Charity Application - Brown-Daub

Brown-Daub Charities
Grant Application

Please answer all questions completely and thoroughly.
Incomplete applications will be returned without consideration.

Name of Non-Profit Organization

Street Address

City

State

Zip

Phone

Website

Contact Name

Email Address

Title

Years of Operation

Mission

Amount of funding are you seeking (in U.S. dollars)

Describe in depth the reason your organization needs funding, detailing what the funding will be used for and who will benefit. If funding is for a specific project, please including cost, length of project, and estimated completion date

What geographic area will be served by your organization with the funding you seek

Name amount and source(s) of additional funding secured for the program or project

Describe how will you measure the success of the program/project where the funding will be used

Attach 501(c)3 document here

Attach Current Budget here

Attach Project Budget here

Attach Board Listing here

Attach Federal 990 here

• Copy of valid IRS letter granting 501 (c)3 non-profit status
• Board approved organizational budget for current fiscal year
• Project or Program budget
• List of Board of Directors, including professional affiliation
• Federal Tax Return 990

8045

Brown-Daub Charities Grant Application

Please answer all questions completely and thoroughly. Incomplete applications will be returned without consideration.

Brown-Daub Charities
Grant Application

Please answer all questions completely and thoroughly.
Incomplete applications will be returned without consideration.