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