Income m difi - Charity Blossom
Income m difi - Charity Blossom
Income m difi - Charity Blossom
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IU<br />
Tx<br />
I .<br />
orthwestern Mutual"<br />
. Foundation.<br />
Attachment 5<br />
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.**"$,-qgzeeiez-7,52 I -- 1 L :ff ff r -J-N eat.-f@,a I "-V-1 1: -I "<br />
NAME OF ORGANIZATION V DATE (MMJDDIYYYY)<br />
CITY STATE<br />
ADDRESS<br />
ZIP<br />
CODE<br />
I EXECUTIVE DIRECTOR TELEPHONE NUMBER FAX NUMBER<br />
CONT ACT PERSON TE.EPHONE NUMBER FAX NUMBER<br />
AMOUNT REOUESTE PURPOSE OF REQUEST (le-. Operations. mpxtal, PTUUTB-m)<br />
I<br />
$<br />
..<br />
*TOTAL FUND RAISING GOAL FOR FOUNDATION I CORPORATE SUPPORT<br />
DATES oF Frscm. YEAR<br />
Funds requested for fiscal year ending<br />
,20<br />
" " *-- N - I 151- <br />
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YEAR ESTABLISHED NUMBER OF FUU.-TIME EMPLOYEES<br />
GENERAL DESCRIPTION OF ORGANIZATION AND ITS PURPOSE:<br />
i $ I .ORGANIMTION NAMED IN 501(c)(3) LEITER IF DIFFERENT: .<br />
Tom. oPeR/mus ExPeNses Fon usT<br />
FISCAL YEAR TOTAL OPERATING EXPENSES BUDGETED FOR CURRBJT FISCAL YEAR<br />
$<br />
AMOUNT OF UPAF OR UNITED WAY HJNDING EXPECTED IN CURRENT FISCAL YEAR<br />
$<br />
NORTHWESTERN MUTUAL EMPLOYEES INVOLVED. IF ANY. (PLEASE INCLUDE EACH EMPLOYEES CURRENT VOLUNTER ROLE)
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