TIDES
The Presidio, P.O. Box 29903, San Francisco, CA 94129
Tel: 415-561-6400 Fax: 415-561-6401
deathpenalty @tides.org
Please complete this cover sheet if you are seeking funding for charitable or educational activities. If you are applying
for funding towards lobbying activities or would like to receive funding for a 501(c)(4)organization, please apply using
The Advocacy Fund (TAF) 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:
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:
Hii : IRS Employer
Annual Organizational Budget: Identification Number:
{_]501(c)(3) Public Charity
{_] 501(c)(4) Social Welfare Org.
Tax Status:
(_] Fiscally sponsored project
{_] Other:
PROJECT INFORMATION
Name of Project Seeking
Funding:
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
Tides Foundation:
Total amount requested from
The Advocacy Fund
(if any):
Tides Organizational Summary Sheet — revised March 2013
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:
re . IRS Employer
Annual Organizational Budget: Identification Number:
Tax Status:
{_] 501(c)(3) Public Charity
{_]501(c)(4) Social Welfare Org.
{_] Other:
Tides Organizational Summary Sheet
