The Palmer and Jane D. Davenport Foundation Grant Application
All fields with an asterisk are required. If you need further information please email request@davenportfoundation.org
Organization Name
*
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Person, and Job Title
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Amount Requested
*
By (date)
*
-
Month
-
Day
Year
Date
Name of Project
*
Briefly explain the purpose of funding (150 words or less):
*
0/150
Other funding requested for the project (please list source, amount, and whether or not it has been received)
Attachments
(PDF, Word, Excel or ZIP files only)
501 (c)(3) status
*
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Attach a copy of the organization’s 501 (c)(3) status as determined by the IRS, or evidence of monitoring by a qualified fiscal agent, if appropriate.
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of
Leadership
*
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Attach a list of the board of directors or advisory committee.
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Financial Information
*
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Attach the organization's financial information, including a copy of the most recent annual operating budget with line item expenses and sources of operating revenue.
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