Carroll's-Gill's Permanent Endowment Fund (CGPED) Request for Giving
Please fill out this form to be considered for Carroll's Gill's Permanent Endowment Fund giving.
Name of Requesting Entity
*
Email of Requesting Entity
*
This address will receive a confirmation email
Phone of Requesting Entity
*
Address of Requesting Entity
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Website of Requesting Entity
*
Information for Primary Contact regarding this request
Name
*
Position/Title
*
Phone
*
Email
*
This address will receive a confirmation email
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Information for Secondary Contact regarding this request
Name
Position/Title
Phone
Email
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Entity History
How long has the entity been in existence under its current name?
*
If applicable, what other name(s), and for what time periods, has the entity operated?
*
If applicable, what prompted the name change(s)?
*
Mission
What is the primary mission of the entity?
*
Tax Information
What is the tax structure of the entity?
*
If a tax-exempt organization, are 990s regularly filed?
*
Giving Request
What is the amount of the request?
*
What are the intended uses of the funds?
*
How will the entity determine if the use of the funds is successful?
*
Additional Information
Has the entity had a relationship with Carroll's-Gill's UMC or Hunt's Memorial UMC?
*
Please select one option.
Yes
No
Other, described below.
If Yes, explain and provide a point-of-contact.
If No, how did the entity learn of the CGPEF.
Please upload any documents or short videos to help CGPEF understand your organization and its mission.
Upload (8MB)
Agreement
By submitting this request the entity attests to the accuracy of the information contained herein. Please type name to sign form.
*
Submit
Description
Please fill out this form to be considered for Carroll's Gill's Permanent Endowment Fund giving.
×
Please Fix the Following