Allocation Application | United Way of Pottawatomie County

Organization Name*
Organization Tax ID*
Executive Director*
Email*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Mission Statement*
Number of Employees*
Total full-time, part-time, and seasonal employees
If you received funds from United Way of Pottawatomie County in 2020-2021, please outline how those funds were utilized*

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Child

Program Name	List the specific local need(s) does this program addresses	List data points and sources that demonstrate this local need	How many individuals will be served by this program? (Unduplicated)	How many individuals actively participate with organization?	If the organization serves local youth under 18 years old, list the current organizational training	List the measurement tools/methods that will be utilized to track progress and/or efficacy of the program	Amount of funding requested	List any other funding sources and amounts for this program.	Actions
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There are no Programs.

Maximum number of programs reached.

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Most Recent Audit Report*
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
Program Budget*
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
501c3 IRS Determination Letter*
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
IRS Form 990*
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
Oklahoma State Charitable Registration*
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
2021 Board of Directors roster and contact information*
Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

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