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Recipient Application

Request for Assistance (please fill out application completely)

Applicant’s Contact Information

The application process is designed for families and/or individuals with short-term financial needs caused by a grievous illness that is impacting a family’s financial stability. Families and/or individuals are considered on the condition of their willingness to volunteer at the Mike Nosco Memorial Bicycle Ride. Direct donations to a specified recipient are given to that family. Donations received up to December 31, 2018 will be distributed to the recipients. Any donations received after December 31, 2018 will be held in the foundation account and applied to the following year. The Michael P. Nosco Foundation, Inc. and Mike Nosco Memorial Bicycle Ride will not be held liable for any tax responsibilities. The board of the Michael P. Nosco Foundation, Inc. will approve all applicants.