1. Name of your Charitable Trust:
  2. 501c3#:
  3. Description of what your Charity does:
  4. Annual Income of Your Charity:
  5. Source of Income:
    1. % Government
    2. % Supply Contracts
    3. % Commercial Sponsorship
    4. % Trust Grants
    5. % Donation
    6. % Other
  6. List of other 2018-2019 Fundraising Events:
  7. Description of what the funds raised at the Charity Ball would be used for:
  8. Include any other information that you believe might be relevant in supporting your case:


*Information may also be submitted to info@jfwcc.org


2019 Mary's Charity Ball Beneficiary Form

*Deadline November 2nd*