W Madison Street Suite Chicago Illinois GRANT PROPOSAL COVER SHEET

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70 W. Madison Street, Suite 2750, Chicago, Illinois 60602 GRANT PROPOSAL COVER SHEET Please attach completed sheet to your proposal. Name of Applicant Address City Telephone E-mail CEO Project Manager Financial Contact Date Organization Began Operations Number of Staff Full-Time Part-Time Telephone Telephone Telephone State Fax Web site E-mail E-mail E-mail Zip Date Total Operating Expenses (for most recently completed fiscal year) Estimated Duration of Project Budget 2009 (1st year) Budget Total From Joyce $ $ Beginning (Multi-Year Requests) 2010 (2nd year) $ $ 2011 (3rd year) $ $ Total $ $ Ending Brief Description of Project Geographic Area Served by Project Beneficiary Group(s) Targeted by Project (racial, ethnic, gender, age, income level) IRS Public Charity Status (circle one): If a 509(a)(3) Supporting Organization, Type I, II or III? Other IRS Designation: Federal Tax Identification Number (EIN): 509(a)(1) 509(a)(2) 509(a)(3) Proposal must arrive at the Joyce Foundation by the proposal deadline and must include the following: o Executive summary o Information on the project o Description of the organization o Itemized project budget o Key-project contacts and their qualifications o Organizational expenses and income o Board members o IRS verification o Audited financial statements o IRS Form 990

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