Grant Application for
organizations seeking funds from the Foundation are required to supply information
requested below and forward to the Foundation office.
1. IRS Tax Exemption Letter or Number (if available)
2. List of Board of Directors
3. Current Operating Budget (Income & Expenses)
4. Latest Financial Statement
5. Original application
Before beginning, please read through all the instructions, click here.
(Failure to follow these instructions may result in your application being disqualified.) Please limit your responses to no more than 75 words for each question.
Signatures: (Your Organization):
Staff Officer ___________________________________________ Date ______________
Board Officer ____________________________________________
Once you have printed this application, please sign and date the original copy and make an additional 5 copies to submit with the other requested information mentioned at the top of this application. Please submit all your paperwork to:
Merrick Foundation, Inc.
1532 17th Ave, Suite B, Central City, NE 68826
Questions or comments
about this application may be forwarded to:
General Information: email@example.com