Please print this form and mail or fax it to the

Arthur Jordan Foundation 

fax (317) 632-5488

 

 

Proposal Cover Sheet

 

 

Organization Name ___________________________________Tax ID # ________________

 

Address ___________________________________________

 

City _______________________  State _________ Zip Code __________

 

Contact ___________________________________________        Title ___________________

 

Phone _________________________                                   Fax ____________________

 

Organization's purpose

 

 

 

 

Project summary (if applicable)

 

 

 

 

 

Funding type

 

______  Operating support

 

______  Capital support

 

______  Special Project Support

 

 

Amount requested ___________________ Percent of Total Appeal _________________

 

 

Attachment checklist

 

______  Cover letter describing organization

 

______  IRS Tax Exemption Letter

 

______  List of Board of Directors and Officers

 

______  Current budget (and project budget if applying for a special project)

 

______  Balance sheet and Income and Expense statement (audited statements are welcome)

 

Requests should be mailed or delivered by March 1 to:

 

            Arthur Jordan Foundation

            1230 N. Delaware Street

            Indianapolis, IN  46202

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