[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-301490-105":53,"doc-detail-301490-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","beneficiary-assessment-grant-information-questionnaire","Beneficiary Assessment - Grant Information Questionnaire","","Beneficiary Assessment form collecting grant-related organizational details and eligibility information. It records the organization’s legal name, EIN, ARPA project number, fiscal impact amount, and grant period, plus authorized representative contact and attestation fields including signature. The questionnaire covers whether the organization sought assistance, experienced revenue loss or cost increases during 2020–2021 due to COVID-19, adopted mitigation measures, expects increased service needs, and can provide required supporting documents such as certificates, tax-exempt forms, IRS nonprofit documentation, SAM.gov status evidence, audited financial reports, tax return transcripts, and a current W-9.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/beneficiary-assessment-grant-information-questionnaire/301490/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/beneficiary-assessment-grant-information-questionnaire/301490.png","ImageObject",442,249,{"name":88,"@type":89},"Guten tag","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What organization details are required in the Beneficiary Assessment form?","Question",{"text":108,"@type":109},"The form requests the organization name, EIN, ARPA project number, fiscal impact, and the grant period, along with authorized representative contact information.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How does the form address COVID-19 impacts from 2020 and 2021?",{"text":113,"@type":109},"It asks whether revenues decreased or costs increased during 2020–2021 due to COVID-19, whether mitigation measures were implemented, and whether increased service needs are expected as a result.",{"name":115,"@type":106,"acceptedAnswer":116},"What documents does the form require for eligibility and verification?",{"text":117,"@type":109},"It requests supporting copies such as certificate verification and certificate of fact, Texas tax-exempt forms, IRS nonprofit documentation, SAM.gov account status evidence, audited financial reports (last 48 months), tax return transcripts (past years), and a current W-9.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},301490,1790151949,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","| Beneficiary Assessment |  |\n| --- | --- |\n| Organization Name | American Legion, Alfredo Gonzalez Post 408 |\n| EIN ([Sam.gov](Sam.gov)) | 74-1703215 / UJRTXB5FATE6 |\n| ARPA Project Number | ARPA-24-124-378 |\n| Fiscal Impact | $77,366.00 |\n| Grant Period | Through December 2025 |\n\n\n| Authorized Representative |  |  |\n| --- | --- | --- |\n| Individual who is appropriately authorized to attest to the accuracy of the information below.\u003Cbr>Name Omar Medina Title Adjutant\u003Cbr>Phone Number 956-279-0862 Email  [americanlegionpost408@gmail.com](americanlegionpost408@gmail.com) | Signature | |\n\n\n| \\# | Question | Response-Select from Dropdown | Comments |\n| --- | --- | --- | --- |\n| 1 | Did your organization submit a letter requesting assistance? (Attach copy.) | Yes |  |\n| 2 | Did your organization endure decreased revenues or increased costs during the 2020 and 2021 years due to the COVID-19 pandemic? (Provide brief description) | Yes | Due to COVID-19 restrictions our Post had to close down to prevent the spread ofCOVID. The shut down cost the post a substantial amount of lost revenue. |\n| 3 | Did your organization implement measures/interventions to mitigate the spread of COVID-19 . (Provide brief description) | Yes | Post 408 implemented social distancing as well as provided hand sanitizers and masks to all our guests. We also suspended dances and meetings in order to prevent the spread ofCOVID-19 . |\n| 4 | Does your organization anticipate increased service needs as a result of COVID-19?(Provide brief description) | Yes | Many veterans experienced heightened mental anguish and the absence of regular support sessions significantly impacted their mental health and overall quality of life. |\n| 5 | Provide a copy of the Secretary of State Certificate Verification for Certificate of Fact foryour organization. | Yes |  |\n| 6 | Provide a copy of the Texas Tax-Exempt Form for your organization. | Yes |  |\n| 7 | Is your entity a 501(c)(3)/501(c)(19) tax-exempt organization? If yes, please provide a an IRS Non-profit form. | Yes |  |\n| 8 | Does your organization have an active [SAM.gov](SAM.gov) account that is not debarred, suspended or federal debt delinquent? (If Yes, [provide a copy from SAM.gov](provide a copy from SAM.gov).) | Yes |  |\n| 9 | Does your organization have Audited Financial Reports for the last 48 months? (If Yes, provide copies for the past 4 years) | N/A |  |\n| 10 | Does your organization have Tax Return Transcripts for the past 4 years? (If Yes, provide copies for the past 2 years) IRS Tax Record Transcript Link | Yes |  |\n| 11 | Does your organization have a current W-9? (If Yes, provide a copy.) | Yes |  |","cbCaiqk7qNRAW0SW","https://ap.wps.com/l/cbCaiqk7qNRAW0SW","pdf",244022,"English","# Beneficiary Assessment\n## Organization details and grant period\n## Authorized representative and attestation\n## Eligibility questions and document requests","[{\"question\":\"What organization details are required in the Beneficiary Assessment form?\",\"answer\":\"The form requests the organization name, EIN, ARPA project number, fiscal impact, and the grant period, along with authorized representative contact information.\"},{\"question\":\"How does the form address COVID-19 impacts from 2020 and 2021?\",\"answer\":\"It asks whether revenues decreased or costs increased during 2020–2021 due to COVID-19, whether mitigation measures were implemented, and whether increased service needs are expected as a result.\"},{\"question\":\"What documents does the form require for eligibility and verification?\",\"answer\":\"It requests supporting copies such as certificate verification and certificate of fact, Texas tax-exempt forms, IRS nonprofit documentation, SAM.gov account status evidence, audited financial reports (last 48 months), tax return transcripts (past years), and a current W-9.\"}]","Beneficiary Assessment - Grant Information Questionnaire | PDF",1789782973]