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Grant Application

Discretionary Grant Requests


The Merrick Foundation's grant making programs give donors and organizations the opportunity to finance projects and programs which will enhance the quality of life for residents in Merrick County, Nebraska.  The Grant Committee meets quarterly to review and recommend funding allocations to qualified organizations.  Grant applications will be due January 2nd, April 1st, July 1st and October 1st.   Grant requests in excess of $10,000 will only be reviewed in July and October.

Applicant:
Country
Address Line 1
City
State
Postal Code
Project Title and Description:
Amount requested from Merrick Foundation, Inc.
Anticipated Total Cost of the Project:
Sources of Other Funds (Commitments to date, applications, matching funds-in cash/in kind, etc.):
Budget for the Project:
What will the project accomplish? What benefits will it provide? What community need does this request meet?
Your type of organization, and the needs that you meet, primarily fit which of the following classifications?
Your type of organization, and the needs that you meet, primarily fit which of the following classifications?
How will this project be accomplished? (who, what, when, etc)
How do you propose to raise the other funds necessary for this project? Would a grant from the Foundation qualify as a matching fund from any other funding source?
Does this project require volunteerism?
If yes, how many hours? Provided by whom? Can it be documented?
How many people are served or affected by this project and for how long?
Who else is addressing this need? Are there any coordination efforts between you and them?
Does this project require continued funding? If so, identify the source of this future funding. Will this project save money in some way?
How will you determine that this project accomplished it's goals? (The Foundation may request an update of the project in the future.)
If you are not able to purchase items or services in Merrick County, please list such items or services below and state why they are not able to be purchased in Merrick County.
Additional items required for submission:
IRS Tax Determination Letter
No file selected
List of Board of Directors
No file selected
Year To Date Operating Budget (Income & Expenses)
No file selected
Current Budget
No file selected
Latest Financial Statement
No file selected
Person Submitting Grant
First Name
Last Name

Our Impact

  • Community Grants Awarded

    $222716

  • Scholarships Awarded

    $140425

  • Students Impacted

    175

  • Total Funds Distributed

    $2495053

  • Funds Managed for Others

    $1725094

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