Janis Chapman Merrill Foundation
Organization’s Application for Grant from Private Foundation
(Not for use by Individuals)

Application

The information requested in this application is to help the Foundation meet the requirements of Section 4945(h) of the Internal Revenue Code.
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Describe the applicant’s purposes and activities in general. (Attach)

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Attach a copy of the latest information return (Form 990 or 990PF) filed by the applicant with the Internal revenue Service.

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Explain in detail, the proposed project or program for which the grant funds will be used.

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Attach list of Board Members including titles.

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Person to contact who will be administering the program or project.

From my knowledge of the information provided in this application, I avow that the information is correct. The applicant organization has authorized me to make this application.