Please provide the following reporting information regarding a grant or assistance your nonprofit has received from Douglas County Community Foundation.

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* 1. Contact Information

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* 2. How is the work of your nonprofit critical to addressing community needs in Douglas County?

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* 3. What type of assistance did your nonprofit organization receive from DCCF?

If you received a grant, please provide the following information regarding that SPECIFIC grant.

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* 4. Which year was your grant provided?

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* 5. Which quarter was your grant provided?

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* 6. What was the dollar amount of your grant?

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* 7. How was the grant or assistance used to positively impact the Douglas County community (i.e., who and how many people were served, how were they helped, etc.)?

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* 8. If relevant, describe in detail at least one successful client story as a result of this grant or assistance.

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* 9. Anything else you would like to share about how this grant or assistance provided a benefit to your nonprofit and Douglas County?

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* 10. Does DCCF have permission to use this community impact information in communications and collateral materials?

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