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Abby's Legendary Pizza Foundation
Grant/Donation Request
Application
Print this application from your computer.
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Applicant Organization Name:
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Date:
_____________________________ |
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Address:
___________________________________________________________
___________________________________________________________
___________________________________________________________
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Phone: _________________________________
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Fax: ________________________________
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Contact: ________________________________
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Title: ________________________________
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Contact Phone: __________________________
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E-mail: ______________________________
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Organization's fiscal year begins: ____________
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Employer ID Number (EIN): ______________
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Program area or fund for which this application should be
considered (check one): |
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Education |
Youth
Athletics |
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Community
Programs |
Directed
Grants |
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General
Charity (United Way, Red Cross, etc. |
Service Org.
(Lion's Club, Rotary, etc.) |
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Title of project: _____________________________
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Brief project summary (no more than 100 words):
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
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Amount requested from Abby's:
$________________________________ |
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Date project will start: ________________________ |
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Organization's fiscal year begins: _________________________ |
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Organization's chief executive officer/executive director:
_______________________
Organization's officers of the board of directors:
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Chairperson ________________________________
President __________________________________
Secretary __________________________________
Vice Pres __________________________________
Treasurer __________________________________
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