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Get Special Initiatives Fund Small Agency Sustainability Grant Fy 2013 ...

Ntact Email Address Executive Director Exec Director Phone Exec Director Email Address Authorized Board Representative Signature of Authorized Board Representative Federal Tax ID Number 501(c)(3) letter attached? Yes Grant Amount Requested (Maximum of $5,000) No Section I Agency Narrative 1. Please provide us with a history of your organization. When was it formed? Why was it created? What need(s) was it formed to address that were not being met in the community? (1,000 Character Maxi.

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