Mid-York Foundation
 

The Mid-York Foundation
A Charitable Not-For-Profit Corporation ~ Incorporated in 1990
 
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Date

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Name of Organization *
Address *
Name of person submitting application, and your affiliation (if appropriate) to the organization applying for. (Your signature will be required upon application approval.) *
Email and/or phone number(s) of person we should notify. *
Is there any relationship between you or your organization and this foundation that could disqualify this grant? (Sec 4946 (a)(1) IRS code) If yes, please provide detail.
Has your organization applied to other funding sources for the grant proposal submitted to The Mid-York Foundation? If yes, please provide detail.
What is the purpose of this request and how and when would the money be used?
When must you know of our decision?
Total amount of money requested $
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