Annual Funding Request Form

The Nick's Kids Foundation is a 501 (c)(3) charitable organization dedicated to supporting children, family, teacher and student causes.

Each year Nick's Kids holds a Giveaway Luncheon in early fall. During this luncheon a majority of funds for the fiscal year will be distributed. To be considered for the Annual Giveaway Luncheon, each organization must fill out the 2018 Annual Funding Request Form which is due by May 1, 2019. All requests must be made online. Organizations will be notified of their request status no later than June 1, 2019.

Annual Funding Request Form

Contact Information

* Indicates required field

Name of Organization *

Executive Director Name *

Executive Director Phone *

Executive Director Email Address *

Organization Website Address *

Organization Tax ID Number *

Organization Physical Address *

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City

State

Zip Code

Country

Organization Mailing/Shipping Address (if different than above) *

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City

State

Zip Code

Country

Request Information

What are the ages of the children that your organization supports? *

Have you received funding from Nick's Kids in the past?
*

If you have received funding in the past, what date did your organization receive funds, and what dollar amount was donated? *

Organization Mission Statement *

Amount of Funding Requested *

Description of Organization *

Description of Needs *

Required Documentation

Upload a Copy of the Organization’s 501 (c)(3) Determination Letter *

Max file size: 20MB

*A copy of your 501 (c)(3) documentation must be received by Nick’s Kids Foundation prior to the approval of your request. Please submit it as an attachment to this application (flyer, brochure, etc.). Please review your request to make sure you have completed all fields and the information listed is correct. Incomplete requests will not be processed.

Choose Any *

By clicking SUBMIT, you certify that you are a tax exempt organization and funds received pursuant to this request, if any, will be used solely for the purposes described above.

Choose Any *

By clicking SUBMIT, you certify that this request is made in conjunction with your organization’s regular fundraising activities.

Choose Any *

By clicking SUBMIT, you certify that your organization is a non-athletically related bona fide youth organization.

Choose Any *

By clicking SUBMIT, you certify that funds received pursuant to this request, if any, are not earmarked for, and will not be used for, the benefit of a prospective student-athlete. A prospective student-athlete is a student who has started classes for the ninth grade.

Choose Any *

By clicking SUBMIT, you certify that funds received pursuant to this request, if any, are not earmarked for, and will not be used for, the purpose of contributing to a boys’ basketball program.

Choose Any *

By clicking SUBMIT, you understand that the Nick’s Kids Foundation reserves the right to request the return of funding if the organization fails to satisfy or comply with any of these conditions.

Please review your request to make sure you have completed all fields and the information listed is correct.
Incomplete requests will not be processed.

Submit

"No man stands as tall as he who stoops to help a child."

Nick Saban, Sr.

2019 Annual Funding
Request Form