Name of organization requesting grant (*)

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Section 501(c)(3)
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If answer is yes, please include a photocopy of letter/notice from the Internal Revenue Service acknowledging status as an organization described in § 501(c)(3) of the Internal Revenue Code. (pdf format please)

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Tax Exempt Number

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Previously received mobile bar foundation grant?
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If answer is yes, a Grant Utilization Report (Located at the bottom of this page) for the most recent grant received from the Mobile Bar Foundation must be submitted as a condition to consideration of the current grant request. By accepting any grant awarded, the recipient organization agrees to complete and submit to the Mobile Bar Foundation a Grant Utilization Report in the form prescribed as soon as practicable after the grant amount has been budgeted, earmarked or actually applied.

Amount requested

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Reason for grant request(Please provide detailed description of program, project, need for which grant is requested)

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Please provide a short explanation of how the grant would improve the legal system, the administration of justice or otherwise promote the betterment of the legal community.

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Please attach supporting documentation if desired.

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