Janis Chapman Merrill Foundation


Online Application for Grant from Private Foundation

(Not for use by Individuals)

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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.