Charitable Partners Community Charitable Partner Inquiry Step 1 of 3 - Contact 33% Thank you for your interest in the Jack's Family Fund's community partners program. Through this program we are able to support 501(c)(3) organizations who serve the communities in which we operate restaurants. The first step to becoming a community partner is to submit this inquiry form and submit the supporting documentation requested. Please note: we have already selected the community partners who will benefit from our current in-store and online fundraising campaign responding to COVID-19. Part 1. Contact InformationOrganization*Is your organization classified as a 501(c)(3) charitable organization?*YesNoThank you for your interest, but at this time only organizations that have already received 501(c)(3) charitable organization status are eligible to become a charitable partner. Organization's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization's Website* Contact Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Contact Person's Email* Enter Email Confirm Email Preferred Phone*Phone Type*CellOfficeHomeHow did you learn about the Jack's Family Fund? Please select all that apply* Flyer Social media Signage at store Jack's employee Billboard TV commercial Google Jack's web site Other If "other", please specify* Part 2. Organization InformationDescribe briefly what your organization does.*While we support a wide range of programs, please be sure to highlight any programs/services you provide that address food insecurity and/or hunger. Please list the counties in which your organization operates.*Unless indicated otherwise, we will assume all counties listed are in the same state as your organizational address listed in Part 1. If you operate state-wide, please type state-wide. For example "AL-State-wide" indicates your organization serves all counties in the state of Alabama.Are there other organizations or programs in your service area providing similar services?*YesNoNot SureIf so, please list those organizations/programs below.* Part 3. Supporting DocumentationPlease indicate which of the following you have. Select all that apply.* 501(c)(3) designation letter/ certificate Form 990 Neither at this time Please upload 501(c)(3) designation and Form 990 Drop files here or Accepted file types: htm, pdf, jpg, jpeg, docx, txt, html, png, gif, doc. Please upload your organization's logo Drop files here or Accepted file types: psd, svg, jpg, jpeg, pdf, gif, png. NameThis field is for validation purposes and should be left unchanged.