John K and Thirza F 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.
Format: (000) 000-0000.
Email
*
example@example.com
Name of Project
*
Briefly explain the purpose of funding (150 words or less):
*
0/150
Amount Requested
*
By (date)
*
-
Month
-
Day
Year
Date
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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Submit
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