Philanthropic Sponsorship Application Name of Organization* Number of Times Funded by OBAL in Past Three Years*How long has the organization been established?* Primary services provided by organization*What segment of the African American community benefits from the services provided by this organization (percentage of population served)?*Amount Requested*How will contribution be used?* Government funding for the last fiscal year*Corporate funding for the last fiscal year*Fundraising/Private funding for the last fiscal year*Other Foundations/nonprofit funding for the last fiscal year*Other funding for the last fiscal year*If "Other" applies, please describe Total Budget*Organizational Focus* Health Initiatives Arts/Culture Social Justice Youth/Family Contact Person* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Link contact (if any) Please include phone and email contact information if your Links contact is part of any Links chapter other than Oakland Bay Area Links.Other comments or information that you think would be helpful in determining the eligibility of this organizationPlease include information on how our Links Chapter might develop a partnership with this community service organization. Identify the areas listed above that aligns with your organization and programming/services.Please attach the following documents if they are available:1. Mission statement or program objectives of the organization 2. Budget for the last fiscal year, including organization chart 3. Copy of 501 (c)3 IRS designation* 4. Financial statements for the last fiscal year* *The required attachments must be submitted for consideration by the committee. OBAL gives funding priority to direct programmatic activities. The application shall be completed by an authorized representative of the agency. The “Contact Person” may be required to respond to inquiries and requests for additional documentation. Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, txt, xls, rtf, png, gif, tiff, bmp, Max. file size: 50 MB. NameThis field is for validation purposes and should be left unchanged. Δ