501c3 Grant Request Form - header
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501c3 Grant Request Form

*Organization Name:
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zipcode:
*Phone:
Email address:
Website:
Tax ID Number:
Fiscal Year Begins:
Fiscal Year Ends:
Amount Requesting:
Project Budget
Name of Project
If this is an event, please list dates:

Description of how funs will be used:

How does this tie into the KFCI mission:

If a grant is approved the recipient will be required to supply additional information for tax purposes before grant will be awarded.