GRANT APPLICATION
Contact Information
Full Legal Organization Name
Organization Website
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EIN
Organization President / Executive Director
First Name
Last Name
Title
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail Address
example@example.com
Contact Person
First Name
Last Name
Title
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail Address
example@example.com
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GRANT APPLICATION
Organization Information
501(c)(3)?
Yes
No
Year Established
Fiscal sponsor name
Fiscal sponsorship refers to the practice of non-profit organizations offering their legal and tax-exempt status to groups—typically projects—engaged in activities related to the sponsoring organization's mission. If no sponsor, keep blank.
Fiscal sponsor address
Total Organization Budget
Total # of Board Members
Total # of Staff
Total # of Volunteers
Organizational Mission Statements
Brief Description of Organization
Population Served
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GRANT APPLICATION
Proposal Request
Program / Project Name
Total Program Budget
USD
Requested Amount
USD
Percent of Total Budget
Start Date of Project
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
End Date of Project
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Funds Needed By
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Geographic Area Served
List Your Current Corporate Donors/Sponsors
Priority funding areas
The Lazy Bear Fund, Inc. focus is fundraising, education, and community organization for the benefit of the gay, lesbian, bisexual, transgender and transexual communities. An additional focus is medical research to the benefit of all communities.
Summary of Accomplishments and Current Programs
200 Word Limit
Most recent grants received from The Lazy Bear Fund:
Amount (1)
Date (1)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Amount (2)
Date (2)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Type a question
Submit
Should be Empty: