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Janis Chapman Merrill Foundation
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Janis Chapman Merrill Foundation
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Application
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Contact Us
Janis Chapman Merrill Foundation
Online Application for Grant from Private Foundation
(Not for use by Individuals)
Application
Amount of Grant Requested $
*
The information requested in this application is to help the Foundation meet the requirements of Section 4945(h) of the Internal Revenue Code.
Application Entity Name
*
Street Address
*
City
State
Zip Code
*
EIN
*
Is the applicant organized as a nonprofit organization under state laws governing charitable organizations? (Attach Proof)
Yes
No
Attach Here
Upload
Has the applicant received a ruling or determination letter from the IRS relating to their charitable status? (Attach copy of such letter)
Yes
No
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Upload
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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Is the applicant controlled by, related to, connected with, or sponsored by another organization? If yes, identify organization including its purpose and activities, and explain relationship.
Yes
No
Attach Here
Upload
Attach list of Board Members including titles.
Attach Here
Upload
Person to contact who will be administering the program or project.
Name
*
Title
Phone Number
*
E-mail
*
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.
Name
*
Date
*
Title or Office
Submit
