Fennimore Area Foundation Grant Application Questions regarding this application form and FAF grants may be directed to: Pam Kreul, 822.7300Jon Miles, 822.4700JoAnn Wiederholt, 822.3420 Fennimore Area Foundation Grant Application Date(Required) MM slash DD slash YYYY Organization(Required) The organization’s tax identification number (if applicable) Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Contact Person(Required) First Last Project Title(Required) Amount Requested(Required) (IMPORTANT – Attach written documentation/bids to support the amount of funding being requested.)File(Required)Max. file size: 200 MB.Duration of ProjectFrom(Required) MM slash DD slash YYYY To(Required) MM slash DD slash YYYY When are funds needed?(Required) MM slash DD slash YYYY Description of population served(Required)Number of people to be served(Required) Briefly summarize the proposed project:Identify the problem or need to be addressed(Required)Identify the project goals or objectives(Required)Identify the proposed strategy to accomplish these goals(Required)Is this a new or ongoing activity on the part of the sponsoring organization(s)? Explain:(Required)Identify other principal sources of support(Required)Please attach the following if applicable:Documentation detailing the organization’s non-profit statusMax. file size: 200 MB.Complete list of organization’s officers and directorsMax. file size: 200 MB.The organization’s actual income and expense statement for the past fiscal year, identifying the organization’s principal sources of support, or organization’s 990 for the most current yearMax. file size: 200 MB.Copy of the IRS federal tax-exempt determination letterMax. file size: 200 MB.