Davie County Hospital Foundation Fund Grant Award Email:* Name* First Last Organization* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Davie County Hospital Foundation Fund GrantThe Board of Directors of the Davie Community Foundation, Inc. voted to approve the Davie County Hospital Foundation Fund grant listed below.Davie County Hospital Foundation Fund Grant#:* Davie County Hospital Foundation Fund Grant Amount:*Project:* Accept this Davie County Hospital Foundation Fund Grant* You may accept this grant by signing below. Your organization certifies to the Davie Community Foundation, Inc. that no private individual will receive tangible benefits, goods, or services. You also agree to comply with the requirements stated below: 1. Publicize your Davie County Hospital Foundation Fund grant in conjunction with publicity / materials for your project. The Foundation reserves the right to use such publications or selected excerpts in Foundation reports and/or promotional materials.) 2. Submit a written report by June 30, 2022. Failure to submit a report on time will negatively impact future grants. Date* MM slash DD slash YYYY Signature: On behalf of the organization listed above, I agree to comply with the requirements listed above.*