Agency-Review-Without-Attachments | United Way of Greater Fall River

Disclosures

A signed Non-Discrimination Policy disclosure and Patriot Act disclosure are required for all agencies that receive funding from UWGFR.

Non-Discrimination Policy- Signature required*

Our agency has adopted a stated policy of nondiscrimination in regard to all persons, irrespective of their race, color, creed, religion, national origin, sex, sexual orientation, age, disability, or veteran’s status, and compliance with all requirements of law and regulations, with respect to employment, volunteer participation and the provision of services

Patriot Act Disclosure

In compliance with the spirit and intent of the USA PATRIOT Act and other counterterrorism laws, United Way of Greater Fall River requires that each agency (“Organization”) be in compliance with United Way of Greater Fall River and the United Way of America’s (“UWA”) compliance program by certifying the following:

This Organization is not on any federal terrorism “watch lists,” including the list in Executive Order 13224, the master list of specially designated nationals and blocked persons maintained by the Treasury Department, and the list of Foreign Terrorist Organizations maintained by the State Department*.*

Comply
Do Not Comply

In this form, “material support and resources” means currency or monetary instruments or financial securities, financial services, lodging, training, expert advice or assistance, safe houses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials.

This Organization does not, will not and has not knowingly provided financial or material support or resources to any entity that has knowingly concealed the source of funds used to carry out terrorism or to support Foreign Terrorist Organizations.*

Comply
Do Not Comply

This Organization does not, will not and has not knowingly provided financial, technical, in-kind or other material support or resources* to any individual or entity that is a terrorist or terrorist organization, or that supports or funds terrorism.*

Comply
Do Not Comply

This Organization does not, will not and has not knowingly provided or collected funds or provided material support or resources with the intention that such funds or material support or resources be used to carry out acts of terrorism.*

Comply
Do Not Comply

This Organization does not regrant to organizations, individuals, programs and/or projects outside of the United States of America with out compliance with IRS guidelines.*

Comply
Do Not Comply

This Organization takes reasonable, affirmative steps to ensure that any funds or resources distributed or processed do not fund terrorism or terrorist organizations.*

Comply
Do Not Comply

This Organization takes reasonable steps to certify against fraud with respect to the provision of financial, technical, in-kind or other material support or resources to terrorists and terrorist organizations.*

Comply
Do Not Comply

Patriot Act Consent- Signature Required*

I certify on behalf of the Organization listed above that the foregoing is true, and that all United Way funds and donations will be used in compliance with all applicable anti-terrorist financing and asset control laws, statutes and executive orders.”

Agency Application - FY2022 - No Attachments

Step 1 of 4 - Contact information

Basic Information

Disclosures

Patriot Act Disclosure

Submission