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Community Vision
Through Community
Giving |
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for Instructions on filling out this form
A.
GENERAL INFORMATION
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Organization: |
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Address : |
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Contact Person: |
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Telephone: |
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Fax: |
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Email: |
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| Amount Requested: |
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Tax Status: ( ) 501 (c)
Non-profit ( ) Unit of Government
( ) Public Agency
(gov’t created) ( ) Other ___________
Describe the need(s) addressed by
your proposed project.
How will your project benefit
Luverne Community citizens? How many people will benefit?
Project Description: (What agencies
or organizations other than your own will be involved in the
project?)
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