Confidential

SAMPLE FOUNDATION PROFILE FORM
 

Name of Foundation

Address
Phone
E-mail
Web page

Financial Information

For fiscal year ending December 31, 2001

Assets: $
Grants Paid: $
High Grant: $

Officers and Directors

Ex.: Joe Prospect, President
Mary Donor, Vice President
Directors: John Gift, Sue Asset

Connection to Your Organization

Ex.: Previous giving; Shared Board Members

Mission and Programs

Ex.: Supports university and medical research; no grants to individuals

Sample Grants (for fiscal year ending 12/31/01)

Name Amount Purpose

Ex.: University of California $10,000 For medical research

or see attached list from 2001 990-PF