2017-18 MINNESOTA TIMBERWOLVESFASTBREAK FOUNDATION GIVING INITIATIVE

During each home game during the 2017-18 season, the Minnesota Timberwolves FastBreak Foundation will award a $5,000 donation to organizations that make our Minnesota community a great place to work, live and play. Organizations whose programming fall in-line with the Foundation’s mission are encouraged to fill out the application. All applications must be postmarked by Friday, December 29 th .

Please answer each of the following items within the space provided.

Organization Name

Address

Contact Name

Phone Fax Email

Social Security/Tax ID #

BACKGROUNDMission Statement

Program History

Description of purpose, goals and objectives

Geographic area and target population served

PROPOSALExplanation of community need

How funding will be used

FINANCESDescription of annual fundraising efforts made on behalf of your organization

Past Timberwolves monetary donations/grants (include year and amount)

REQUIRED MATERIALS TO SUPPORT APPLICATIONPlease include copies of the following documents with your completed application form. Applications submitted without these materials will be considered incomplete and not reviewed for grant funding.

A copy of the Internal Revenue Service ruling of tax-exempt status under Section 501(c)(3)

A COMPLETE BUDGET for the program in which you are requesting funding for, including itemized unearned income sources, both committed and pending. Also, an expense breakdown of the program you are requesting funds for and administrative expenses.

A donor’s list of individual, corporate and foundation contributions and the amounts granted during the past 12 months.

A list of the board of directors of the organization, including primary business or professional affiliation of each (addresses and phone numbers are not required).

Annual report, if available.

APPLICATION CHECKLISTBefore submitting your application, please carefully review this checklist to confirm that your application is complete.

Application Form

Supporting Materials

As a reminder, applications must be postmarked by Friday, December 29 th . The Timberwolves FastBreak Foundation will select recipients and contact those organizations that will receive funding.

MAIL COMPLETED APPLICATIONS TO:Minnesota Timberwolves FastBreak Foundation

Attention: Community Relations

600 Hennepin Avenue North, Suite 300

Minneapolis, Minnesota 55403

Please direct questions you may have regarding the application to fastbreakfoundation@timberwolves.com.

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