davis foundation
davis foundation
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The Sadie and Harry Davis Foundation
2020 APPLICATION

 
Please complete the following form, which will serve as your 2020 Application for a Children’s Health Small Grant. [Note: Our application process typically has 2 distinct steps -- a Letter of Interest and a Full Application -- but we have expedited the process this year to respond efficiently to urgent community needs during the COVID-19 pandemic.]

Organization Name: Date of Application:
Year of Establishment: Total Amount Requested:
    Total Proposed Project/Program:
Title of Proposed Program/Project:  
 
Has the organization applied for a grant to this Foundation before?
Yes, Indicate Most Recent Year: No

Has the organization received a grant from this Foundation before?
Yes, Indicate Most Recent Year: No

Purpose of General Operating Support, Program or Project, not exceeding 1,000 characters (about 200 words):
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Organization:
Name of Organization Head:
Title:
Number of Full-Time Staff: Number of Part-Time Staff:
Telephone: Email:
Organization Mailing Address:
Total Expenses for Year: Fiscal Year Ending: Tax ID:
Contact Person for this Request:
Title:
Telephone: Email:
 
Organizational History/Background, not exceeding 1,000 characters (about 200 words):
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Mission and Current Programs, not exceeding 1,000 characters (about 200 words):
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Geographic Area(s) Served:
Population(s) Served:


Please attach a single PDF file containing your organization's most recent balance sheet, profit & loss statement, and current fiscal year operating budget. (Audited preferred but not required.)
Your file must be PDF or XLS only, DOCX not accepted.
 
App Assurances & Authorization

The applicant hereby attests that:
  • The Board of Directors has authorized the submission of this application
  • The information contained in this application (including the financial information) is true and correct to the best of my knowledge
  • The applicant is recognized by the IRS as a tax-exempt organization
  • By signing you are acknowledging that you are an authorized representative of the organization

Name Title Date