Fundraising Authorization Request printable pdf download

Fundraising Authorization Request

O V A T O

N I F I E D

C H O O L

I S T R I C T

FUNDRAISING AUTHORIZATION REQUEST

*NOTE: PER NUSD BP/AR 1230 – THIS FORM MUST BE SUBMITTED EACH FISCAL YEAR AND PRIOR TO ANY FUNDRAISING EVENTS*

Organization/Individual Name:

Fiscal Year:

/20

Representative Name:

Date:

Representative Email:

Phone:

Email:

Stated purpose or mission of organization/individual: ___________________________________________________

__________________________________________________________________________________________________

Has your organization completed the IRS Form 1023 and Franchise Tax Board Form 3500 to receive tax-exempt



________________

_______________

status?

YES

If yes, list EIN:

If applicable, State Corporate #

Please provide the names, addresses, phone numbers and email address for all officers and representatives:

NAME

TITLE

ADDRESS

PHONE

Name and address of bank where fundraising account is located:

__________________________________________________________________________________________________

Names of those authorized to withdraw funds from this fundraising account? ______________________________

__________________________________________________________________________________________________

Specify all fundraising events/activities and objectives. Identify dates of events/activities or attach your

fundraising calendar:

DATE

EVENT/ACTIVITY

OBJECTIVE

NUSD  1015 7

Street  Novato  CA  94945 (415) 897-4201

FUNDRAISING AUTHORIZATION REQUEST

3.11

Fundraising Authorization Request