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Application #: Date of Application: Organization (legal name as on IRS determination letter): Address: City: State: Zip: Phone: Fax: Executive Director: E-Mail Address: Project Name: Purpose of Grant (one sentence) Date(s) of the Project: Amount Requested: $ Total Project Cost: $ Contact Person/Title: Phone #: E-Mail Address: Address (if different than above): City: State: Zip: Attachment Check List: IRS 501 (c) (3) determination letter (not applicable for schools or units of government) O Project Narrative O Project Budget O Board List O Audited Financials (if necessary) O Annual Report (if available) O Organizatio 瘁 漀 ⴹ⸰㐱⠀ሁ威 谁騩嵔䨊 O Signature, Chairperson, Governing Board Typed Name & Title Date: Signature, Staff Head of Organization Typed Name & Title Date: Oleson Foundation P.O. Box 904 Traverse City, MI 49685-0904 231-929-2605 E-Mail:[email protected] Grant Application Cover Sheet Letters of Support (if any) O
Transcript of sample
Application #:
Date of Application:
Organization (legal name as on IRS determination letter):
Address:
City: State: Zip:
Phone: Fax:
Executive Director:
E-Mail Address:
Project Name:
Purpose of Grant (one sentence)
Date(s) of the Project:
Amount Requested: $ Total Project Cost: $
Contact Person/Title:
Phone #:
E-Mail Address:
Address (if different than above):
City: State: Zip:
Attachment Check List: √IRS 501 (c) (3) determination letter(not applicable for schools or units of government) OProject Narrative OProject Budget OBoard List OAudited Financials (if necessary) OAnnual Report (if available) OOrganizational Chart O
Signature, Chairperson, Governing Board
Typed Name & Title Date:
Signature, Staff Head of Organization
Typed Name & Title Date:
Oleson FoundationP.O. Box 904
Traverse City, MI 49685-0904231-929-2605
E-Mail:[email protected]
Grant Application Cover Sheet
Letters of Support (if any) O
