Laserfiche WebLink
***BEGIN NEW SECTION—"Contact Information"*** <br /> 501(c)(3)Nonprofit Organization Contact Information <br /> 501(c)(3)Nonprofit Organization Contact Information <br /> If you are applying with a fiscal sponsor,the information provided in this section should correspond to <br /> the 501(c)(3)nonprofit organization,as they will be the legal grantee. <br /> 1. 501(c)(3)Nonprofit Organization Name(As It Appears on IRS Forms) <br /> 2. 501(c)(3)Nonprofit Organization Mailing Address <br /> Street Address <br /> Address Line 2 <br /> City State/Province/Region <br /> Postal/ZIP Code Country <br /> 3. 501(c)(3)Nonprofit Organization Physical Address(if different from above) <br /> Street Address <br /> Address Line 2 <br /> City State/Province/Region <br /> Postal/ZIP Code Country <br /> 501(c)(3)Nonprofit Organization Director <br /> 4. Title Suffix <br /> First Name Last Name <br /> Contact Person for Grant Correspondence <br /> This person will be the primary point of contact from the 501(c)(3)Nonprofit Organization for all <br /> communication related to this grant proposal and award.If the application is through a 501(c)(3)fiscal <br /> sponsor,provide the contact person for the project/program. <br /> 5. Title Suffix <br /> First Name Last Name <br /> 6. Phone Number for Contact Person for Grant Correspondence <br /> 7. Email Address for Contact Person for Grant Correspondence <br /> 8. Are you serving as a 501(c)(3)fiscal sponsor for this application? <br /> o Yes o No <br />