The Kinney Drugs Foundation
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Thank you for your interest in the Kinney Drugs Foundation. If your organization’s needs meet our mission, to help people live healthier lives within the communities served by Kinney Drugs, Inc., please complete the form below and return via email. Our Foundation Board currently meets on the third Wednesday of every month to review donation requests.

Your Organization
Legal Name: *
Tax ID Number: *
Are you affiliated with a state or national organization? *
In which geographic location does your organization serve? *
How do you define your services? *
Where does the money raised go? *
What percentage of each dollar raised directly supports client services? *
What are your organization’s mission and goals?  *
 
Organizational Contact Information
Contact Name: *
Address: *
City: *
State: *
Zip: *
Phone Number: *
Fax Number: *
E-Mail Address:
Website URL:
 
Information About Your Request
Name of project or event: *
Location: *
Date: *
Time: *
What is the project’s budget? *
Amount requested from The Kinney Drugs Foundation, Inc.: *
$
How will these donated funds be utilized? *
What other funding sources does this project have? *
If this request is to support Event Sponsorships, please describe how
The Kinney Drugs Foundation, Inc., will be recognized at your event:
 
Security Verification
 
 
 
* Denotes Required Field

 

 
Helping people live healthier lives.
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