Request A Need You will be notified by an OCO Foundation representative of approval or denial of your application within 30 days following the end of the review period. General Information Name of Organization (required) Address (required) City (required) State (required) Zip (required) Website Address Tax Identification Number (required) Name of Contact Person (required) Title Telephone Number (required) Fax Number Email (required) Background Information Mission of Organization History of Organization Is organization a 501(c)(3)? Yes Donation Information Requested Amount Will the donation be used for a specific program or event? YesNo Program/Event Title Description of Program/Event Objectives of Program/Event Date of Program/Event Location Geographical Area Served Number of people estimated to attend Projected Total Project Cost Specifically describe how donation will be used Listing of other organizations you are approaching for funding Will the OCO Foundation receive any recognition or promotional opportunities regarding this event? Public service announcementSignageTable/BoothProgram adNews releasesOther: Please describe: Specifically describe how funds will be used Specifically describe what organizational objectives these funds will help meet Describe how these objective addresses a community need, including the estimated number of people this donation will assist Have you ever received funding from OCO Foundation in the past? YesNo If yes, list the event, date(s), description and contribution amount: Description of Need Photo (optional) Certification and Submission By clicking "submit," the applicant confirms that they are certified to represent the organization applying and that the information contained in this application is accurate. The applicant agrees that if the application is approved and funds are awarded: The funds will be used for the purpose outlined in the application and may not be expended for any other purpose Information about the donation and the organization may be used by OCO Foundation in any published and/or collateral materials The funds will be used without discrimination on the basis of race, religion, age, gender, sexual orientation, origin, disability, veteran status, military status or other factors