Lost or Stolen Card
Fish Tale Ale Brewpub Mural, Olympia.
Contribution Request Form
Primary Purpose of Organization
Are you or your organization a customer of Olympia Federal Savings?
Is the organization a private, non-profit organization?
Has it received Internal Revenue Service designation?
Tax-exempt IRS number (required for OFS support)
(Attach a copy of your IRS designation letter.) [action TBD]
Description of program/project for which funds are requested
Total fund drive
Amount secured to date
% from private donations
% from government grants
Amount requested of Olympia Federal Savings $
Is this a
Do you receive, or will you request support from United Way?
If yes, what is the reason for the current request?
Additional Organization Information
Please check the category of your organization/project
United Way/Federated Drive
Health & Welfare, Human Services
Civic & Community Needs
Culture & the Arts
Other (please specify)
Have you contacted any other Olympia Federal Savings office for Support?
If yes, list office name, location and contact name
Describe Olympia Federal Employee involvement in your organization (such as volunteers, board members, etc.)
Geographic area served
Name/address of firm performing annual audit
List the names and affiliations of directors and officers of your organization
List the other corporate contributors and their giving levels
Attach your most recent financial statement (preferably audited) and your current annual budget including income and expenses. [action TBD]
To whom should the check be made payable?
Submit Secure Form