Grants:APG/Letter of intent editintro/1

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Date: Day, Month, Year

Dear Members of the Funds Dissemination Committee:

I am authorized by the governing body of the XYZ Organization of the Wikimedia movement to inform you that XYZ Organization intends to seek funding from the Funds Dissemination Committee for our organization's annual plan as part of the Annual Plan Grants process.

We recognize that seeking funds from the FDC is contingent upon compliance with the eligibility requirements outlined by the eligibility checklist, and that, to the best of our knowledge, our organization is eligible or plans to be eligible by the date eligibility is confirmed based on these criteria.

With this letter, we agree that we will provide the Wikimedia Foundation with details about the members of the board, senior management, and key employees associated with our organization to be screened for compliance with US law, upon request. We understand that WMF may contact us to request these details if and when they are needed. For each individual, we will provide a full name in English and in the language of origin, any other names used, the country of residence, the place and date of birth, and a copy of a government issued photo identification document if requested.

We currently plan to request funds in Round round. At that time, we will submit our annual plan with full financials. We anticipate that our funding request may be approximately US$ amount or local currency.

Sincerely,