Corporate Sponsorship Funds Request Letter - DOC

							                   Charitable Giving Request for Funding
Fireman’s Fund has limited funding for the purposes of charitable giving. In order to be qualified for
funding, the organization must be a 501C not-for profit status located in the Bay Area, CA (primarily
Marin, Sonoma and Contra Costa Counties). Our charitable giving program focuses on funding in the
areas of Human Needs and Education. Requests for funding will be reviewed semi-annually. All
requests will receive a response.


Request Date
Program Area Select one
Legal Name                                                    Date Organization Founded
Executive Director
Address
City, State
Contact Name/Title                                             Email address
Web address                                                    Tax ID#
Phone
Annual Budget                What percentage of budget is used for administrative costs?

Geographical Area Served

Is the organization currently under investigation or involved in litigation? Please explain:
Please attach a copy of the IRS tax exempt letter 501(c)(3), current financial statement, and a list of
Board of Directors and business affiliation.
Organization Mission




Request Amount (Maximum $10,000)
Project Start Date

Brief Description of Project/Program (Please also list other sources of funding)




Number of people served by program

Have you received grants from Fireman’s Fund in the past? If so, please describe progress since last
grant. Please include metrics, including performance to plan.




Please send completed application to Fireman’s Fund Charitable Giving Program, Fireman’s Fund Insurance
Company, 777 San Marin Drive, SM1 A24, Novato, CA 94998. Grants will be reviewed in April/May of each year.