(Oca 5% Day Donation Application ‘Thank you for looking to the Old Town, Alexandria Whole Foods Market for support. We appreciate te time you take to sate the following information about your orcanization with us, We are proud to support both jeeal and community-based organizations. 5% Day events are fundraisers where we select non-profit partncr and on the selected event dite, 96 of the y's sales are donated directly tothe nonprofit 5% Day fundraisers are eid four times «-year-once per fiscal quarter nly non-profit $0146)3 stitas organizations ave eligible for consideration, We review each request with great respect nd consideration. Requests that cannot be failed by a $% Day can also be considered for other forms of donations. Oa the 5% Day event, we prefer that at least four volunteers from your organization are present at our store. The volunizers will bo maximize the impact you have with our customers. We typically host our 59% Days on Wednesdays. ‘Weare currently aceepting applications for Spring 2010, We look forward to serving yout Today's Date: Name of Organization: —__ Purpose of Organization: | confirm that we are a 501(c)3 organization and the federal tax [D# is __ Organization Address: Primary Contact Pers Daytime Phone: Evening Phon Fas: For consideration, you must be a S01(e)S organization, Please attach a i following questions and also consider attaching any brochures, ete. describing your organization and its mission 1, Please briefly outline the history of your organization and its mission: _ 2. Are youa Jocal and/or national organization? Deseribe the conimunity you serverfic project for which the 5% Day contribution will be used? escribe some of your recent accomplishments: with your members? 6. What other groups/organizations do you work with ifany? 7. How would you publicize the 5% Day event ta your members and to the public? 4. What type of recognition, advertising, ete. will you supply if this donation bs approved? 9, Tell us about other fandraising events your organization has held. Which were the most successfal? 10. From what other sources do you receive funling?‘would you (ake advantage of this opportunity? How many mensbers and staff will be available during business hours to: participate? 12, Is there atime of year when y mar organization would best benefit from 5% Day? What time of year would ‘your organization na be able to adequately support a 5% Bay? 13, We require a brief evaluation of the program for which the finds are coutributed, How long after the 5% ay could we expect your report? 14, Please name your organization's key officers or board members: 15, Would you lke to be considered far othcr forms of donations ifthe 54% Day application is not approved: yes O No Thank you! Please return this form along with the required documentation to our Customer Service desk, We will contact you shortly to confirm receipt of your application, WHOLE