Grigg-Lewis Foundation, Inc.

APPLICATION PROCESS:
Please either fill out the form below to apply for a grant online, or click Grigg-Lewis Grant Application to download a printable application in Microsoft Word format.

Deadlines:

Due to current financial conditions, the Foundation may hold requests until 2010 for funding consideration.

Organization Name:

Address:

City:

State:

Zip:

E-mail Address:

Website:

Date Incorporated:

Date Fiscal Year Begins:

Contact Person and Title:

Contact Phone:

Total Agency Budget:

Program Budget:

Amount Requested:

Project Title:

Project Start Date:

Completion Date (if applicable):

Is this a new program for your organization? Yes No

Previous funding from the foundation? Yes No

Date:

Briefly summarize the organization's history, mission, goals:

Purpose of request:

Describe need & impact on Niagara County:

List any other organizations in the area with a purpose similar to your organization, and any collaboration, if appropriate:

Describe your plans for sustaining the program (if applicable):

Funding sources, and amounts applied for, received or committed:

YOU WILL ALSO NEED TO SEND US THE FOLLOWING TO COMPLETE YOUR APPLICATION:

A complete budget for the project or program

The current or proposed annual operating budget; Describe separately in-kind services and volunteers' hours.

An applicant must have obtained a 501 (c)(3) determination letter prior to submitting an application and must include a copy with this application. If the applicant is not required to have obtained a 501 (c)(3) letter, it must provide a copy of an IRS letter or a legal opinion certifying that the applicant is a public charity as described in section 509(a)(1), (2) or (3).

A list of officers and directors and relevant affiliations.

Organization Name:
Address:
City:
State:
Zip:
E-mail Address:
Website:
Date Incorporated:
Date Fiscal Year Begins:
Contact Person and Title:
Contact Phone:
Total Agency Budget:
Program Budget:
Amount Requested:
Project Title:
Project Start Date:
Completion Date (if applicable):
Is this a new program for your organization?	Yes No
Previous funding from the foundation?	Yes No Date:
Briefly summarize the organization's history, mission, goals:
Purpose of request:
Describe need & impact on Niagara County:
List any other organizations in the area with a purpose similar to your organization, and any collaboration, if appropriate:
Describe your plans for sustaining the program (if applicable):
Funding sources, and amounts applied for, received or committed: