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Home
My Account
View and Pay My Bill
My Use
Payment Options
Medical Priority
Energy Assistance Programs
My Services
Your Services
Start Service
Stop Service
Outage Hub
Prepaid Metering
Tree Trimming
Construction and Upgrades
Member Programs
Rebates
Community Fund
Electric Vehicle Information
High-Speed Internet
Solar Savings Tool
Safety and Conservation
Energy Tips
Safety Tips
Solar Energy
Onsite Safety Yard
Rates and Tariffs
Hoosier Heritage Management
Capital Credits
News
Co-op Newsletter
Press Releases
About UDWI
Mission
Our Team
Careers
Board of Directors
Principles and Policies
Financials
Community Fund Form
Every space needs to be completed, and a financial statement MUST be attached (unless otherwise stated).
*At this time, our resources do not allow for capital improvement projects*
Next Quarter Application Due Date: June 14, 2023
Community Fund
Name of Organization/Agency
*
Physical Address of Organization
*
Physical Address of Organization
Physical Address of Organization
Physical Address of Organization
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Mailing Address (if different)
Mailing Address (if different)
Mailing Address (if different)
Mailing Address (if different)
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Phone Number
*
Contact Person
*
Email Address
*
Is organization exempt from payment of income tax?
*
Yes
No
Is organization deemed a Not for Profit approved by IRS?
*
Yes
No
Employer Identification Number (EIN)
*
Total of Request - Maximum Amount $5,000
*
$
Please include a decimal point
Please provide a copy of financial statement(s) for the most previous year.
*
Drop a file here or click to upload
Choose File
Maximum upload size: 33.55MB
Please provide a copy of financial statement(s) for the most previous year above. If unable to, please explain why.
*
If you are human, leave this field blank.
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1666 West State Road 54
Bloomfield, Indiana 47424
Hours: Monday – Friday, 7:30 a.m. to 4:30 p.m.
Office: (812) 384-4446
Toll-Free: (800) 489-7362
©2021 Utilities District of Western Indiana REMC. Member-Owned. Member-Focused.