= ADVOCACY FUND
The Presidio, P.O. Box 29903, San Francisco, CA 94129
Tel: 415-561-6373 Fax: 415-561-6401
deathpenalty@tides.org
Please complete this cover sheet if you are seeking funding for lobbying activities or would like to receive funding for
a 501(c)(4)organization. If you are applying for funding for charitable or educational activities to a 501(c)(3)
organization, please apply using the Tides cover sheet and budget template. If you are applying for both types of
funding, please submit both cover sheets and budget templates.
ORGANIZATIONAL INFORMATION
Name of Organization:
Legal IRS Name (if youa
fiscally sponsored project
please complete sponsor
information on the following
page):
Contact Name and Title for Email:
Grant and Legal Issues: .
President/Executive Director: Email:
Mailing Address:
Phone: Fax:
General Email: Website:
Fiscal Year End Date: Year Founded:
aot . IRS Employer
Annual Organizational Budget: Identification Number:
{_]501(c)(4) Social Welfare Org.
{_}501(c)(3) Public Charity
Tax Status:
(_]Fiscally sponsored project
{_] Other:
PROJECT INFORMATION
Project Seeking Funding (2-3
sentences describing the
project and/or anticipated
outcome:
What is the proposed grant
start date?
Total project budget (including
total funds requested from
Tides, The Advocacy Fund,
FADP and other sources) for
your proposed project:
Total amount requested from
The Advocacy Fund:
Total amount requested from
Tides Foundation (if any):
The Advocacy Fund Organizational Summary Sheet
FISCAL SPONSORSHIP INFORMATION
If you are a fiscally sponsored project, please complete the section below and send us a copy of your fiscal
sponsorship agreement or proof of fiscal sponsorship.
Name of Fiscal Sponsor:
Legal IRS Name:
Contact Name and Title for Email:
Grant and Legal Issues: °
President/Executive Director: Email:
Mailing Address:
Phone: Fax:
General Email: Website:
Fiscal Year End Date: Year Founded:
a < IRS Employer
Annual Organizational Budget: Identification Number:
{_}501(c)(3) Public Charity
Tax Status: {_}501(c)(4) Social Welfare Org.
(_] Other:
The Advocacy Fund Organizational Summary Sheet — revised March 2013
