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Park River Community Endowment Fund |
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Organizations must have a current 501(c)3 tax status or have an official relationship to local government (school, park district etc.). Low priority will be given to those seeking funding for day-to-day operations. High priority will be given to those projects in which the PRCEF can be a partner and help attract other resources. |
Send the completed application to:
Tom Larson
104 5th Street E
Park River, ND 58270 |
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Application options: 1) Fill out
this form and print it out 2)
Word Document 3)
PDF
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Organization Information
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| Legal Name of Organization: |
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| Telephone: |
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| Mailing Address: |
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| City: |
State:
Zip: |
| Name of top paid staff
(CEO, president, executive director): |
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| Title: |
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| Telephone: |
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| Contact person (if different
than executive director) |
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Yes
No |
Is your organization
an IRS 501(c)(3) not-for-profit? |
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Federal ID#
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Yes
No |
If no, is your organization
a unit of government? |
| If you
answered no to both questions, your organization does not
qualify for a grant. |
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Amount and Type
of Support Requested
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| The dollar amount being
requested: |
$ |
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Yes
No |
Will this
project proceed without this grant?
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Funds are being requested for (Check where
appropriate)
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If a project,
give the
project duration: |
month
year (Start)
month
year (End)
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If operating
support,
fiscal year |
month
year (Start)
month
year (End)
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Budget
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| Total annual
organization budget: |
$
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Total project
budget
(if applying for project support): |
$
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Proposal Summary - If operating
or other support, relate to the organization. If project
support, relate to the project.)
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| Project name
(if applying for project support): |
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| Please give
a 2-3 sentence summary of the request: |
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| Geographic
area served: |
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| Population
Served: |
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