MAZON Quick Reaction Fund Grant Application

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Organization or Coalition’s Legal Name

As it appears on your 501(c)(3) determination letter or other official registration

Organizational Budget for Current Fiscal Year

Street

City

State

ZIP / Postal Code

Phone Number

Website

Facebook

Please enter the complete URL (e.g. https://facebook.com/mazonusa)

Twitter

Please enter the complete URL (e.g. https://twitter.com/mazonusa)

Instagram

Please enter the complete URL (e.g. https://instagram.com/mazonusa/)

Which best describes your organization?

Federal EIN / IRS Tax Code

Upload your 501(c)(3) determination letter. If you are a government entity or a federally recognized tribe, please upload a document stating your tax-exempt status.

Please only upload one document under 5MB.

Fiscal Agent Information

Legal Name

As it appears on their 501(c)(3) determination letter or other document stating tax-exempt status.

EIN / IRS Tax Code

Street

City

State

ZIP / Postal Code

Upload fiscal agent’s 501(c)(3) determination letter

Please only upload one document under 5MB.

If you are using a fiscal agent, you must also upload a letter from the director of the fiscal agency that confirms your relationship.

Please only upload one document under 5MB.

Contact Person at Fiscal Agent

Salutation

First Name

Last Name

Title

Phone Number

Extension

Executive Director / President / CEO

Salutation

First Name

Last Name

Title

Phone Number

Extension

Is your executive director the primary grant contact?

MAZON staff may correspond with the primary grant contact while reviewing your application. If awarded funding, the executive director will be required to sign the grant confirmation form using a service called Conga Sign.

Primary Grant Contact

Salutation

First Name

Last Name

Title

Phone Number

Extension

Grant Application (500-word limit for each question)

Grant Request Amount

1. Please describe your organization. What is your mission? If you are a coalition, describe your membership, why it was formed and its mission.

2. What is the situation to which you are responding? How does it connect with the anti-hunger movement? Why is it urgent?

3. Describe the proposed action. What is your action timeline? Are you partnering with other organizations?

4. What does success of this initiative look like? What are the benefits? What are the risks?

5. How does this grant help your organization fulfill its mission?

6. What makes your organization uniquely positioned to engage in this action?

Submit Documents

1. Organizational budget for current fiscal year

Please only upload one document under 5MB.

2. Project Budget

Please only upload one document under 5MB.

3. List of key staff or volunteers, including a description of their positions relative to the program/project request.

Please only upload one document under 5MB.

4. List of Board of Directors, including titles, company/organization, city and state.

Example:

Abby J. Leibman
President & CEO
MAZON: A Jewish Response to Hunger
Los Angeles, California

Please only upload one document under 5MB.

Application Certification

I certify that the statements and documentation I have submitted are true and correct to the best of my knowledge.

Name	Title
Date	Email You will receive a copy of your application at this address.

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