHING GRANT #59419
The project bank account must be a Rotary club- or district-controlled account.
Payments will not be made payable to an individual, cooperating organization or beneficiary.
Please provide the exact name on the account, which must be 40 characters or less.
Payments that are misdirected due to incomplete or incorrect payee information will be the club
or district's responsibility.
Return this completed form along with the Agreement to TRF for the release of funds.
Please note the following:
SECTION A: Project Bank Account
Project Bank Account Name (Account Holder Name):
Project Complete Bank Account Number:
Account Currency (USD or local currency):
Project Bank Name:
Project Bank Street Address:
Bank Telephone / Fax Numbers:
ABA Routing # (U.S. banks only): OR
SWIFT (BIC) Code, or other required bank
code(s) (specify code) (non-U.S. banks):
For international US$ wire transfers, you must include your bank's intermediary/correspondent
bank information. Please contact your bank to obtain information requested below.
SECTION B: Intermediary/Correspondent Bank Information
Intermediary/Correspondent Bank Name:
Intermediary/Correspondent Bank Street Address:
ABA Routing # (U.S. banks only): OR
SWIFT (BIC) Code, or other required bank
code(s) (specify code) (non-U.S. banks):
SECTION C: Project Account Signatories
Provide the names of two Rotarians who will be the signatories on the project account and responsible
for receipt and disbursement of grant funds:
IF YOU HAVE QUESTIONS ABOUT THIS FORM, PLEASE CONTACT YOUR PROGRAM
COORDINATOR Mai Katayama, AT TEL: (847) 866-3281, FAX: (847) 866-9759, OR
Staff Initials MK
Name:
Title:
Address:
Telephone:
Fax:
Email:
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
Host Cosponsor
International Cosponsor
Guido Fulbertus, Project Contact
Rotary Club of Kupang (D - 3400)
Jl. Perintis Kemerdekaan II, No.3 Oubufu
Kupang, N.T.T. Indonesia 85119
Setya Budiharja Soehardi, Project Contact
Rotary Club of Rotary E-Club of 3310 (D -
3310)
9 Rhu Cross #10-05
Costa Rhu, Livonia
Singapore, Singapore 437436
Ref: Matching Grant #59419
Dear Rotarians Fulbertus and Soehardi,
Congratulations! Your Major Matching Grant application, submitted by Rotary Club of
Kupang and Rotary Club of Rotary E-Club of 3310 for funding to help provide a vehicle for a
mobile library program in West Timor, Kupang City, Timor Island, Indonesia, has been
approved by The Rotary Foundation (TRF). The award is in the amount of US$8,050.00.
This letter is your formal notification and describes the enclosed forms. In all cases, the
primary partners must both sign the Agreement Form and ensure correct Payee
Information is sent to TRF. Any additional information and/or sponsor contributions TRF
requires in order to make grant payment are described in the Agreement Form and the
Sponsor Contributions Form.
Agreement Form. Be certain to refer to this document throughout the
implementation of the project to help ensure compliance with TRF requirements.
Sponsor Contributions Form. This form gives instructions for sending cash (non
SHARE/DDF) contributions to TRF. It is not included if your project is financed solely
through SHARE/DDF contributions.
Payee Information Form. Coordinate with your partner to establish an appropriate
payee. Complete and return the form to inform TRF where the grant payment should
be sent.
A.
B.
C.
Each partner is sent a copy of the forms. The same document need not be signed by all
partners. Keep a copy of the signed forms for your records before returning the forms to TRF.
Faxes are acceptable, and originals are not required. It is extremely important to remain in
constant contact with your partner to ensure the above requirements are completed.
Additional information you will find helpful is included. (If you are receiving this document via
e-mail, please see the accompanying e-mail message for links to the documents on the RI
website.)
Humanitarian Grants Staff
Phone: (847) 866-3281
Fax: (847) 866-9759
Terms and Conditions of Matching Grant Award. Read this document carefully,
and refer to it when you have questions about TRF requirements.
Report Form. Reporting on your project is mandatory. Progress reports are due
every twelve months, and a Final Report must be submitted within two months of your
project's completion.
Humanitarian Programs Promotional Guide has information about how to promote
in your community and in the media. A promotional plan is required before payment
will be issued for grant awards of US$25,001 or more.
Paul Harris Fellow Recognition/Contribution Form can be used to receive Paul
Harris Fellow (PHF) credit for cash contributions sent to TRF.
Making Your Sponsor Contributions Form. This form gives instructions about
sending cash contributions to TRF, particularly for clubs/districts outside the USA. It
is not included if your project is financed solely through SHARE/DDF contributions.
Mai Katayama
If you have any questions, please contact me.
Sincerely,
1.
2.
3.
4.
5.
Grant Coordinator
cc: Guido Fulbertus, President, Rotary Club of Kupang (D - 3400), RI
Shirin Rustom Ghadiali, President, Rotary Club of Rotary E-Club of 3310 (D - 3310), RI
Thomas Aquinas, DGSC, District 3400, RI
Patrick P. Sigar, DGSC, District 3310, RI
Matching Grant Agreement Form, Sponsor Contributions Form (if applicable),
Payee Information Form, Terms and Conditions of Matching Grant Award ,
Report Form, Humanitarian Programs Promotional Guide, Paul Harris Fellow
Recognition Form, and Making Your Sponsor Contributions Form (if
applicable).
Enclosures:
MATCHING GRANT #59419
MATCHING GRANT AGREEMENT FORM
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
This Matching Grant Agreement ("Agreement") is entered into by and between Rotary Club of
Kupang, Rotary Club of Rotary E-Club of 3310 ("The Partners") and The Rotary Foundation
of Rotary International ("TRF"). TRF agrees to pay the Partners a Matching Grant in the total
amount of US$8,050.00 to help provide a vehicle for a mobile library program in West Timor,
Kupang City, Timor Island, Indonesia. In consideration of receiving this Matching Grant from
TRF, the Partners acknowledge and agree that:
1) The Partners have each received and read a copy of the Terms and Conditions of
Matching Grant Award and will abide by all terms and conditions set forth therein.
2) Rotary Club of Rotary E-Club of 3310 will coordinate the project internationally and will
contribute US$2,000.00 to the project. Rotary Club of Kupang will coordinate the project
locally and will contribute US$100.00 to the project. The following districts will provide
SHARE (DDF) Fund contributions: D-3310, US$5,000.00; and D-3400, US$2,000.00.
Any amount received in excess of the aforementioned contributions will automatically be
counted as general giving to The Rotary Foundation and will not be applied to Matching
Grant #59419.
3) All Matching Grant funds provided by TRF for this project shall not be used for any
purposes other than those approved by TRF. TRF shall be entitled to receive
reimbursement for any and all funds deposited with, held by, or otherwise contributed to
either or both of the Partners that are spent for unapproved purposes as well as any
funds used to benefit a Rotarian or Rotary entity. In addition, TRF reserves the right to
audit the project at any time and suspend any or all payments if in its sole discretion
progress is not considered to be satisfactory.
4) The Partners will keep TRF informed on the project's progress by submitting progress
reports every twelve months during the implementation of the project. The Partners will
immediately inform TRF of any significant problems with the implementation of the
project or deviations from the project, including deviations in the budget. The Partners
project's completion.
5) The Partners shall defend, indemnify, and hold harmless RI, TRF, their respective
directors, trustees, officers, and employees (collectively "RI/TRF") from any and all
damages, losses, judgments, costs, fines, awards, liabilities, or expenses, including
without limitation reasonable attorney's fees and costs of litigation, asserted or recovered
from RI/TRF, that result or arise directly or indirectly from the project including any acts
or omissions of the Partners.
6) The entire responsibility of TRF is expressly limited to payment of US$8,050.00 plus all
SHARE fund contributions. Neither RI nor TRF assumes any further responsibility in
connection with this project.
7) TRF reserves the right to cancel this Agreement without notice upon the failure of either
or both of the Partners to abide by terms set forth in this Agreement and the Terms and
Conditions of Matching Grant Award. Upon cancellation, TRF shall be entitled to a refund
of any Matching Grant funds, including any interest earned, that have not been expended
pursuant to the terms and conditions of the approved Matching Grant project at the time
of cancellation.
8) This Agreement will automatically terminate in the event of the failure of either or both of
the Partners to comply with the Matching Grant Terms and Conditions or this Agreement
due to an act of God, strike, war, riot, civil unrest, hurricane, earthquake or other natural
disasters, acts of public enemies, or any reason beyond the reasonable control of the
parties. In such an event, the Partners shall refund to TRF all unexpended Matching
Grant funds within 30 days of termination.
9) This agreement is governed by the laws of the State of Illinois, USA. Any action brought
in connection with this Agreement shall be filed in the County of Cook, State of Illinois,
USA. The Partners agree to submit to the jurisdiction of the Circuit Court of Cook County
for the State of Illinois.
Staff Initials MK
By signing below, I certify that my Rotary club/district acknowledges and accepts the terms
and conditions of this Agreement and the Matching Grant Award and Acceptance.
Dated this
day of
20
President
President
Rotary Club of Kupang
Rotary Club of Rotary E-Club of 3310
SPONSOR CONTRIBUTIONS FORM
FOR the Rotary Club of Kupang
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
MATCHING GRANT #59419
This form indicates what method of payment your club will use in contributing to your
Matching Grant project.
As a Sponsor of Matching Grant #59419, the Rotary Club of Kupang will contribute
US$100.00, which represents the Rotary Club of Kupang's portion of the funding for this
project.
Name of person completing this form:
____________________________________________
Telephone Number:
__________________________________________________________
Email Address:
______________________________________________________________
There are four options of contributing toward a project. Please choose one and follow the
steps below.
OPTION 1 Forwarding the funds to the project account
OPTION 2 Check
OPTION 3 Wire/Bank Transfer
OPTION 4 Credit Card
For Paul Harris Fellow Recognition, please also send a completed copy of the Paul Harris
Fellow (PHF) Contribution Form. (Funds forwarded directly to a project account, as described
under Option One, are ineligible for PHF Recognition.) The PHF Recognition Form is available
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
No Paul Harris Fellow Recognition credit will be awarded for the contribution.
You must send confirmation that the contribution has been received for the project (a
letter from the project beneficiary, copy of deposit slip or paid invoice, etc.) to:
OPTION ONE: Forwarding the contribution to the project account
Please note:
The average processing time for contributions is three to six weeks, unless they are
forwarded directly to the project.
If contributions were forwarded to The Rotary Foundation prior to the approval date of
this grant, those funds may not be available for this project.
Please note that:
OPTION FOUR: Credit Card
Please complete this section, and return to The Rotary Foundation, One Rotary Center
1560 Sherman Avenue, Evanston, IL 60201-3698 USA, or fax to (847) 866-9759.
Please process my contribution of US$
_________
Designation: Matching Grant #59419
Please charge my
__
Visa, __Master Card, __Discover, __Diners Club, __American Express
Account#: _________________________________Expiration Date
: (________/_________)
Month Year
Signature:__________________________________ Today's Date:_
____________________
Name (as it appears on the credit card):__
_________________________________________
Address:__
____________________________________
City/State:__
___________________
Zip Code/Postal Code:
__________________________________
Country:
________________
Staff Initials MK
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution via a Check.
*****Please remember to write MG #59419 on check.*****
OPTION TWO: Check
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution Wire/Bank Transfer.
*****Please indicate MG #59419 in wire/bank transfer remitter area.*****
OPTION THREE: Wire/Bank Transfer
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
SPONSOR CONTRIBUTIONS FORM
FOR the Rotary Club of Rotary E-Club of 3310
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston, IL 60201-3698 USA
MATCHING GRANT #59419
This form indicates what method of payment your club will use in contributing to your
Matching Grant project.
As a Sponsor of Matching Grant #59419, the Rotary Club of Rotary E-Club of 3310 will
contribute US$2,000.00, which represents the Rotary Club of Rotary E-Club of 3310's portion
of the funding for this project.
Name of person completing this form:
____________________________________________
Telephone Number:
__________________________________________________________
Email Address:
______________________________________________________________
There are four options of contributing toward a project. Please choose one and follow the
steps below.
OPTION 1 Forwarding the funds to the project account
OPTION 2 Check
OPTION 3 Wire/Bank Transfer
OPTION 4 Credit Card
For Paul Harris Fellow Recognition, please also send a completed copy of the Paul Harris
Fellow (PHF) Contribution Form. (Funds forwarded directly to a project account, as described
under Option One, are ineligible for PHF Recognition.) The PHF Recognition Form is available
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
No Paul Harris Fellow Recognition credit will be awarded for the contribution.
You must send confirmation that the contribution has been received for the project (a
letter from the project beneficiary, copy of deposit slip or paid invoice, etc.) to:
OPTION ONE: Forwarding the contribution to the project account
Please note:
The average processing time for contributions is three to six weeks, unless they are
forwarded directly to the project.
If contributions were forwarded to The Rotary Foundation prior to the approval date of
this grant, those funds may not be available for this project.
Please note that:
OPTION FOUR: Credit Card
Please complete this section, and return to The Rotary Foundation, One Rotary Center
1560 Sherman Avenue, Evanston, IL 60201-3698 USA, or fax to (847) 866-9759.
Please process my contribution of US$
_________
Designation: Matching Grant #59419
Please charge my
__
Visa, __Master Card, __Discover, __Diners Club, __American Express
Account#: _________________________________Expiration Date
: (________/_________)
Month Year
Signature:__________________________________ Today's Date:_
____________________
Name (as it appears on the credit card):__
_________________________________________
Address:__
____________________________________
City/State:__
___________________
Zip Code/Postal Code:
__________________________________
Country:
________________
Staff Initials MK
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution via a Check.
*****Please remember to write MG #59419 on check.*****
OPTION TWO: Check
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
Please see the attached appendix or www.rotary.org for geographic specific instructions for submitting your contribution Wire/Bank Transfer.
*****Please indicate MG #59419 in wire/bank transfer remitter area.*****
OPTION THREE: Wire/Bank Transfer
Please send your agreement form , and payee information form to:
Mai Katayama
The Rotary Foundation
1560 Sherman Avenue
Evanston, IL 60201 USA
PAYEE INFORMATION FORM FOR MATCHING GRANT #59419
The project bank account must be a Rotary club- or district-controlled account.
Payments will not be made payable to an individual, cooperating organization or beneficiary.
Please provide the exact name on the account, which must be 40 characters or less.
Payments that are misdirected due to incomplete or incorrect payee information will be the club
or district's responsibility.
Return this completed form along with the Agreement to TRF for the release of funds.
Please note the following:
SECTION A: Project Bank Account
Project Bank Account Name (Account Holder Name):
Project Complete Bank Account Number:
Account Currency (USD or local currency):
Project Bank Name:
Project Bank Street Address:
Bank Telephone / Fax Numbers:
ABA Routing # (U.S. banks only): OR
SWIFT (BIC) Code, or other required bank
code(s) (specify code) (non-U.S. banks):
For international US$ wire transfers, you must include your bank's intermediary/correspondent
bank information. Please contact your bank to obtain information requested below.
SECTION B: Intermediary/Correspondent Bank Information
Intermediary/Correspondent Bank Name:
Intermediary/Correspondent Bank Street Address:
ABA Routing # (U.S. banks only): OR
SWIFT (BIC) Code, or other required bank
code(s) (specify code) (non-U.S. banks):
SECTION C: Project Account Signatories
Provide the names of two Rotarians who will be the signatories on the project account and responsible
for receipt and disbursement of grant funds:
IF YOU HAVE QUESTIONS ABOUT THIS FORM, PLEASE CONTACT YOUR PROGRAM
COORDINATOR Mai Katayama, AT TEL: (847) 866-3281, FAX: (847) 866-9759, OR
Staff Initials MK
Name:
Title:
Address:
Telephone:
Fax:
Email:
20 March 2006
THE ROTARY FOUNDATION
of Rotary International
1560 Sherman Avenue
Evanston , IL 60201-3698 USA
Host Cosponsor
International Cosponsor
Guido Fulbertus, Project Contact
Rotary Club of Kupang (D - 3400)
Jl. Perintis Kemerdekaan II, No.3 Oubufu
Kupang, N.T.T. Indonesia 85119
guido_kpg@telkom.net
Setya Budiharja Soehardi, Project Contact
Rotary Club of Rotary E-Club of 3310 (D -
3310)
9 Rhu Cross #10-05
Costa Rhu, Livonia
Singapore , Singapore 437436
boodbood@pacific.net.sg
Ref: Matching Grant #59419
Dear Rotarians Fulbertus and Soehardi,
Congratulations! Your Major Matching Grant application, submitted by Rotary Club of
Kupang and Rotary Club of Rotary E-Club of 3310 for funding to help provide a vehicle for a
mobile library program in West Timor , Kupang City , Timor Island , Indonesia , has been
approved by The Rotary Foundation (TRF). The award is in the amount of US$8,050.00.
This letter is your formal notification and describes the enclosed forms. In all cases, the
primary partners must both sign the Agreement Form and ensure correct Payee
Information is sent to TRF. Any additional information and/or sponsor contributions TRF
requires in order to make grant payment are described in the Agreement Form and the
Sponsor Contributions Form.
Agreement Form. Be certain to refer to this document throughout the
implementation of the project to help ensure compliance with TRF requirements.
Sponsor Contributions Form. This form gives instructions for sending cash (non
SHARE/DDF) contributions to TRF. It is not included if your project is financed solely
through SHARE/DDF contributions.
Payee Information Form. Coordinate with your partner to establish an appropriate
payee. Complete and return the form to inform TRF where the grant payment should
be sent.
A.
B.
C.
Each partner is sent a copy of the forms. The same document need not be signed by all
partners. Keep a copy of the signed forms for your records before returning the forms to TRF.
Faxes are acceptable, and originals are not required. It is extremely important to remain in
constant contact with your partner to ensure the above requirements are completed.
Additional information you will find helpful is included. (If you are receiving this document via
e-mail, please see the accompanying e-mail message for links to the documents on the RI
website.)
Humanitarian Grants Staff
Phone: (847) 866-3281
Fax: (847) 866-9759
Email: Mai.Katayama@rotary.org
Terms and Conditions of Matching Grant Award. Read this document carefully,
and refer to it when you have questions about TRF requirements.
Report Form. Reporting on your project is mandatory. Progress reports are due
every twelve months, and a Final Report must be submitted within two months of your
project's completion.
Humanitarian Programs Promotional Guide has information about how to promote
in your community and in the media. A promotional plan is required before payment
will be issued for grant awards of US$25,001 or more.
Paul Harris Fellow Recognition/Contribution Form can be used to receive Paul
Harris Fellow (PHF) credit for cash contributions sent to TRF.
Making Your Sponsor Contributions Form. This form gives instructions about
sending cash contributions to TRF, particularly for clubs/districts outside the USA . It
is not included if your project is financed solely through SHARE/DDF contributions.
Mai Katayama
If you have any questions, please contact me.
Sincerely,
1.
2.
3.
4.
5.
Grant Coordinator
cc: Guido Fulbertus, President, Rotary Club of Kupang (D - 3400), RI
Shirin Rustom Ghadiali, President, Rotary Club of Rotary E-Club of 3310 (D - 3310), RI
Thomas Aquinas, DGSC, District 3400, RI
Patrick P. Sigar, DGSC, District 3310, RI
Matching Grant Agreement Form, Sponsor Contributions Form (if applicable),
Payee Information Form, Terms and Conditions of Matching Grant Award ,
Report Form, Humanitarian Programs Promotional Guide, Paul Harris Fellow
Recognition Form, and Making Your Sponsor Contributions Form (if
applicable).
Enclosures:
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bschew Singapore
Posted: 21-March-2006 at 11:43pm | IP Logged
Covering email as received from The Rotary Foundation...
From: Deidra Egan < Deidra.Egan@rotary.org > Sent:
Matching Grant number 59419-approval
Dear Rotarians,
Attached is an Announcement letter for your Matching Grant number 59419.
As of 01 July 2005, reporting requirements have changed. Progress reports will now be due every 12 months after payment, and a final report is due 2 months after completion of the project. The revised report form is attached to this e-mail. Please review the report form to best understand the revised requirements, such as the need to retain bank statements of income and expense, which will be needed with submission of your final report.
We hope that providing Announcement letters attached to email in this format will best facilitate the timely processing of Humanitarian Grants. Thank you for your cooperation in streamlining the process of transmitting important documents to you via email, and saving the time and expense of the international postal system.
If you have any questions, please feel free to contact your Grant Coordinator, Mai Katayama, via email: Mai.Katayama@rotary.org or by phone at (847) 866-3281 or by fax at (847) 866-9759.
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Dr Ho Malaysia
Posted: 22-March-2006 at 8:24am | IP Logged
May I emphasise the Do's we must pay full attention:
In all cases, the primary partners must Agreement Form and ensure correct Payee Information is sent to TRF.
Sponsor Contributions Form. This form gives instructions for sending cash (non SHARE/DDF) contributions to TRF.
Payee Information Form. Coordinate with your partner to establish an appropriate payee. Complete and return
The same document need not be signed by all partners. Keep a copy of the signed forms for your records before returning the forms Faxes are acceptable
(It is a good idea that the primary partners report to all, the acknowledgment from TRF when all the signed forms and contributions are sent and received by TRF.)
Regards
PP Dr Ho
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Dr Ho Malaysia
Posted: 18-April-2008 at 7:06pm | IP Logged
Dear All
Please have a look the library condition that we are helping from www.roslinorphanage.org ( the blog)
Our thanks to the PHF donations for this two MGs to be possible and to our mentors DR Ho and CP BS Chew for a constant guidance to me .
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Dr Ho Malaysia
Posted: 25-January-2009 at 8:15am | IP Logged
The mobile library does more than just share books:
"... most of the villagers , buying vitamin from a pharmacy has never been done. Firstly the pharmacy is unheard of by them , secondly they do not have the money and most of the case is the distance to the pharmacy just to far for them( to many people can be some 100 km away) . For this vitamin matter our mobile library is really a useful tool for us to share."
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bschew Singapore
Posted: 09-June-2009 at 8:04am | IP Logged
http://www.todayonline.com/Columns/Coffeewith/EDC090609-0000 018/The-man-with-42-kids
The man with 42 kids
This pilot is ‘dad’ to those in his self-funded orphanage
By Agatha Koh Brazil
Updated 09:34 AM Jun 09, 2009
AS AN airline pilot, Budi Soehardi is no stranger to bad weather, but turbulence on the ground less than a month ago floored him. “My chief broke the news to me just now,” he wrote on his blog. “I just got back from a flight ... Those whose contracts are due for renewal for the current fiscal year will not be renewed.”
“Water is something the villagers need badly. It is quite common for them to walk miles each day just for two buckets of water. With no water there is simply no sanitation,” says Budi.Reading, writing and rice
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edmundchew Singapore
Posted: 12-June-2009 at 6:15am | IP Logged
hide details 1:40 AM (6 hours ago)
Reply
Dear Rotarians Tan and Huang, Thank you for submitting the final report regarding Matching Grant #66380, to help provide furnishings, boat transportation, drinking water, medical aid, food and infrastructure improvements for the children of Jehai Orang Asli and The Royal Belum Forest Reserve in Sg Tekam and Banding, Perak, Malaysia. Your cooperation in fulfilling this requirement is greatly appreciated. As all required information has been included, the Foundation will mark the file as closed.
Sincerely,
Hanae Kim Grant Coordinator Humanitarian Grants Staff Phone: (847) 866-3281 Fax: (847) 866-9759 Email: Hanae.Kim@rotary.org
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edmundchew Singapore
Posted: 12-June-2009 at 6:19am | IP Logged
Cpt Budi, well done !
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Topic: Literacy Project in Kupang
