Grant Application - Kenneth & Caroline Taylor Family Foundation

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Organization Requesting Grant *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Organization Taxpayer Identification Number

Organization Phone Number

Organization Contact *

First

Last

Contact Title

Contact Email *

Contact Phone

What type of funding is your organization seeking (check one): *

Capital
Operating

Operating (Time)

Annual
One Time Basis

Is your organization a member of the local United Way? *

United Way Letter

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If this is a capital campaign please attach a copy of the letter from the local United Way approving the campaign.

Has the Internal Revenue Service granted your organization 501(c)3 tax-exempt status?

Please attach a copy of the IRS letter verifying your 501(c)3 tax-exempt status.

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We are unable to make grants to organizations that do not hold 501(c)3 tax-exempt status.

Save and Resume Later

Briefly describe the project for which funding is being requested: *

Attach Additional Pages if Necessary

If applicable, do you or will you own the building/facility which you seek to improve or purchase?

If applicable, what is the physical location of the building/facility you seek to improve or purchase?

What is the projected cost of the project?

Attach a project budget in summary form if applicable

How much of this total does this campaign seek to raise?

How much of the campaign goal do you plan to raise from business?

How was the amount determined?

"How much of the campaign goal do you plan to raise from business?"

Amount requested from the Taylor Family Foundation?

When is the estimated start of project?

When is the estimated completion date of project?

Will there be more than one phase of this campaign?

For each additional phase indicate when it will begin and end, the campaign goal, and whether additional support from the Taylor Family Foundation will be requested:

Save and Resume Later

Expected source of income for this campaign:

Federal Tax Dollars

United Way

Your Board of Directors

Business & Corporate Foundations

State Tax Dollars

Local Tax Dollars

Private Foundation & Individual Contributions

Other Sources

TOTAL

Please attach a list of business and foundation contributions received for this campaign. The list should include the name of each business and/or foundation and the amount it has pledged or paid.

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Please provide information on your past campaigns of this type:

Date

Campaign Goal

Total Raised

Summary Use of Funds

Save and Resume Later

Please attach the following information about your organization:

Most recent fiscal year-end Balance Sheet and Profit/Loss Statement:

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Current Balance Sheet and Profit/Loss Statement:

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A copy of your current operating budget:

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Narrative material including a history of your organization, your organizational goals and their implementation in the community, a description of services offered and the number of people served and their geographic location.

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A summary of how your work differs from other community organizations that provide similar services.

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A list of your current board members.

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Please detail any planned recognition of donors.

Please attach any additional information you feel would be helpful in our review of this request.

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