World Caring Neighbor Foundation
trichard@frontier.com
P.O. Box 80615 Lansing, MI 48908
Your donation is tax deductible and therefore all
Americans join with you in your kind generosity.
The Caring Neighbor Foundation is a
501(c)(3) non-profit agency with a tax exempt number:
THE CARING NEIGHBOR FOUNDATION SUPPORTIVE GRANT FORM
Recipient Profile
Date:
Name of Agency:
Address:
Telephone:
E-mail:
Website:
Does the Agency have a 501(c) (3) Status? yes —– no —–
Grant Amount Request:
Description of the local program – including years in operation, mission, types of services, and the numbers being served (attach pages/documentation as needed).
Acknowledgements and Agreements:
X The grant money will be used to further the mission and types of services as indicated above.
X The Caring Neighbor Foundation will receive the final annual report of program activities/expenditures and human interest stories from/about recipients of service with a view of educating the public on how contributions are being spent.
X The recipient of the grant will abide by the requirements of 501( c ) (3) rules and regulations.
Signature: _____________________________________ Date:_________
Return form to: Caring Neighbor Foundation, Box 80615 Lansing MI 48908