Form Cht-1 - Application For Registration As A Charitable Trust Page 4

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SECTION 6 – Charitable Trust Directory Information (Optional)
Complete this section if the organization wishes to be included in the Washington Charitable Trust Directory.
Check one:
Yes! Include the organization in the Washington State Charitable Trust Directory.
No. We do not wish to be included at this time.
Type of organization (check one):
Grantmaker
Grantseeker
Both Grantmaker and Grantseeker
Contact person
:
Telephone number: (
)
(if different than trustee)
PURPOSE CODES
Check up to three (3) of the following purpose codes to describe the organization’s activities:
A Arts, culture, humanities
I Public Protection:
R Civil rights/civil liberties
crime/courts/legal services
B Educational institutions &
J Employment/jobs
S Community improvement/
related activities
development
C Environmental quality,
K Food, nutrition, agriculture
T Philanthropy & volunteerism
protection
L Housing/shelter
U Science
D Animal-related activities
M Public safety/disaster
V Social sciences
preparedness & relief
E Health—general &
N Recreation, leisure, sports,
W Public affairs/society benefit
rehabilitative
athletics
F Mental health, crisis
O Youth development
X Religion/spiritual development
intervention
G Disease/disorder/medical
P Human service—other
Y Mutual membership benefit
disciplines (multipurpose)
multipurpose
organizations
H Medical research
Q International
Z Unknown, unclassifiable
NOTE: Purpose codes are adopted from the National Taxonomy of Exempt Organizations (NTEE).
GRANTMAKERS ONLY
Does the organization accept unsolicited applications? (check one)
Yes
No
Grants are made to (check all that apply):
501 (c)(3) organizations
Other organizations
Individuals
Average grant size (check
$5,000 or below
$5,001 - $10,000
$10,001 - $25,000
$25,001 - $50,000
one):
$50,001 or above
Geographic service area (check all that apply):
Washington State
Pacific Northwest
United States
Local (describe) ____________________________________________________
Other (describe) ____________________________________________________
Suggested initial approach for grant seekers (check all that
Letter
Telephone call
apply):
Request information packet
Do not call
E-mail ______________________
Other (describe) __________________________________
CHT-1/Rev 08/10
4
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