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.%TT op <br />,l �SLES,0 <br />[Ltipv <br />_ <br />Signature of Organization's Authorized Representative <br />COMMUNITY & IN-KIND DONATION GUIDELINES <br />In -Kind 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 />Description of In -Kind Donation Requested: Click or tap here to enter text. <br />How will the in-kind donation contribute to the organization: Click or tap here to enter <br />text. <br />What specific services or programs will benefit the residents of the City of Sunny Isles <br />Beach? Click or tap here to enter text. <br />1. When will the requested in-kind donation be used? Click or tap here to enter text. <br />14 <br />601 <br />