2026 Affiliate-Supported Charity Nomination Form

2026 Affiliate-Supported Charity Nomination Form

The nomination period ends on September 23, 2025 at 11:59 p.m. NOTE - charities selected as finalists will be required to submit their logo in .eps or .ai format, and copies of the following documents: 990/990-EZ Return of Organization Exempt From Income Tax form, IRS Determination Letter, and State of Florida Exempt Organization Registration Letter. We appreciate you advising the charity representative in advance of this.
Your Name
Your Email Address
example@example.com
Your NRDS/Member ID Number
Charity Nominated
The contact person at the charity is First Name* Last Name* . Their phone number is Phone Number* and their email address is Email*
Is this charity a 501(c)(3)?
Does this charity specifically serve the Tampa Bay region?
Is this charity a chapter of, or part of a national organization?
To ensure fairness and transparency, do you or a close family member currently serve, or have within the past three years served, as a board member, officer, staff, or in another leadership role with this non-profit?
What is the charity's mission statement?
Why should the Affiliates support this charity in 2026?
How would the Affiliates' contribution impact this charity?
Do you have any personal ties to the charity, or have you worked with them before? Please explain.
Should be Empty: