Contacts: Grant Application

Grant Organization
Contact Last
Contact First
Contact Title
Contact Salutation
Mailing Street
Mailing City
Mailing Zip
Main Phone
* Maj/Min
Item
Amount Requested
* Category
OK for Grant Cycle
Program Outreach
Outreach Count
Site Street
Site City
Site Zip Code
Comments
Email
Fax
Season
Year
History
Three Years since previous grant
Fed 501C3
Fed 501C3 Three Years Old
State 23701(D)
Capital Item
Two Bids
Financial Statement
Board Members
Rating
Score
Amount Funded
Approved for funding
Area
Region
Site Zip Code (ID)
* Grant Season
LP Year
Organization AKA
Name for Check (if different)
Invoice Received
Invoice Date
Website
Invoice Not Received
501 (c) 3 Name
Publicity Info Received
Cell Phone
* Grant Organization (ID)
LP Team 1
LP Team 1 (ID)
LP Team 1 Last Name
LP Team 2
LP Team 2 (ID)
LP Team 2 Last Name
Link to Report


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