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River Trust Grant Application
PURPOSEThis Trust has been formed exclusively for charitable, scientific and educational purposes as defined and limited by Section 501(c)3 of the Internal Revenue Code of 1986 as amended (the "Code"), including but not limited to the following: To provide funding to qualified charitable organizations (within the meaning of Section 501(c)3 of the Code) which promote family activities in the Northwest Ohio area.AGENCYName:_____________________________________________________________
Address:___________________________________________________________
Phone Number:____________________________________________________
Contact Person:___________________________________________________
Purpose of Request:___________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Amount Requested:_______________________
(Amount not to exceed $5,000)
THE FOLLOWING MUST BE INCLUDED WITH THIS REQUEST:
· One page narrative describing the use of the money
· Copy of 501(c)3 Certificate
· Copy IRS Form 990
· Copy of Financial Report
· Time Line for use of Grant
· List of Board Members
Will this request cover 100% of the financial need? ______ yes _______ no
Signature of Executive Officer of 501(c)3_________________________________________
**************************************************************************************************************
INTERNAL USE ONLY
Date Received:________________ Date Reviewed:____________________________
Disposition: Granted__________Not Granted____________Other_____________
Explanation:_____________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
By 5pm of the date announced on-air, please submit application and all required documentation to:
WRVF
The River Trust
125 South Superior
Toledo, OH 43604
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