​Wythe-Bland Foundation Grant

​Wythe-Bland Foundation Grant

Status: ACTIVE
Funder: Wythe-Bland Foundation
Last Updated: August 18, 2025

Summary

The Wythe-Bland Foundation Grant supports health, education, and well-being projects that benefit the citizens of Wythe and Bland counties. Established in 2005 from the lease of Wythe County Community Hospital, this non-profit foundation aims to provide essential services and maintain financial stability by managing its resources prudently. There are currently no limits on grant sizes, allowing flexibility to meet the needs of prioritized projects. The foundation emphasizes sustainable investment for long-term community benefit.

Overview

​Wythe-Bland Foundation Grant The Wythe-Bland Foundation, a non-stock 501(c)(3) health legacy foundation, was created from the lease of Wythe County Community Hospital in 2005. It is managed by a Board of thirteen (13) members who are community leaders residing in Wythe and Bland counties. Board members serve without compensation. The Foundation owns all of the real estate associated with Wythe County Community Hospital and is responsible for ensuring tenant compliance with the terms of the lease agreement. This pre-paid lease created the charitable wealth that generates earnings from investments to provide grant resources to Wythe and Bland County eligible not-for-profit organizations. As a condition of the lease approval, by the Virginia Attorney General, awards are made for health, education, and well-being projects that provide essential services to the citizens in the two-county area with an emphasis on health. The Spending Policies and Community Investment Strategies of the Foundation have been created to preserve the asset base as an enduring endowment; therefore, the investment for grants and management of the Foundation are limited to approximately 5% of the value of the asset base annually. Funding At the present time, the Foundation has not set limits on the size of grants. The Foundation does, however, reserve the right to set upper or lower limits on the size of grants in order to promote efficiency in grant administration, provide for financial stability, and to ensure that there are adequate funds to support both current and long-term projects deemed a priority by the Board.

Eligibility

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Application Details

GRANT GUIDELINES
i.

Wythe-Bland Foundation
155 West Monroe Street
Wytheville, VA 24382
Phone: (276) 228-8001
Fax: (276) 228-9001
www.wbfoundation.com
Travis D. Jackson, Executive Director & CEO
tjackson@wbfoundation.com
Meredith J. Summers, Executive Assistant
msummers@wbfoundation.com
ii.

Table of Contents
About the Wythe-Bland Foundation ............................................................... 1
Mission Statement ....................................................................................... 1
Vision Statement ......................................................................................... 1
Core Values ............................................................................................... 1
Areas of Interest .......................................................................................... 2
Grant Priorities – General Guidelines ............................................................. 2
Grant Priorities – Specific Guidelines ............................................................... 2
Grant Restrictions ....................................................................................... 3
Funding Level ............................................................................................. 3
Grant Funding Cycle .................................................................................... 4
Grant Review Process .................................................................................. 4
Project Accountability and Continuity ............................................................ 5
Reporting .................................................................................................. 6
Disbursements ........................................................................................... 7
Publicity .................................................................................................... 7
Grant Application Submission Requirements .................................................. 7
Wythe-Bland Foundation Grant Application ................................................. 8
Wythe-Bland Foundation Funded Project Progress Report .......................... 20
Wythe-Bland Foundation Project Evaluation & Final Report ........................ 21
iii.

ABOUT THE WYTHE-BLAND FOUNDATION
The Wythe-Bland Foundation, a non-stock 501(c)(3) health legacy foundation, was created from
the lease of Wythe County Community Hospital in 2005. It is managed by a Board of thirteen (13)
members who are community leaders residing in Wythe and Bland counties. Board members
serve without compensation. The Foundation owns all of the real estate associated with Wythe
County Community Hospital and is responsible for ensuring tenant compliance with the terms of
the lease agreement. This pre-paid lease created the charitable wealth that generates earnings
from investments to provide grant resources to Wythe and Bland County eligible not-for-profit
organizations. As a condition of the lease approval, by the Virginia Attorney General, awards are
made for health, education, and well-being projects that provide essential services to the citizens
in the two-county area with an emphasis on health. The Spending Policies and Community
Investment Strategies of the Foundation have been created to preserve the asset base as an
enduring endowment; therefore, the investment for grants and management of the Foundation
are limited to approximately 5% of the value of the asset base annually.
Qualified organizations may apply for grants for new programs, current programs or establishing
or investigating new projects. No grants will be awarded if the Foundation Grant Application and
other requested information described in these guidelines are not provided. Verbal or written
letters of request or other inquiries cannot be considered as, or submitted for a formal Grant
Application. Applications must be complete and delivered to the Foundation office digitally or in-
person by 5:00 p.m. on August 1st to be accepted for funding consideration. Any application
received after that time will not be considered.
MISSION STATEMENT
Providing opportunities for innovation and collaboration to promote a healthier community.
VISION STATEMENT
Our vision is to be a driver to promote a thriving community that meets the health, education, and
wellness needs of all citizens.
CORE VALUES
We value above all else:
• Integrity
• Fairness
• Innovation and Intentional Collaboration
• Empathy and Commitment
• Our Partners’ Missions
1

AREAS OF INTEREST
The Board of Directors of the Foundation will only approve grants to those identified as nonprofit
designated organizations, and government entities, serving Wythe and Bland Counties, Virginia that
support, promote, and/or further the Foundation’s mission.
The Foundation awards grants to organizations meeting its eligibility criteria in Wythe and Bland
Counties. These projects include, but are not limited to, the following:
• Projects that promote or improve the health of citizens in Wythe and Bland Counties
• Projects that promote or improve the education of citizens in Wythe and Bland Counties
• Projects that promote or improve the wellness of citizens in Wythe and Bland Counties
GRANT PRIORITIES-GENERAL GUIDELINES
The Board, in making grant decisions, will place the greatest priority on projects that:
• Contain matching funds
• Include collaboration and/or partnership with other nonprofit organizations
• Ensures measurable outcomes that accurately capture community impact
• Provides evidence of feasibility and sustainability of the proposed project
• Complies with the Wythe-Bland Foundation’s Grant Guidelines
GRANT PRIORITIES-SPECIFIC GUIDELINES
As the Board evaluates each Grant Application submission, areas of specific interest, and high
priority will include projects that in specific ways:
• Address healthcare needs of the underprivileged, underinsured, and uninsured
• Reduce adult and childhood obesity
• Address health and nutritional needs
• Improve access to dental care
• Address mental health needs
• Increase health and wellness education
• Provide impactful education opportunities
• Provide and improve access to education
• Reduce the pregnancy rate
• Address childhood wellbeing
• Address prevention and treatment for substance abuse
• Provide measurable, positive community impact
2

GRANT RESTRICTIONS
To comply with federal guidelines and legal restrictions, the Foundation will not fund and will
deny the following types of grants:
• Grants to individuals
• Grants to organizations for projects serving the population outside of Wythe or Bland
Counties
• Grants to government entities for purposes that are identified as typical government
reponsibility
• Grants to religious organizations for religious purposes
• Grants to endowments, or other discretionary funding pools
• Grants for fund-raisers, or other ticketed special events
• Grants for political purposes or for lobbying activities
• Grants for debt reduction
• Grants for the purchase of vehicles
• Grants for projects unrelated to the Foundation’s mission, vision, or values
• Grants supplanting other organizational funds
FUNDING LEVEL
At the present time, the Foundation has not set limits on the size of grants. The Foundation does,
however, reserve the right to set upper or lower limits on the size of grants in order to promote
efficiency in grant administration, provide for financial stability, and to ensure that there are
adequate funds to support both current and long-term projects deemed a priority by the Board.
Generally, funding levels for grant distribution and cost of operations during a fiscal year is expected
to be approximately five percent (5%), of the total value of the Foundation’s endowment.
Grants will be awarded on a twelve (12) month basis, October 1 to September 30; however, the
Board may consider multi-year grants. Grant Applications seeking matching funds must provide
written documentation from the other contributor(s) or the Board may make the Foundation’s grant
contingent on receipt of such matching contribution(s). The documentation may include a letter or
resolution from the other contributor(s). The Board reserves the right to request additional
documentation of expenditures, including, but not limited to cancelled checks or expenditure
certifications, and to require project status reports and periodic updates.
3

GRANT FUNDING CYCLE
Grant Applications are reviewed one (1) time per year to consider recommendations for
funding. All Grant Applications must be submitted via e-mail or hand delivery and received prior to
5:00 p.m. on August 1st. The Grant Application and all requested
information must be completed by the due date to be considered in the Grant Review Cycle.
Applications which are not timely submitted will not be considered for the current Grant Cycle.
Grant Application Due Date Grant Review Cycle Grant Award Dates
August 1st August/September October
GRANT REVIEW PROCESS
When Grant Applications are received, the information will be reviewed by the Foundation
staff to determine compliance with the Grant Application Guidelines.
If the application is deemed to be incomplete, the Foundation staff may request additional
information. If the information is received in the time specified by the Foundation staff, the
application will be considered in the current Grant Review Cycle. If the information is not
received, or the application is still considered incomplete, the application will not be considered in
any subsequent cycle. To be considered, a new application will need to be submitted for
the next grant cycle.
The Board of the Foundation will review the applications and reserve the right to ask for
additional information, or to make a site visit during the review process. Upon completion of the
Application review, the Board of Directors will make the final decision for funding regarding each
grant.
Applicants are required to use the most current guidelines in preparing the Grant Application.
The Foundation will evaluate Grant Applications based, in part, on the following:
• Is the proposed project consistent with the Foundation’s mission?
• Has the organization received previous funding from the Foundation and successfully met
the requirements contained in the Grant Agreement?
• Has the applicant submitted all of the information required by the Foundation, and does the
application only reflect one project? (Organizations may not combine multiple projects in one
application.)
• Has the applicant clearly stated the need to be addressed, the need for the grant, and the
community impact that the project will have?
• Does the project application clearly define the Outcome and Objectives using the
SMART (Specific, Measurable, Attainable, Realistic, Timely) approach?
• Has the proposing organization clearly documented its capacity and experience to
develop and implement the proposed project?
4

• Is the proposed project consistent with the applicant’s historical mission?
• Has the organization and project leadership demonstrated the skills and experience
required to successfully complete the proposed project?
• Is the project timetable realistic?
• Does the budget clearly reflect the resources necessary for the proposed project,
including the operation and maintenance cost of the organization?
• Does the organization have a Sustainability Plan and/or a Business Plan?
• Has the applicant developed a broad base of support for the project including volunteers
and/or partnering with other agencies and funders?
• Have applicants with past Foundation funded projects fully complied with the requirements
found in the Grant Agreement?
After the Grant Application review process is completed, applicants will be notified in writing by the
Foundation staff regarding the final outcome of their request. If the grant is approved, the Foundation
staff will issue a letter advising the applicant of the award and of any conditions, restrictions,
payment terms, and reporting requirements (which may include on-site visits) connected with the
grant award. The applicant will be required to execute a Grant Agreement and agree to hold harmless
and indemnify the Foundation from any claim, loss, expense related to the applicant’s activities or
use of the grant award. The Grantee has thirty (30) days from the dated grant offer to return the
executed Grant Agreement, or the offer of award may be rescinded.
The grant award fiscal year is October 1st to September 30th, regardless of the date that the Grant
Agreement is executed.
The number and amount of requests, community impact, Board priorities, federal and state laws and
regulations, and available funds may require the Foundation to not fully fund a request.
PROJECT ACCOUNTABILITY AND CONTINUITY
The Foundation’s award letter specifies the terms of the grant, including the use of grant funds,
reporting schedule, and the need to adhere to Foundation grantmaking policies.
Each organization receiving the funds from the Foundation may be required to provide periodic
financial reports and project reports. Additionally, digital photographs of the funded project are
required for inclusion on the Foundation’s newsletters, press releases, websites, and/or social
media accounts. The grant recipient will insure that any individual(s) depicted in submitted
photographs have given permission for use of their photo.
Failure to expend grant funds and to provide a complete, accurate, and timely accounting of award
expenditures within one year, or term agreed to at the application approval, may prohibit the
organization from receiving future funding from the Foundation. It may also result in the Foundation
seeking restituion of any misspent funds.
5

Grants recipients must inform the Foundation immediately if significant events occur that may
impact the project. Examples may include, but are not limited to, a change in the project director,
change in project budget, or change of operation that impacts the goals and objectives. Failure to
notify the Foundation of issues that could adversely impact the project may result in a temporary or
permanent cessation of payments, or possible action to reclaim funds.
REPORTING
Forms
• The Wythe-Bland Foundation Funded Project Progress Report is used for the Mid-term report
and to inform the Board of the progress of the community impact of funded projects.
Grantees will complete for all money spent as of the date of the report. Invoices are not
o
required to be submitted.
Grantees will submit the form by March 15th.
o
• The Wythe-Bland Foundation Project Evaluation and Final Report is used for the Final report.
Grantees will complete the Outcome Evaluation Form, Evaluation and Final Report, and
o
documentation for all funds spent.
Individual receipts are not required unless additional documentation is requested.
o
• The Outcome Evaluation Form is required for the grant and sets measurable goals for the project
and is submitted with the Final report.
One copy of the report, both Wythe-Bland Foundation Funded Project Progress Report and Project
Evaluation and Final Report, should be submitted online via e-mail, or mailed to:
msummers@wbfoundation.com
or
Wythe-Bland Foundation
155 West Monroe Street
Wytheville, VA 24382
Overdue Reports
When a project is not completed in a timely manner, or Wythe-Bland Foundation Funded Project
Progress Report, or Wythe-Bland Foundation Project Evaluation and Final Report is not provided,
an Overdue Report letter is sent to the Grantee and the grant award may be rescinded. All
advanced grant funds not adequately accounted for by the Grantee may have to be repaid to the
Foundation.
6

DISBURSEMENTS
Disbursements for grant awards are made in three payments. Any request for deviation from this
schedule must include a thoroughly written documented need and be approved in advance by
the Foundation.
The schedule of disbursements will be as follows:
• Payment 1: One-third of the award is given to the Grantee when the original Grant Agreement
award letter is signed and returned by the Grantee.
• Payment 2: The second one-third disbursement is made upon receipt and approval of the Wythe-
Bland Foundation Funded Project Progress Report.
• Payment 3: The final one-third disbursement is given when the final report is received which
includes documentation of the checks written for the grant. (The final payment will reflect any
change to the project budget with any unapproved funds reducing the total award to the Grantee).
PUBLICITY
Each organization receiving grants from the Foundation are quired to include the Wythe-Bland
Foundation logo within the publications and advertising of the funded project. Logo files can be
found on the Wythe-Bland Foundation website.
GRANT APPLICATION SUBMISSION REQUIREMENTS
All Grant Applications must be submitted by the Grant Application due date. Applications must be
in writing, and should be based on the most current Grant Guidelines. Grant Applications must be
complete and submitted via e-mail or hand-delivery by the required deadline. Faxes are not
accepted.
Once the Grant Application is completed by the organization, the application must be signed and
dated by an individual authorized to do so by the applying organization. If any sections of the Grant
Application are not completed, a written statement must be submitted explaining the reason(s), or
the application may not be considered.
7

Wythe-Bland Foundation
Grant Application
Before completing this and other Grant Applications, be sure to:
• Read all instructions thoroughly before beginning and complete all questions.
• Research and communicate with other funders – obtain a copy of funding
guidelines, deadlines and/or annual report. Be aware of each funder’s
preferred method of initial contact, and additional information required.
• Be strategic – make sure your goals, objectives, and amount requested match the
criteria of the Foundation.
APPLICANT
1. Name of Organization:
2. Tax I.D. Number:
3. Legal Name (as the identified by IRS):
(if different than above)
4. Address:
5. Phone:
6. Fax:
7. Website:
8. Executive Director:
9. Primary Contact:
(Foundation contact will be addressed to this individual)
Title:
E-mail:
Phone:
Fax:
8

10. Current Board President: N/A
11. Current Board Members: N/A
12. Does your organization have an IRS nonprofit designation?
Yes
No
If no, name of fiscal agent:
13. Did your organization use Form 1023-EZ to obtain a 501(c)(3) Designation?
Yes (If yes, provide a copy of Form 1023-EZ)
No
14. Is your organization a government entity?
Yes
No
15. Select your organization’s annual financial reporting method:
Fiscal Year:
Start Date: End Date:
OR
Calendar Year: (January 1 – December 31)
16. Total Organizational Operating Budget for one (1) year:
17. Other than the Wythe-Bland Foundation, list three of the largest funders for your
operating budget in the last fiscal year and amount of funding.
1. Funder: Amount funded:
2. Funder: Amount funded:
3. Funder: Amount funded:
9

18. State your organization’s Mission Statement (if none, state your project’s mission):
19. Is this request being submitted exclusively to the Foundation?
Yes
No (If no, attach additional funding source(s) information)
PROJECT INFORMATION
20. Project Title:
21. Summarize your proposal and how it fits with the Foundation’s mission and
grantmaking priorities while focusing on the community impact and document the
number of Wythe and Bland County citizens that will be served:
22. Has the project been approved by the governing body of your organization?
Yes
No
23. Date of approval:
24. Total Project Budget:
25. Amount requested from the Wythe-Bland Foundation:
(Round to the nearest hundreds)
26. Amount of other project funding sources:
27.Percent of total project requested from the Wythe-Bland Foundation: %
*Note: If the project is approved and funds are awarded and other project funding sources are
decreased, than the Wythe-Bland Foundation’s funds will be decreased to provide the agreed
upon funded percentage of project.
28.Duration of grant requested project: Months
(Provide justification if project exceeds 12 months)
29. Project Starting Date:
30. Project Ending Date:
10

31. How would you request grant funding be advanced?
Normal funding advances are made 1/3 grant amount at execution of the Grant Agreement, 1/3
upon submission of the Wythe-Bland Foundation Funded Project Progress Report, and final
payment at completion of project and submission and approval of the Wythe-Bland Project
Evaluation and Final Report.
Normal Funding:
Other (Describe below):
If other method of funding advances is requested, please provide a justification:
AGREEMENT
I certify, to the best of my knowledge, that all information included in this proposal is correct. The
tax-exempt status of this organization is still in effect. If a grant is awarded to this organization, the
proceeds of that grant will not be distributed or used to benefit any organization or individual
supporting or engaged in unlawful activities. The Wythe-Bland Foundation requires that you certify
your application by submitting an electronic signature. To certify your application, provide an
electronic signature (type your name) and check box to confirm your signature.
Enter Electronic Signature: *Signature Box:
(Type your full name here)
Date:
11

FEASIBILITY REPORT
1. Existing Service. Briefly describe what service you currently provide or how service is
currently provided.
2. Proposed Project. Describe the proposed project and provide a description of how
Foundation grant funds will be used.
3. Need for the Project. Indicate why the proposed project is needed and the community
impact it will have. What conditions will be different from the date prior to grant award
and once your project is complete?
4. Need for the Grant. Identify why the Wythe-Bland Foundation grant is needed.
(Provide evidence addressing items such as your organization’s balance sheet, or other
resources).
5. Sustainability. Identify how this project is going to be sustained in the future.
6. Service Area. Indicate what area the proposed project will serve and, if known, the
population or number of individuals to be served.
12

APPLYING ENTITY
7. Organizational Income. List the sources and estimate the amount of expected
revenue for a typical year.
(This table or other format that contains similar information may be used and attached).
Entity/Source Amount of Funds
$
$
$
$
$
$
$
$
8. Organizational Operating History. If you have operated a similar program, attach
audits, financial statements, or lists of income and expenses for the past year.
(This table or other format that contains similar information may be used and attached).
Source Income Source Expense
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
13

PROJECT BUDGET
Part A: Project Cost Estimate
Construction………………………………………………………… $
Real Estate………………………………………………………….. $
Administrative Costs…………………………………………….. $
Professional Fees……………………………………………….... $
Equipment Purchase…………………………………………….. $
Other (describe)……………………………………………………. $
Total: $
Part B: Provide a breakdown in project related costs and itemize how requested Wythe-
Bland Foundation funds will be used.
(This table or other format that contains similar information may be used and attached).
Proposed Project Cost WBF Grant Other Funds Total
9. Other funding sources. List the sources and amount of funds that may be available
other than from the Wythe-Bland Foundation, to fund part of the project.
(This table or other format that contains similar information may be used and attached).
Entity/Source Amount of Funds
$
$
$
$
$
$
$
14

PROJECT CALENDAR
Explanation, if necessary
Month
(one sentence or less)
October
November
December
January
February
March
April
May
June
July
August
September
16

Budget Form
Overview: An important component of your Grant Application is the preparation of a
detailed project budget and budget narrative.
(This form or other format that contains similar information may be used).
Line-Item Budget Guidelines:
• The line-item budget should include all income and expenses associated with the
proposed project. Please note that not every line-item applies to every project.
• Projected Operating Budget to be completed for three years beginning with the first
year of grant award.
Three (3) Year Projected Total Organizational Project
Income and Expense Statement
Income Year 1 Year 2 Year 3
Foundations $ $ $
Other Grants $ $ $
Earned Income $ $ $
Interest Income $ $ $
Total Revenue: $ $ $
Expenses Year 1 Year 2 Year 3
Salary Wages and Benefits $ $ $
Insurance $ $ $
Professional Fees $ $ $
Equipment $ $ $
Supplies $ $ $
Debt Service $ $ $
Other Expenses $ $ $
Total Expenses: $ $ $
$ $ $
Net Income
16

Project Outcome and Objectives
(Use the SMART approach for the creation of your measurable outcome and objectives.
SMART is an acronym that stands for Specific, Measurable, Achievable (or Attainable), Relevant (or Realistic), and Time-bound).
GRANT DATE: AGENCY:
Outcome Indicators/ Target/ Conditions/ Data Source/ Results &
Baseline
Objectives Measures Benchmark Limitations Collection Comments
Measurable result What is being Degree of change Starting point or Criteria for Where data will Your results; brief
established for measured expected standard inclusion; describe come from & comments on
project & define group or how/when challenges/problems
project collected
1.
2.
3.
4.
5. Compare the
previous year
results
17