Congressman Donald M. Payne, Jr. (NJ-10) Fiscal Year 2022 Appropriations Community Project Funding Request Form
Congressman Payne, Jr.'s request deadline: April 14, 2021 (C.O.B.)*

Rep. Payne, Jr. will be allowed to submit a total of 10 Community Project Funding Requests for Fiscal Year 2022. Additional documentation, such as letters of support and additional questions regarding funding use, will be requested from any entity selected for submission.


*PLEASE READ ALL QUESTIONS and DO NOT TYPE IN ALL CAPS*
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Legal name of Organization/Entity requesting the grant *
Is the organization a for-profit entity? (For FY 2022 the Committee will not fund any for-profit entities) *
Address of Submitting Organization *
City, State, Zip Code *
Phone Number *
Please provide a short summary about the submitting organization (300 characters max.)
Contact Information of Grantee
Name *
Address of Grantee (if different from above)
Email *
Phone *
Contact Information of Staff/Lobbyist
Name *
Email *
Relationship to organization *
Please select your funding account *
Amount Requested *
Project description (1,000 characters maximum) *
Budget breakdown: How will the funding be used? *
What is the total estimated cost of the project?
What other sources of funding exist for this project?
Why is this a good use of taxpayer funds? *
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