Show Me Women Who Care
CHARITABLE ORGANIZATION FACT SHEET
Please copy this form and fill it in when you wish to champion a cause at a meeting.
Please submit this completed form for consideration at the meeting.
MY NAME IS: ___________________________
1. NAME OF ORGANIZATION: ___________________________________________________________________________________
2. ADDRESS: (Headquarters and where services are provided, if different? It is preferred that services are provided for both Andrew and Buchanan Counties.)
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3. WHEN WAS THE ORGANIZATION STARTED?
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4. MISSION STATEMENT:
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5. HOW WOULD THE DONATED FUNDS BE USED?
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6. WHAT ARE THE CURRENT SOURCES OF FUNDING FOR THE ORGANIZATION?
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7. WHAT POPULATION DOES THE ORGANIZATION SERVE (children, elderly, mentally ill etc.) AND HOW MANY PEOPLE RECEIVE SERVICES ANNUALLY?
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8. IS THE ORGANIZATION A REGISTERED 501(C) (IRS Certified Tax Free Status) CHARITABLE ORGANIZATION OR OTHER NOT FOR PROFIT CLASSIFICATION? WILL OUR DONATIONS BE TAX DEDUCTIBLE? ___________________________________________________________________________________
9. DOES THE ORGANIZATION AGREE NOT TO SELL, GIVE OR USE THE SHOW ME WOMEN WHO CARE CONTACT INFORMATION FOR ADDITIONAL SOLICITATIONS BY THEMSELVES OR OTHER ORGANIZATIONS UNLESS PERSONS ARE ALREADY ON THEIR CONTACT LIST?
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10. HOW MUCH OF THE MONEY OR WHAT % OF THE MONEY DONATED TODAY WILL BE USED FOR ADMINSTRATIVE USE? ______________________________________________________________
1. NAME OF ORGANIZATION: ___________________________________________________________________________________
2. ADDRESS: (Headquarters and where services are provided, if different? It is preferred that services are provided for both Andrew and Buchanan Counties.)
______________________________________________________________________________________________________________________________________________________________________
3. WHEN WAS THE ORGANIZATION STARTED?
______________________________________________________________________________________________________________________________________________________________________
4. MISSION STATEMENT:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. HOW WOULD THE DONATED FUNDS BE USED?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6. WHAT ARE THE CURRENT SOURCES OF FUNDING FOR THE ORGANIZATION?
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7. WHAT POPULATION DOES THE ORGANIZATION SERVE (children, elderly, mentally ill etc.) AND HOW MANY PEOPLE RECEIVE SERVICES ANNUALLY?
______________________________________________________________________________________________________________________________________________________________________
8. IS THE ORGANIZATION A REGISTERED 501(C) (IRS Certified Tax Free Status) CHARITABLE ORGANIZATION OR OTHER NOT FOR PROFIT CLASSIFICATION? WILL OUR DONATIONS BE TAX DEDUCTIBLE? ___________________________________________________________________________________
9. DOES THE ORGANIZATION AGREE NOT TO SELL, GIVE OR USE THE SHOW ME WOMEN WHO CARE CONTACT INFORMATION FOR ADDITIONAL SOLICITATIONS BY THEMSELVES OR OTHER ORGANIZATIONS UNLESS PERSONS ARE ALREADY ON THEIR CONTACT LIST?
__________________________________________________________________________________
10. HOW MUCH OF THE MONEY OR WHAT % OF THE MONEY DONATED TODAY WILL BE USED FOR ADMINSTRATIVE USE? ______________________________________________________________