Request for Funds Donated by the City of Maupin
The City of Maupin recognizes the services and benefits provided by local charitable organizations and is proud to contribute to those charities. For budgetary reasons, we would like all requests for funds to be made to the city no later than February 15 of each year. If you have received funds from the City in the past, we need to have an annual report of how those funds were used. If you need a hard copy of this form, one can be mailed to you.
Charitable Organization
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Charitable Tax Exempt Status and Number
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Amount Requested (Maximum $1000)
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Purpose for the Funds
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How will the intended purpose benefit the citizens of Maupin?
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Contact Person Name
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Position within the Organization
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Contact Address
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Contact Phone
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Contact Email Address
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