Contribution ApplicationOrganizations must qualify for a tax exempt status Choose a category: EducationEnvironmentCommunity DevelopmentHealth & Recreation Contact information: (required) Have you received a contribution from Back Forty Mine in the past? (required) YesNo Brief description of organization: (required) Description of program/project: (required) Brief description of program/project goals: (required) Describe the population served and where they are located: (required) Describe how the program/project relates to or supports the objectives of GRC-Back Forty Mine: (required) Does this program/project have other funding? (required) YesNo Specific use of funds: (required) (required) (required) Other comments we should know about your program/project: Tax exempt status letter (doc, .docx, .pdf) Other support document (doc, .docx, .pdf)
