Organization Name

Organization Local Address

City, State, Zip

Tax ID #

When was the organization started?

Is the Charity a 501(C)(3) Organization? *501(C)(3) status required for nomination

Does the non-profit operate under the umbrella of another organization?

If so, which one?

Briefly describe the services the organization provides to the residents of Hilton Head Island

Describe how the funds will be used

What is the annual budget?

What is the annual income?

What are the sources of income?

Charity Contact

First Name

Last Name

Charity Phone

(###)

###

####

Charity Contact Email

Charity Website

http://

Name of Nominating Member

This Nomination Form must be completed and submitted one week prior to our meeting.If you are chosen to present your nonprofit organization, it will give you all the information you need to share with the group. Plus, don’t forget to check out these tips for making an effective pitch.