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Application Preparation IMPORTANT NOTICE: Please ensure that you are providing the correct email address to save your application progress prior to submittal. Upon saving your application progress (prior to submittal),you will receive an email containing a link to take you back to your application. Do not lose or delete that email. The link that is provided is specific to your application and cannot be retrieved or duplicated by our system. If your application is in progress and your link is lost,you will have to start the application process over. Items appear in the order they are listed in the Application. Be sure to submit your responses via the online application which can be accessed at: http://www.hawaiicounty.gov/ffi-nonprofit-grant-fonns/ 501(c)(3) Nonprofit Organization Contact Information If you are applying with a fiscal sponsor, the information provided in this section should correspond to the 50 1(c)(3)nonprofit organization, as they will be the legal grantee. 1. 50 1(c)(3)Nonprofit Organization Name • As It Appears on IRS Forms 2. 501(c)(3)Nonprofit Organization Mailing Address • This is the address that will be utilized for all grant correspondence. 3. 501(c)(3)Nonprofit Organization Physical Address • If different from above. 4. Name of 501(c)(3)Nonprofit Organization Director 5. Name of Contact Person for Grant Correspondence • This person will be the primary point of contact for all communication related to this grant proposal and award. If the application is through a 50 1(c)(3) fiscal sponsor, provide the contact person for the project/program. 6. Phone Number for Contact Person for Grant Correspondence • Include area code. 7. Email Address for Contact Person for Grant Correspondence 8. Are you serving as a 50 1(c)(3) fiscal sponsor for this application? o Yes/No Page 3 of 10