The Onyx & Breezy Foundation
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Grant Application Forms

Individual Questionnaire
Click Here to
File Size: 460 kb
File Type: pdf
Download File

Non-Profit Questionnaire
Click Here to
File Size: 91 kb
File Type: pdf
Download File

Grant Requirements

All grant applications must be returned with the following to be presented for consideration:*
  • Financials
                 Individuals 
                   -Tax Return (Copies only)
                 Non-Profit Organizations
                   - Last Audited Financials
                   - Current Balance Sheet & Income Statement (Not older than 60 days)
  • Diagnosis & Prognosis (if applicable)
  • Estimate of cost
  • Care Credit status (individuals must apply for care credit and submit evidence of either denial or approval with available balance)
  • Telephone number that accepts calls from a "blocked' telephone number.

Please read our Grant Application FAQs before submitting your application.
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*(Grant Packages MUST be sent all together and complete at the same time. Incomplete or piecemeal packages will NOT be reviewed)

Send completed application packages to:

The Onyx & Breezy Foundation
PO Box 857
Tuxedo, NY 10987
or
If urgent e-mail to info@onyxandbreezy.org (e-mail submissions must be in PDF Attachment format and contain no more than ten pages)

PLEASE NOTE:
  • Applications over ten pages must be sent as hard copies through the mail to the address above
  • Incomplete grant requests will only be held for 15 days
  • Grant requests which have been approved are valid for 30 days only

(Please note that we do not fund requests for medical care previously paid by applicant.)
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