BLANDIN FOUNDATION GRANT APPLICATION (for Donation Requests $100-$1,000) You may submit your grant application one of three different ways: 1) Regular U.S. mail to 100 N. Pokegama Ave., Grand Rapids, MN 55744; or 2) email to ; or 3) on-line at grants.blandinfoundation.org/apply. If you do not hear from us directly, acknowledging receipt of your application within 72 hours of submission, please call us at 218-326-0523. PROPOSAL SUMMARY Organization Information Submittal Date: ___________________ Name of organization Legal name, if different Address City, State, Zip Employer Identification Number (EIN) Fax Web site Phone Name of CEO/Exec. Dir. Title Phone E-mail Name of contact person Title Phone E-mail regarding this application Yes No Is your organization an IRS 501(c)(3) nonprofit? Yes No is your organization a public agency/unit of government? If no, list name and address of fiscal agent: If no, Fiscal agent’s EIN Proposal Overview
BLANDIN FOUNDATION GRANT APPLICATION (for Donation Requests $100-$1,000) You may submit your grant application one of three different ways: 1) Regular U.S. mail to 100 N. Pokegama Ave., Grand Rapids, MN 55744; or 2) email to ; or 3) on-line at grants.blandinfoundation.org/apply. If you do not hear from us directly, acknowledging receipt of your application within 72 hours of submission, please call us at 218-326-0523. PROPOSAL SUMMARY Organization Information Submittal Date: ___________________ Name of organization Legal name, if different Address City, State, Zip Employer Identification Number (EIN) Phone Fax Web site Name of CEO/Exec. Dir. Title Phone E-mail Name of contact person regarding this application Title Phone E-mail Is your organization an IRS 501(c)(3) nonprofit? Yes No If no, is your organization a public agency/unit of government? Yes No If no, list name and address of fiscal agent: Fiscal agent’s EIN Proposal Overview