Lute Foundation, Inc.

To apply for funding, the Lute Foundation
requires the following documents and information:

1. Official name of the Organization.
2. Mailing address of the Organization.
3. Phone number of the Organization.
4. Listing of all Board Members or Officials and their respective addresses and phone numbers.
5. Project overview with budget.
6. Name and phone number of one contact person.
7. Copy of issued 501(c)(3) tax identification certificate.
8. Listing of all specific pledged contributions.
9. Actual requested amount that your Organization is seeking from the Lute Foundation.

Mail this information to:

Lute Foundation, Inc.
c/o Richard Bourque, Executive Director
P.O. Box 187
Ogallala, NE  69153-0187

The Lute Foundation, Inc. will not accept requests
made by e-mail, phone, fax or hand delivery.

Please print this page to use as a cover page and a check-list and have an official from your
organization read the following and sign below to submit with the proposal.

Under penalties of perjury, I declare that I have examined all 

submitted information, and to the best of my knowledge and belief,

it is true, correct and complete, and will affirm by signing below:





Signature ______________________________________ Date ______________



Printed Name ___________________________________ Position __________