General Property Information

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* 1. Legal Nonprofit Organization Name (as it appears on tax forms, etc.)

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* 2. Facility Name

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* 3. Facility Street and Number (if multiple street addresses at one property, please list)

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* 4. Facility City

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* 5. Facility County

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* 6. Facility State

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* 7. Facility Zip Code

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* 8. Nonprofit Organization Mailing Address (if different from facility address listed above)

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* 9. General Property Description (please include the legal description of your property as found on deeds, tax forms, etc. if you know it)

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* 10. How many buildings are you applying for?

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* 11. If your building(s) contain residential living units, please list total number here:

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* 12. Facility Ownership

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* 13. Have you previously applied for a NEEP grant for this facility? If yes, please list the year you applied and result of application. If you have applied for another facility within your same nonprofit, please also detail here.

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* 14. How long has your organization been at this location?

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* 15. How long do you intend to remain at this location?

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