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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