Grant Application

Please complete the form to apply for a grant from Potter's Pantry.

Please note your organization must be a registered 501(c)3 non-profit in order to be eligible for a grant. Reach out to see if your organization may eligible for an exception. Organizations must align with Potter's Pantry mission; helping people & pets in need, and decreasing hunger and homelessness within local communities.

Please allow 7-10 business days for a response to your application.

If you are unable to upload documents through the online form, please email us the required forms at info@potterspantry.com.

Organization Name

Primary Contact (Name & Title)

Street Address

Email Address

Phone

Organization Website

Organization federal tax ID:

Please upload a copy of your 501(c)3 IRS Form Letter

Upload File

Upload supported file (Max 15MB)

To ensure funds are being properly allocated to helping people or pets in need, please upload one of the following financial documents: Form 990 OR both the Profit and Loss Statement AND Balance Sheet for the most recent year.

Upload File

Upload supported file (Max 15MB)

Please describe your organization and how it helps people and/or animals within your community.

What kind of donation is your organization in need of (supplies, volunteers, monetary funds)? If monetary funds are being requested, how much would be needed to make impact within your organization and how would the money be used (please be specific)?

Thanks for submitting!

Grant Application

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