2023-2024 Community Assistance Fund Application and Document Upload Form

Agency Name

Agency Contact Name

Agency Contact Email

Agency Contact Phone

Dollar amount of your request:

$

Please upload the application:

Please upload your 501(c)(3) letter or statement of status:

Please upload your Board of Directors list:

Please upload your current year budget:

Please upload your prior year budget:

Please upload your immediate prior year audited financial statement or statement as to when it will be available:

If you do not have your immediate prior year audited financial statement, please upload the most recent audited financial statements:

If you do not have your immediate prior year audited financial statement, please upload the immediate prior year's unaudited financial statements:

If you do not have your immediate prior year audited financial statement, please upload your most recent Form 990:

You may upload your current financial position statement:

You may upload your Annual Report:

You may upload your most recent W-9 tax statement:

You may upload bid number 1, if applicable:

You may upload bid number 2, if applicable:

You may upload bid number 3, if applicable:

We acknowledge that the governing entity of our agency approves of our application to the Junior League of Dallas' Community Assistance Fund.

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