ORGANIZATION NAME OF ORGANIZATION OR GROUP ORGANIZATION CONTACT INFORMATION (address, phone number, email, and web address if applicable) CHARITABLE REGISTRATION NUMBER MISSION STATEMENT OR PURPOSE OF ORGANIZATION OR GROUP BRIEF HISTORY OF ORGANIZATION OR GROUP (age, past projects, successes or failures, who your organization has benefited in prior years) No DO YOUR ORGANIZATION’S SERVICES DUPLICATE THOSE IN THE COMMUNITY? Yes (please explain): IS ANY OF THE INCOME GENERATED BY YOUR No ORGANIZATION MADE PAYABLE TO OR Yes (please explain): AVAILABLE FOR THE PERSONAL BENEFIT OF ANY PROPRIETOR, MEMBER, VOLUNTEER OR SHAREHOLDER OF THE ORGANIZATION? ADMINISTRATION CONTACT INFORMATION FOR EXECUTIVE DIRECTOR/MANAGER INCLUDE EMAIL AND – PHONE NUMBER
ORGANIZATION NAME OF ORGANIZATION OR GROUP ORGANIZATION CONTACT INFORMATION (address, phone number, email, and web address if applicable) CHARITABLE REGISTRATION NUMBER MISSION STATEMENT OR PURPOSE OF ORGANIZATION OR GROUP BRIEF HISTORY OF ORGANIZATION OR GROUP (age, past projects, successes or failures, who your organization has benefited in prior years) DO YOUR ORGANIZATION’S SERVICES DUPLICATE THOSE IN THE COMMUNITY? No Yes (please explain): IS ANY OF THE INCOME GENERATED BY YOUR ORGANIZATION MADE PAYABLE TO OR AVAILABLE FOR THE PERSONAL BENEFIT OF ANY PROPRIETOR, MEMBER, VOLUNTEER OR SHAREHOLDER OF THE ORGANIZATION? No Yes (please explain): ADMINISTRATION CONTACT INFORMATION FOR EXECUTIVE DIRECTOR/MANAGER – INCLUDE EMAIL AND PHONE NUMBER
NERF-application-2018.docx