Community Grants and Donations | A&N Electric Cooperative

A&N Electric Cooperative strives to support outstanding youth, community organizations and events that benefit the members within our service territory. If you are requesting funding, please fill out this application as completely as possible. You may include any additional information or materials to support the requested funding. Be sure to include all necessary contact information. Completing this form does not guarantee funding. Please allow at least thirty (30) days after due date for a decision on funding. Please attach any supporting documentation.

Today's Date

Organization Information

Organization Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Organization's Website (if applicable)

Tax ID/FEIN number

Geographic Areas Served:

Organization Type

A 501(c)(3) charity

A city government

A school/sports team

Other…

Organization's Point of Contact

Name

Title

Phone

Grant/Donation Information

Date Funding is Needed (check one):

(March - June) - Due no later than January 31sth-June)

(July - October) - Due no later than April 30th

(November - February) - Due no later than October 31st

Grant/Donation Amount:

Describe the mission of your organization:

Explain the project/purpose of the requested funds:

Explain the benefit or the end result of the donation request:

Total cost of the project/fund raising goal:

Anticipated completion/event date:

Explain your fundraising efforts:

Will donors be recognized?

Yes

If yes, how?

Is there a deadline for funds?

Yes

If yes, when?

Additional Information:

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