Non Profit Request

Non Profit Request Form

Please note, our charity requests have been temporarily suspended until we resume the Daily Paintings.

A portion of the Daily Painting sales will go to selected charities. Organizations will be chosen from those who are recommended and have submitted the form below.

Non Profit Request Form

		Fields marked with * are Required fields
*Organization Name	:		501(c)3#	:
Address	:
*Phone	:
*Email	:		Web	:
Primary Contact	:		Title	:

Leadership
CEO/Presidente	:
CFO	:
Boardchair	:

Financial Viability
Current Annual Approved Budget	:	From To


Annual Net Revenue	:
% FR Revenue	:
% FR Expense	:

Outreach Capability
# of Contactable Records	:
# of Valid Emails	:	Emails sent per year
# of Mailable Addresses	:	Mail appeals per year


	* Sum of mission, goals and accomplishments (250 or less):


	Top 3(three) needs for support?


	Why do you want to participate?