Women Empowered to Make a Difference!
100 Women Who Care TriCounty Michigan
  • Who We Are
  • History
  • How 100+ Women Works
  • FAQ
    • FAQ (continued)
  • 2017 Highlights
    • May 2017 Awardee
    • August 2017 Awardee
  • 2016 Highlights
    • February 2016 Awardee
    • May 2016 Awardee
    • August 2016 Awardee
    • December 2016 Awardee
  • 2015 Highlights
    • February 2015 Awardee
    • May 2015 Awardee
    • August 2015 Awardee
    • November 2015 Awardee
  • 2014 Highlights
    • February 2014 Update
    • May 2014 Update
    • August 2014 Update
    • November 2014 Update
  • 2013 Highlights
    • April 2013 Update
    • July 2013 Update
    • October 2013 Update
  • Meeting Schedule
  • Contact Us
  • Membership & Charitable Forms
    • 100 Women Who Care Commitment Form
    • Charitable Commitment Form
  • Current 100+ WWC Chapters
  • 100 Women Who Care Websites
CHARITABLE ORGANIZATION FACT SHEET

1. Name of Charitable Organization:_____________________________


2. Address: (Headquarters and where services are provided, if different)

________________________________________________

3. Web address of organization:

_______________________________________________________________

4. When was the organization started?    ____________________

5. Mission Statement of the Organization:

______________________________________________________________

______________________________________________________________

______________________________________________________________

6. How would the donated funds be used?

______________________________________________________________

______________________________________________________________

7. What are the current sources of funding for the Organization?

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

8. What population does the Organization serve? (children, women, elderly, mentally ill, etc.) AND how may people will receive services annually (approximately) if known?

______________________________________________________________

______________________________________________________________

______________________________________________________________

9. Is the Organization a registered 501(c)(3) (IRS Certified Tax Free Status) charitable Organization?

Yes_______  No_______        EIN# ____________________________

Please Note: while a non 501(c)(3) organization is still eligible for consideration, contributions will not be tax deductible so therefore Members must be aware of this status prior to voting.

10. If awarded, would someone from the Organization be available to speak at our next meeting to describe the impact of the donated funds?___  If Yes, Name & Contact Information:
_____________________________________________________________

11. Does the Organization agree not to sell, give, or use the 100+ Women’s contact information forsolicitations by themselves or other organizations?

_____________________________________________________________

12. If this charity is selected by the group, to whom would the check be payable to?

______________________________________________________________

13. Does any portion of a contribution go toward administrative fees? _____________________________

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