100 Women Who Care St. Charles Charity/Non-Profit Form

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The nominated organization must be a 501c3 (no exceptions). 100 Women Who Care St. Charles will refrain from contributing to religious, political, or controversial organizations. Questionable nominations will be at the discretion of the Founders Committee. Once an organization receives an award, the organization will not be eligible for nomination again until one calendar year has passed.

Please complete and submit the below form at least two days before our meeting.

Questions? Contact Lori Linkimer at Ilinkimer@starckrealtors.com

Thank you!

Name *

Email *

Cell Phone Number *

Meeting Date *

YYYY

Name of organization you are nominating *

Organization's complete address *

Organization's email *

Organization's contact person *

Organization's mission statement, population(s) served, other sources of funds/how funds are used. *

The organization I am nominating is a registered Not for Profit through the Illinois Secretary of State office. (Other filing types are not eligible-no exceptions) *

Yes

Name of not-for-profit as filed with the Illinois Secretary of State office (if different than above)

I have spoken to the organization nominated and they understand and agree not to give or sell the contact information of our members for additional solicitation by them or other organizations, unless otherwise noted. *

Yes

Required

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