Fill - - Application.txt

Applicant Organization:

Payee Organization:

Phone Number:

Fax Number:

Contact Person and Position Held:

Description of Project:

THE FOLLOWING ENCLOSURES ARE REQUIRED FOR PROCESSING:

1. A copy of the I.R.S. letter granting 501(c)3 tax exempt status for applicant organization and payee

organization if different from applicant organization. (Not required for recognized public, not-for-profit

organizations, e.g., public schools, county and city governments.)

2. A budget for the total project which clearly shows how funding from the Carver Trust will be spent.

3. One, unbound and paginated copy of the proposal/project narrative.

4. Most recent audited financial statement.

Please return completed application to: Roy J. Carver Charitable Trust

202 Iowa Avenue

Muscatine IA 52761-3733

Roy J. Carver Charitable Trust Application Cover Sheet

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(mailing address) (city) (state) (zip)

(must be individual responsible for project implementation)

(if different from applicant organization)

Phone Number:

Fax Number:

E-mail:

Project Title:

Amount Requested:

Total Project Costs:

(For biomedical and scientific research grant applications, this description should be in NON-TECHNICAL language.)

Descriptions exceeding space allowed below (250 typewritten words) should be attached on a separate sheet.

Fill Online, Printable, Fillable, Blank - Application.txt Form