Date submitted:

Your Name:

Phone Number:

Email address:

Name of Non-Profit Organization:

Organization Tax ID Number:

Complete Mailing Address:

Phone number:

Name and title of contact at this organization:

Brief description of the organization’s mission or, in the case of large organizations, a special project to which we could contribute:

Why should SUUC donate one-half of one month’s Sunday collection plate offerings to this

organization?

Thank you for your nomination. A member of the Social Justice Committee will contact you

with any questions, and to update you on the status of your nomination. If you have any

questions, please send an email message to socialjustice@saltwaterchurch.org .