Conrad & Virginia Klee Foundation

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84 Court St., Suite 500
Binghamton, NY 13901
Tel: 607-722-2266
Fax: 607-722-2264

BOARD INFORMATION SHEET

THE CONRAD AND VIRGINIA KLEE FOUNDATION, INC

BOARD INFORMATION SHEET

In performing its due diligence for each grant request, the Klee Foundation looks at the proposed program to understand how it relates to the organization’s mission and long-range plan. Equally important are the policies that its board has put in place to ensure effective management of the organization, to adhere to legal requirements, and to promote best practices. For this reason we ask that a Board officer respond to the following questions. Please feel free to call us with any questions you may have concerning this form.

TO BE FILLED OUT AND SIGNED BY BOARD PRESIDENT OR OTHER
BOARD OFFICER AND INCLUDED WITH THE GRANT APPLICATION

How often does your board meet?
What is your attendance policy? How is it acted upon? What constitutes a quorum?
Do you have a policy limiting terms of office for board members and officers? Yes No
If yes, please explain:
Do you have a nominating/governance committee?
Yes No
What is its responsibility?
Does any staff member serve as a voting member of the board? Yes No
If yes, please explain:
Does your board have a policy to promote pluralism and diversity within:
Your board? Yes No
Staff? Yes No
Constituencies? Yes No     (If yes, please attach)
Do you have policies to avoid material conflicts of interest, for board and staff? Yes No (If yes, please attach)
Are the forms filled out annually? Yes No
Do you have a written long-range plan? Yes No (If yes, please attach)
Please describe your ongoing long-range planning process.
Do you have written personnel policies? Yes No
By whom and how often are they reviewed?
What is the procedure for board review of the Executive Director?
How does the board evaluate the effectiveness of your programs?

SIGNED ___________________________________________________________ DATE _____________________