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 Adobe Acrobat PDF format.

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.

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