old charity form – 100+ Women Who Care Tucson

Member Name

First

Last

Phone

Member Email*

Organization Name

Address

Apt, Suite, Bldg.

City

State

Zip Code

Phone

Organization's Website

Organization Contact

First

Last

Position at Organization

Phone

Organization's EIN

Organization's Mission Statement, Purpose and Who They Serve

How would our donation be used by the organization? What would the social impact be in the Tucson metropolitan community? Over what period of time?

Number of Employees

Number of Volunteers

Year organization was founded

Year organization became a 501(c)3 entity

Does the organization have 2 years of 990 tax returns available for review

Yes

Unsure at this time

Will any portion of the 100+ WWC donation go towards administrative fees? If so, what percentage?

Does the organization agree to send Thank You notes to our members?

Yes

Unsure at this time

Does the organization agree NOT to sell, give or use Member contact information for solicitations by themselves or other organizations?

Yes

Unsure at this time

If this charity is selected by the group, to whom would the donation be payable to?

What is the annual budget?

Will the entire 100+ donation be spent locally?

Are you human?*

This field should be left blank