Over $500.00 Grant Application
Name of Organization
Legal Name if Different
Address
City
State
Zip Code
Emp ID Number (EIN)
Phone Number
Fax Number
Web Site Address
Name of top paid staff
Title
Phone
Email
Contact Person regarding this application
E-Mail Address
Phone
Title
Is your organization an IRS 501 (c) (3) not for profit ?
Yes
No
If "NO" to the above question, please describe the organization int he box below.
Funds are being requested for:
General Operating Support
Project/Program Support
Start-Up-Cost(s)
Technical Assistance
Capital
Other
Please describe details supporting the grant request in the box below
If you have any textual and or graphical information that would help to visualize/understand
the project/need for which this grant is being requested. Please mail them to:
Spin-Zone
Attn: Dave Hoff
P.O. Box 78
Cottonwood, MN 56258
Project Dates (if applicable):
Through
Dollar Amount Requested
Total Organization annual budget