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ACK FOR OFFICE USE ONLY <br /> 11 <br /> 1 PROP NO. <br /> GRANT ID NO. <br /> Y N M RGY RGN <br /> TRIANGLE COMMUNITY FOUNDATION <br /> Fall 1997 Grant Application <br /> All applicants will be notified by December 1, 1997. <br /> Please read the attached "Information on Grants" before filling out this form. <br /> Total Given in Fall 1996 Grant Cycle: $161,631.03 to 24 agencies out of 122 agencies requesting funds <br /> 1. Name of Organization: <br /> 2. Contact Name and Title: <br /> 3. Phone Number: Fax Number: <br /> 4. Mailing Address: <br /> 5. Street Address: <br /> (if different) <br /> 6. E-Mail Address: <br /> (Is this a personal or organizational address?) <br /> 7. How long has this organization been in existence? <br /> 8. Tax Status (check one): <br /> Tax-exempt charitable organization [501(c)(3)) Governmental tax-exempt unit <br /> Other nonprofit(specify status) Unincorporated association <br /> Affiliated with tax-exempt organization Other(specify) <br /> Please attach a copy of your organization's IRS tax status determination letter(not applicable to government agencies or religious <br /> congregations). A tax exempt identification number is got sufficient. <br /> 8. In the space below, please provide a one-paragraph summary of your three-page narrative in 100 words or less <br /> (please do not attach on a se av rate page or exceed space provided). <br /> 9. Total cost of project: $ (please list entire amount, not just amount requested) <br /> 10. Amount requested from the Triangle Community Foundation: $ <br /> Triangle Community Foundation Page 1 of 3 Grant Application <br />