HomeMy WebLinkAboutGrant Information Worksheet Town of Southold
Grant Application Information - Worksheet
Year
Date of Filing
Grantor
Grant Name
Description and/or purpose
Total Amount of Grant
How is Southold Town Matching
Amount Granted
Expiration Date
Amount of Match Needed
Date Granted
Extension Requested, if applicable
Date of New Resolultion, if applicable
If Denied, give reason
Person/Department Responsible
Balance of Grant Remaining
Date
Signature Date