Please provide the below information

Organization Name

501(c)3 Federal ID number (or that of fiscal agent)

If selected, name to which check will be made:

Physical Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address (only fill out if different)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Neighborhoods Served

Contact Name

First Name

Last Name

Phone

(###)

###

####

Website

http://

Facebook

http://

1. Please provide a brief overview of your organization, including the year your organization was launched, mission statement, and estimated number served annually.

2. How do you support one or more of the neighborhoods within the Association's boundaries?

3. How would awarded funds be used?

4. What else would you like us to know about your organization?

5. Will you agree to cross-promote the Denver North Business Association and any award through social media, on your website, in a newsletter, and/or through another medium?

Small Grant Application

Please provide the below information