Willis Foundation Short Form

Phil and Pat Willis Foundation

Short Form
This short form preliminary application is to save you time and let us analyze your project to then suggest you complete a full application.

Please complete the short form and submit electronically along with:

1) Your most current IRS Form 990 if your annual budget is more than $50,000

2) A current financial statement

3) Project Budget

4) 501c3 letter
Date of Application*

MonthDayYear
Are you a 501c3 or a governmental Unit? *
Tax ID*
Legal Name of Applying Organization:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Organization Website:
Amount Requesting:
Contact Person:*

First NameLast Name
Title:
Phone Number:*

Area CodePhone Number
Email:*
example@example.com
Purpose of Grant (200 words or less):
Geographic Area Served:
Securely upload the 4 requested forms (see above) here:

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