Income m difi - Charity Blossom

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Please summarize the proposal in 2 to 5 pages. identify the problem or need to be addressed, number of people to be
served, geographical area of service, strategies, method of evaluation, etc. - "
Please also provide a statement indicating how your organization is distinguishable from other organizations which
provide similar services.
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In addition to the proposal summary, please submit the following documents with your request:
0 List of otiicers and directors
9 Copy of IRS federal tax exemption determination letter - 501 (c)(3)
9 Most recent annual report, including audited financial statement
0 Income and expense budget for current fiscal year
9 If request is for a specilic program and not for operating expenses, the income and expense budget for
program
@ List of organizations foundation/corporate funding sources for the previous iiscal year, including the amount
received from eac:h source.
lf unable to submit any of this documentation, please explain:
Retum completed form to:
Kelly A. lrvlne
Grants Manager
- Northwestem Mutual Foundation
T20 East Wisconsin Avenue
Milwaukee, WI 53202 1110 Nvrwvfam Mutual
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Telephone:
(414)
(414)
665-2199
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