FISCAL SPONSORSHIP APPLICATION

FISCAL SPONSORSHIP APPLICATION
The Penny Foundation is a Birmingham, Alabama-based, 501©(3) community chest connecting people, organizations and resources to drive meaningful change.

The Penny Foundation provides access to a trusted platform to give and raise funds to specifically help the community. It gives you the ability to strategically fund your interests and passions in the community, and ultimately improve the lives of families.

Our goal is to provide emerging charitable ventures with incubation and fiscal accounting services to meet the diverse needs of the region. Please visit our website, www.pennyfoundation.org to learn more. We are privileged to be able to partner with organizations making a difference in our community.

Fill and complete this form, attach all requested documents, sign and date and return via mail or email at the address below.
Date of Application:

MonthDayYear
Date
Organization / Group Name:
Name of Principal Contact:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
Please enter a valid phone number.
Email:
example@example.com
Website (if applicable):
Do you have an Advisory Board and/or Steering Committee for this Project?
If yes, please list each person and include brief bios. Please also indicate if there are any public oﬀicials serving on your board or if there are any business or family relationships. Please label Advisory Board as Attachment A.

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Organization / Project Information
Name of Project:
Briefly state your project’s mission statement and/or purpose:
Briefly describe the services you provide, the client population you serve, and the geographic community you expect will benefit from your activities:
What is the date you anticipate funds will be available to open your project account?
Penny Foundation sponsors both short and long term projects. Do you have an end date in mind?
You do not need to have Articles of Incorporation or Bylaws to be accepted for sponsorship by Penny Foundation. If you are legally incorporated, please attach your Articles of Incorporation and Bylaws. Please label Articles as Attachment B and Bylaws as Attachment C.

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Does your project plan to become recognized as a nonprofit by the IRS by obtaining your own 501(c)(3) in the next five years?

YesNoMaybe
If you have filed for tax-exempt status, please provide.
Date of Filing:
Anticipated Date of Tax Exempt Status:
Does your project have insurance?

YesNo
If yes what kind and how much coverage?
What is the anticipated annual revenue for the project?
What are the anticipated sources of revenue for your project? (check all that apply)

Foundation GrantsGovernment GrantsDonationsSpecial EventsFee For ServiceIndividual DonationsOther
Do you expect to earn any unrelated business income through sale of product or services?

YesNo
How many check requests do you expect to submit per month?
Describe the nature of the expenditures you anticipate making.
How many grants do you expect to submit per quarter?
How many special events do you expect to hold each year?
How many online donation transactions do you expect per month?
Please describe fundraising activities to date and also outline fundraising goals for the future. Please label Fundraising as Attachment D.

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Will your project need to hire W2 employees?

YesNo
If yes, how many?
Will your project need to contract with outside vendors/consultants?

YesNo
Will your project need to utilize volunteers?

YesNo
If yes, how many?
How did you hear about Penny Foundation Inc.?
Are you currently using another fiscal sponsor?

YesNo
If yes, who?
Please also include the following attachments with your application:
Proposed 12-month budget outlining the income and expenses for the project. Please label Budget as Attachment E.

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Two personal letters of reference from individuals familiar with you, your work in the community, and your commitment to making a difference. Please label Letters of Reference as Attachment F.

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Optional: Please attach other documents that may be beneficial for our review. Please label Miscellaneous as Attachment G.

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Keep In Mind
Application will be considered incomplete and cannot be reviewed without submission of the requested attachments.

Attachment A | Advisory Board

Attachment B | Articles of Incorporation (if applicable)

Attachment C | Bylaws (if applicable)

Attachment D | Fundraising

Attachment E | Budget

Attachment F | Letters of Reference

Attachment G | Miscellaneous
APPLICANTS WILL BE CONTACTED AFTER APPLICATION AND DOCUMENTS ARE REVIEWED.

THANK YOU FOR SUBMITTING YOUR APPLICATION FOR FISCAL SPONSORSHIP.

Applications may be mailed or emailed to:

Penny Foundation Inc.

P.O. BOX 13181

BIRMINGHAM, AL 35203

Attn: Request for Sponsorship

INVEST@pennyfoundation.org
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FISCAL SPONSORSHIP APPLICATION

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