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Part A: Required for ALL APPLICATIONS
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FUNDS REQUESTED AMOUNT
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Landfall Foundation Grant Request
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PROGRAM/PROJECT EXPENSES
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LINE ITEMAMOUNTDESCRIPTION / JUSTIFICATION
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TOTAL EXPENSES$0.00
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DIFFERENCE$0.00(This amount should be $0)
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Part B: Required if Landfall Foundation funds will go toward a program/project that is or will also be funded by other sources
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PROGRAM/PROJECT INCOME
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FUNDING SOURCEAMOUNTSTATUS OF FUNDS
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Landfall Foundation Grant Request[ ] Already received [ ] Requested/applied for [ ] Will be requested/applied for
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[ ] Already received [ ] Requested/applied for [ ] Will be requested/applied for
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[ ] Already received [ ] Requested/applied for [ ] Will be requested/applied for
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[ ] Already received [ ] Requested/applied for [ ] Will be requested/applied for
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[ ] Already received [ ] Requested/applied for [ ] Will be requested/applied for
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TOTAL INCOME$0.00
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PROGRAM/PROJECT EXPENSES
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LINE ITEMAMOUNTDESCRIPTION / JUSTIFICATION
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TOTAL EXPENSES$0.00
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DIFFERENCE$0.00(This amount should be $0)
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