Charitable Application

    Type of Applicant (required)

    ORGANIZATION/TEAM/CLUB INFORMATION

    Name of Your Org/Team/Club (For non-profits: Name as it appears on your 501(c)3 letter) (required)

    IRS Tax ID Number

    *Street Address

    City State Zip Code

    Phone Number

    Website

    Your Email (required)

    PRIMARY CONTACT INFORMATION

    First Name              Last Name              Middle Initial

    Title

    *Street Address

    City State Zip Code

    Phone Number

    Website

    Your Email (required)

    REQUEST INFORMATION

    Request Date

    Request Amount

    Request Description

    COMMUNITIES SERVED
    Information in this section is for reporting purposes only and has no bearing on the acceptance or rejection of your proposal. If your organization does not keep this kind of information, pleas provide your best estimates for each category.

    Age Group (check all that apply):

    Children under 6Children 6 - 12Youth 13 - 18Young Adults 19 - 25Adults

    Ethnicity (check all that apply):

    African AmericanAsianBosnianCroatianEastern EuropeanEuropeanLatino/HispanicOther specified ethnic group

    Gender (check all that apply):

    FemalesMalesBoth

    Population Served (check all that apply):

    Blind/vision impairedDeaf/hearing impairedEconomically disadvantagedGay/Lesbian/TransgenderMentally/Emotionally ImpairedPhysically impairedRefugees/immigrantsGeneral PublicSingle parent

    BEFORE YOU SUBMIT YOUR REQUEST:

    Proposals must include the following information. Please use the checklist below to ensure that your request is complete. Missing information will delay review of your application.

    ■ For all ORGANIZATIONS:
    □ A completed copy of the attached application form.
    □ A brief description of the funding request and the requested amount.

    ■ For all TEAM/CLUB applicants:
    □ Team Roster
    □ Attach a letter describing in detail your team/club(s) economic hardship.
    □ Completed copy of the attached application form.
    □ Brief description of the funding request and the requested amount.

    ■ Additional information required for non-profit organizations:
    □ A brief description of the organization’s history and mission statement.
    □ A list of the Board of Directors, including names, titles and affiliations.
    □ A copy of the organization’s IRS 501(c)(3) letter.
    □ A current annual operating budget with expenses and income (earned and contributed).
    □ A copy of the organization’s most recent audited financial statement. If no audit is
    available, explain why.

    I agree with the terms in Starfire's Charitable Application

    Please submit the above forms as attachments below. If unable to include attachments, send forms to:

    Charitable Giving
    Starfire Sports
    14800 Starfire Way
    Tukwila, Wash. 98188

    Attachments



    QUESTIONS?
    Contact the Charitable Partnership Manager, Kelley Talbot at: (206) 267-6401 or by e-mail to charitablegiving@starfiresports.com