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2024 MPF Grantee Application
Mt. Pleasant Fund Initial Application for Funding
1.
The name of your organization:
2.
Is yours an IRS recognized charitable organization?
Yes
No
No, but we have a fiscal sponsor that is a recognized charity
3.
The individual with whom we should be communicating with regard to your application:
Name
Title
Email Address
Phone Number
4.
The primary location of your organization
Address
City/Town
State/Province
ZIP/Postal Code
5.
Your mailing address (if different from your physical address)
Address
City/Town
State/Province
ZIP/Postal Code
6.
Do you operate from any additional locations? If so, where are they located?
7.
Has your organization applied to us for funding in the last five years? If yes, you may skip to Question #12
Yes
No
8.
How old is your organization?
More than 25 years
15-25 Years
5-15 years
0-5 years
9.
Please, in less than 100 words, describe the population that directly receives your services:
10.
Please, in 100 words or less, describe the program services that your organization provides:
11.
If your organization has a website, please write the address here:
12.
The amount of your organization's most recently reported annual income:
13.
The percentage of your most recently reported income that came from:
Government Grants
Foundation Grants
Individual Donations
Other Sources
Current Progress,
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