The Christopher Reynolds Foundation
267 Fifth Avenue,
Suite 1001
New York, NY 10016
Telephone (212) 532-1606 • Fax (212) 532-1403
email:
inquiries@creynolds.org
Application for Grant
(Along with this application, please submit six full copies of your grant proposal.)
You must complete the following:
Date of This Application:_______________________________________________
Organization Name:____________________________________________________
Year Founded:_________________________________________________________
Contact Person:________________________________________________________
Title:______________________________________________________
Address:______________________________________________________________
______________________________________________________________
Telephone Number:(______)_______________________Extension______________
Fax Number:(______)____________________________________________________
Email Address:_________________________________________________________
Please provide a brief summary of your organization’s mission:
Purpose of Grant:_______________________________________________________
If a grant were awarded, to whom would the check be payable?
________________________________________________________________________
Amount of Grant Request:_______________________________________________
Tax Exempt Status (please attach photocopy):_____________________________
Fiscal Sponsor (if applicable):_____________________________________________
Grant Period:____________________________________________________________
Fiscal Year:_____________________________________________________________
Total Organizational Budget:_____________________________________________
NOTE: The Christopher Reynolds Foundation, Inc., as a rule, does not support overhead costs* associated with projects and programs receiving financial assistance/grants.
(*Where overhead costs are an unavoidable and required component of certain organizations seeking financial support from the Foundation, the Foundation will determine what, if any, overhead terms might be acceptable.)
By date(s) and amount(s), list any and all grants The Christopher Reynolds Foundation has awarded to your organization in the past: