Submit a Letter of Inquiry | The Richard P. Kimmel and Laurine Kimmel Charitable Foundation

Grants are made to qualified organizations in Nebraska and Iowa with emphasis placed on organizations located and operating within Nebraska City and Otoe County in Nebraska. Most grants are for program funding, with low priority given to general operating support. Inquiries should be made well before the beginning of a project.

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Name

Requesting Organization

Address

City

State

ZIP Code

Telephone

Amount Requested $

Federal Tax ID Number

Please provide a brief history of your organization.

Please provide a brief history of the project/program and where you stand in your fundraising efforts.

How will the requested funds specifically be used in your project/program?

Summary of Budget for this Proposal

A. Applicant's Contribution from Operating Funds $

B. Applicant's Contribution from Reserve Funds $

C. Amount of this Request $

D. Amount of Other Pending Requests $

E. Amount of Other Confirmed Requests $

F. Total Proposal Income $

(A+B+C+D+E)

G. Total Proposal Expense $

H. Balance $

Is your organization a 501c3 or 170c1?

501c3

170c1