FIRST SUNDAY COLLECTION NOMINATION FORM AND CHECKLIST

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FIRST SUNDAY COLLECTION NOMINATION FORM AND CHECKLIST First Unitarian Church of Dallas First Sunday Plate Collections are intended to support the missions of our individual congregants; inform our congregation about the needs of local, national and international communities and the organizations that address these needs; and encourage our congregation to give to worthwhile organizations. The volunteers who oversee this important program need your help to ensure that each nominated organization receives a fair and thorough review. Before submitting your nomination, please read the First Sunday Nomination guidelines. If you believe your organization is eligible, please use this checklist to ensure that your application includes the following: A. This nomination form and checklist, including a signed acknowledgment of First Sunday Nomination guidelines. B. A copy of the organization s most recent IRS letter documenting its 501(c)(3) status C. A list of institutional financial supporters. Identify institutional donors, if any, that have already vetted the organization through a process that would reveal significant financial or management flaws. D. Copies of executed IRS Form 990s for the most recent fiscal year end and the two previous fiscal years OR, if your organization is not required to file an IRS Form 990: (i) A detailed description of the exemption from the IRS 990 filing requirement. (ii) List of Board of Directors. (iii) Financial statements for the most recently completed fiscal year. Audited Financial Statements Unaudited Financial Statements (Audited statements are not available). This includes: Statement of Financial Position (Balance Sheet) and Statement of Activities (Statement of Support, Revenue and Expenses or Income Statement) E. The name and signature of the Executive Director of the nominated organization (below). I hereby certify that all attachments provided in this application are true and accurate. Name of Organization Executive Director Name PRINT Executive Director Signature Date PLEASE DO NOT INCLUDE ANY OTHER ATTACHMENTS Page 1 of 5

Thank you for your interest in nominating an organization for a First Unitarian Church of Dallas First Sunday Collection. The following First Sunday Nomination guidelines will help you determine your organization s eligibility: The nominated organization should support the missions of our individual congregants; It must be a local, state, national or international 501(c)(3) organization. The organization s mission, operations and activities must be consistent with the values and mission of our church. If the organization is selected to receive a First Sunday Collection, you (the nominator) will be required to do the following: o Prepare promotional copy for the DU, information for the Order of Service, and post information on the bulletin board in Channing Hall. o Speak, or provide someone to speak, from the pulpit on behalf of the organization on the Sunday designated for the collection. o Provide feedback to the Committee Chair about how the collection funds were used. I understand these guidelines for my organization s eligibility and agree to their terms. Nominator s signature Date Organization Nominated: PLEASE PRINT Your name Phone E-mail Address City State Zip Application deadlines: April 1 (for July-December collections); October 1 (for January-June collections) Electronic submissions are preferred. Email your submission to firstsunday@dallasuu.org, and use the checklist letters and the name of your organization to name each attached document. Hard copy submissions can be dropped off at the Church Office or mailed to First Unitarian Church of Dallas, Attn: First Sunday Nominations, 4015 Normandy Avenue, Dallas, Texas 75205. If you do not receive an acknowledgement of receipt of your application within one week, please contact the Committee Chair, Fran Eichorst at: franeichorst@aol.com Page 2 of 5

Organization s Name Address City State Zip Phone Website Contact person within the organization Phone E-mail What is this organization s mission or purpose and how is it consistent with our UU Principles? Provide examples of what they do to achieve this: Page 3 of 5

Describe the population they serve: Describe the specific impact that our funding would have on either this organization s general operations or a special project. If it will impact a special project, please provide details. Are there any timing issues that the First Sunday Collection Committee should consider? Page 4 of 5

Describe your and other church members involvement with this organization (e.g., volunteer, Board member, employee, financial supporter, etc.). Please provide details. Provide names of other church members or groups that support this nomination If your organization is selected, please indicate below to whom we should issue the check and where it should be mailed. Please note that we strive to distribute funds within 60 days of the First Sunday Collection. Pay to the Order of Organization Name Address City State Zip If your organization is not selected for the next collection cycle, would you like it to be considered for the one that follows? Yes No Page 5 of 5