Ed & Erma Uecker Advised Endowment Application

To assist the visual impaired of St. Joseph County Indiana.
To assist local Lions clubs of St. Joseph County in collecting eye glasses for distribution on mission trips.
To provide funds to local Lions clubs of St. Joseph County to provide student scholarships to special camps and activities to qualified persons.
To provide local Lions clubs of St. Joseph County in providing assistance to qualified persons with medical needs.
Funds to be used in the state of Indiana and of St. Joseph County, and that they be used exclusively for the benefit of persons designated herein.

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Name of Club Making Request*

Project Title*

Amount Requested*

Club Officer*

First Last

Title*

Address*

Street Address City State ZIP Code

Email*

Phone*

Federal EIN #*

Briefly Describe the Project Including Budget*

Signature*

Date of Application*

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