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DeBrovy Grant Questions

Organization’s Legal Name(Required)

Employer Identification Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Applicant’s Name(Required)

Applicant’s Title(Required)

Date(Required)

Is your organization a nonprofit with tax-exempt status under a subsection in Internal Revenue Code (IRC) Section 501(c)**?(Required)

Yes

Is your organization registered with the State’s Secretary of State and in good standing?(Required)

Yes

Please describe your organization’s mission.(Required)

Does your organization provide resources and/or financial assistance to individuals who are homeless, veterans or for education?(Required)

Yes

Reason for the grant request? (The request must be no longer than one page)(Required)

How does your organization meet or align with the mission of the DeBrovy Foundation, Inc.?(Required)

Amount of grant request? The maximum grant will be $2,500 unless there are extraordinary circumstances that are unanimously approved by the Board of Directors for a higher amount. An organization may not apply for a grant in two consecutive years.(Required)