You, the very dear people of our greater Denver and Ephrata community, are the reasons behind my father's realized efforts.

Apply for a ABS Charitable Grant

Items with a red * are required.

Part I: General Information

Name of Organization *:
Organization Street Address:
City:		State:		ZIP Code:
Contact Person: *:
Contact Street Address:
City:		State:		ZIP Code:
Contact Phone *:
Email Address *:
Name of the members of your organization's board of trustees, board of directors, or other governing body (attach list if necessary) :
Organization EIN (Employer Identification Number):
Total Amount Requested: