Los Angeles Trial Lawyers' Charities Grant Application
Please submit this application along with a copy of your IRS Form 990 from the previous two calendar years.
Name: *
Legal Name (Pursuant to IRS 501(c)3): *
Other Names Used:
EIN: *
Mailing Address: *
Physical Address: *
Phone: *
Website Address: *
Primary Contact
Name: *
Title: *
Address: *
Phone: *
Email: *
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