Application For Participation Annie B's Community Drive

All fields are required

1. Name:
2. Street Address/POB:
3. City:
4. State:
5. Zip:
6. Email:
7. Phone:
8. Website:
9. Tax ID# for 501 c (3) nonprofit organization:
10. If not a 501 c (3), name of fiscal sponsor.
11. Copy and paste the text from letter from fiscal sponsor giving permission to raise funds for your program. This letter should include the mail address and Tax ID# of sponsoring organization.
12. Field of Service:
13. Mission Statement: (no more than 25 words)
14. Expected use of funds: (no more than 25 words)

Will be responsible for the following:

1. To serve as primary liaison to Annie B's
2. Agrees to communicate all information concerning Annie B's to volunteers, staff and donors of organization.
3. Will respond to all inquiries from NVCF in a timely manner.
4. Will complete and submit all required forms by deadlines provided.

1. Contact person's name:
2. Phone:
3. Email:

1. I understand that North Valley Community Foundation (NVCF) will accept donations on behalf of our organization starting August 1 and 100% of these donations will be distributed to our organization within 30 days of the close of the drive on September 30. As with all funds, NVCF will keep 2% of gross revenues for administrative expenses, to be paid exclusively from matching grant funds. No NVCF fees will be deducted from designated donations.
2. Checks will be made out to “Annie B's” and the name of our organization and sent from the donor directly to:
   North Valley Community Foundation
   3120 Cohasset Road, Suite 8
   Chico, CA 95973
3. I understand that receipts will be issued only by North Valley Community Foundation. NVCF will send a receipt with an acknowledgment letter to each donor. You will be provided with the donor's name and address and are encouraged to also send a thank you. The amount of each donation will be provided once the drive is concluded.
4. I understand that funds directed to this effort are to be contributions from donations only.
   • No funds allowed from special events or fundraisers.
   • No goods or services will be provided in exchange for donations.
   • No fees for membership, drawings, dinners, or other activities are allowed.
   • No funds in fulfillment of prior pledges.
5. Donations of cash are discouraged and will be accepted only with prior arrangements. Call NVCF for details.
6. Donations of stock (securities) can be accepted. Call NVCF for details.
7. Donations received before the drive begins or after the deadline closes will be passed through to the participating organization, but will not count towards matching grants.
8. I agree to support the marketing efforts of the Annie B's Community Drive and will participate in these marketing efforts to the degree possible, including participation of a representative of our organization in the culminating event at Chico City Plaza on October 11.
9. The marketing activities of our organization will be consistent with the goals and efforts of the Annie B's Community Drive and will include the Annie B's logo in printed material, on-line information, or other media.
10. NVCF has permission to use the name of our organization in marketing and promotional material as a participant in the Annie B's Community Drive.
11. I understand that grant funds from NVCF will be distributed to each participating organization proportionate to the total amount raised by the Annie B's Community Drive. Grants will be given as a match up to the first $25,000 raised by any one participating organization.
12. I verify that these funds will not be used to promote activities that are primarily religious or political in nature.
13. I understand that all funds received by North Valley Community Foundation are subject to the variance power* of the NVCF board of directors.

*The Board of Directors shall have the power to modify or eliminate any restriction, condition, limitation or trust imposed with respect to any funds or property the title to which has become vested in this corporation if, in the sole judgment of the Board of Directors, such restriction, condition, limitation or trust becomes unnecessary, incapable of fulfillment or inconsistent with the charitable needs of the community or area served.