Request date
Organization name
Legal name (if different from organization name)
Primary officer's full name
Title
Address
City
State
Zipcode
Office telephone number
Ext.
Email
Web address
Tax id
List the total dollar amount your organization is requesting:
Describe in detail the specific purpose for the requested funding your organization is seeking
Goals and objectives
Indicate the number of animals your proposed grant will serve
Does your organization have other funding sources for the proposed project/program you are requesting? If yes, list the funding sources and dollar amounts
What is the breakdown of the funding received by percentage?
How will the MJC foundation support be acknowledged?
Time frame for project I acknowledge that this information is true and complete to the best of my knowledge.
How did you heard about our organization? WebsiteFacebookRecommendation of a friendAttendance at event
Preparer
Telephone #
Date
Cover letter IRS Determination letter IRS Form 990 Current operating budget Project operating budget Printed materials Project budget
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Name
Message
