Fillable Grant Application To be considered for funding, please

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Grant Application To be considered for funding, please

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1
Nov. 2015
Grant Application
To be considered for funding, please complete all portions of this form, adhere to the stated maximum
sizes and submit only typed material. Only material that fits on the two pages of this form will be read.
Contact Information
Legal Name of Organization:
Federal Tax I.D. #: Date submitted:
Address:
City:
State:
Zip Code:
Website:
Phone:
Executive Director Name:
Contact Name (if different from above):
Contact Title:
Contact Email:
Contact Phone:
Ext.:
Fiscal Agent Name (if applicable):
Organization Information
Brief Overview of Organization (History, key activities and programs) – 1,100 characters maximum
# Full-time Employees:
# Volunteers:
Organization Budget (most recent completed Fiscal Year): Revenue: $
Expenses: $
Sources of revenue from most recent completed Fiscal Year (List % of total revenue.)
Corporations
%
Fees (program or other)
%
Foundations
%
Government
%
Individuals
%
Other( please list):
%
TOTAL
100
%
Les Paul Foundation Grant Application
2
Nov. 2015
Project Information
Requested Amount: $ How many people will be reached
DIRECTLY by this project?
Description of Project for which you are seeking support - 1500 characters maximum
How will Les Paul’s Story be included in this project? 500 characters maximum
Project Budget
Funding Sources
Anticipated Amount
Committed Amount
Les Paul Foundation
pending
Total Income
Total Expenses
Project Timeline - 750 characters maximum
Submission Information
E-mail form to: info@lespaulfoundation.org or fax to 212-687-4457.
Deadlines: January 15 & September 15 Decision dates: April 1 & December 1
IMPORTANT: A copy of your 501 (c)3 designation letter must accompany application.
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Grant Application To be considered for funding, please

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Completed 15 January 2022

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