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CITY OF <br />LESz <br />N _ <br />COMMUNITY & IN-KIND DONATION GUIDELINES <br />Community Donation Request Application <br />GENERAL INFORMATION <br />Organization Name: Click or tap here to enter text. <br />Address: Click or tap here to enter text. <br />Phone: Click or tap here to enter text. <br />Email Adress:Click or tap here to enter text. <br />Website:Click or tap here to enter text. <br />Federal Tax Identification Number: Click or tap here to enter text. <br />Designated 501(c) (3) Status? ❑ Yes ❑ No <br />Contact Person Name: Click or tap here to enter text. <br />Phone: Click or tap here to enter text. <br />Email Address: Click or tap here to enter text. <br />ORGANIZATION DETAILS <br />Brief Description of Organization: Click or tap here to enter text. <br />Organization Mission Statement: Click or tap here to enter text. <br />Types of services or programs provided: Click or tap here to enter text. <br />1. How many years has the organization been in operation? Click or tap here to <br />enter text. <br />2. What is the organization's total operating budget? Click or tap here to enter text. <br />3. How many individuals does your organization service? Click or tap here to enter <br />text. <br />DONATION REQUEST DETAILS <br />Amount of Funding Requested: Click or tap here to enter text. <br />How will the funds be used? What specific services or programs will benefit the <br />residents of the City of Sunny Isles Beach? Click or tap here to enter text. <br />12 <br />599 <br />