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Page 1: Applicant Contact Information <br />Applicant Contact Information <br />1. I am applying as an: <br />r Artist <br />17- Organization <br />2. Applicant Name <br />First Name Last Name <br />3. Primary contact for Grant if different) <br />First Name Last Name <br />4. Organization Name <br />200 characters <br />5. Legal Name (if different) <br />200 characters <br />6. Mailing Address <br />Street Number and Name <br />Postal/ZIP Code <br />7. Email <br />8. Phone <br />Phone <br />9. Website (if applicable) <br />For Organizations <br />10. Year Founded <br />1 200 characters <br />11. Federal Tax ID # <br />200 characters <br />12. 501c3 Organization? <br />Yes <br />No <br />Page 2: General Grant Information <br />General Grant Information <br />13. Title of Proposed Grant Request <br />200 characters <br />14. I am applying for an: <br />City State/Province/Region <br />