Mt. Pleasant Fund Initial Application for Funding

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* 1. The name of your organization:

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* 2. Is yours an IRS recognized charitable organization?

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* 3. The individual with whom we should be communicating with regard to your application:

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* 4. The primary location of your organization

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* 5. Your mailing address (if different from your physical address)

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* 6. Do you operate from any additional locations? If so, where are they located?

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* 7. How old is your organization?

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* 8. Please, in less than 100 words, describe the population that directly receives your services:

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* 9. Please, in 100 words or less, describe the program services that your organization provides:

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* 10. If your organization has a website, please write the address here:

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* 11. Your organization's most recently reported annual income:

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* 12. The percentage of your most recently reported  income that came from:

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