Ida W. Browning Audio-Visual Trust
Wachovia Bank
PA 6497
600 Penn Street, PO Box 1102
Reading, PA  19603-1102

Telephone:  (610) 655-1916

GRANT APPLICATION—Deadline 06/30/11

The Ida Browning Foudnation provides funds to 501(c)(3) organizations to be used to promote religious, educational and character building activities in Harrisburg, PA and vicinity through audio-visual educational means. 
The Ida Browning selection committee has determined the vicinity of Harrisburg to be a 15-mile radius of center-city Harrisburg (Intersection of Second and Market Streets). 
All grant applications from churches and other 501(c)(3) organizations must incude a copy of the Internal Revenue Service determination letter, which verifies your status as a 501(c)(3) organization.  If you do not provide a copy of the letter, the application will be rejected.  (DO NOT PROVIDE PA SALES TAX EXEMPTION)

      ORGANIZATION PROFILE:
     
      Name of organization______________________________________________________________

      Mailing address___________________________________________________________________

      Name of contact person__________________________________ Phone #____________________

      Location of organization (County)__________________(Municipality)_______________________

      Is your primary service area within 15 miles of center-city Harrisburg? _______________________

      How many years has your organization served the Greater Harrisburg Area? ___________________

      What is the current total budget for your organization?  $___________________________________

      Please include your organization’s summary financial statements for the past two years with this application. 

      Your Federal tax I.D. number is __________________________ __________________________________________________________________________________________________
GRANT PROPOSAL:

      Describe the proposed program in which the audio-visual equipment/services and/or materials will be used.

            This program will serve how many people during the next 12 months?  ___________

      Briefly explain how this is in keeping with the purposes of the Ida Browning Trust in religious, educational, or
      character building. 

      If your grant request is only partially funded by the Trust, what affect will this have on your providing the proposed
      program?

      Will you provide the program without charge to the participants?

      Please include on an additional piece of paper a list of principal items of audio-visual equipment/services and/or
      materials you plan to purchase, including an itemized cost estimate, vendor proposals copies, brochures, etc. To
      document your request.