To apply for a sponsorship, please fill out and submit form below to the Automobile Dealers Association of Greater Kansas City Charitable Foundation. Please note an organization can only make one grant request per year. If you prefer, you may download the form from the sponsorship page and submit via mail or email to: ADAKC Foundation 11863 West 112th Street, Suite 200 • Overland Park, KS 66210 • foundation@adakc.com

Organizational information

Organization Name:
Contact Name:
Address:
Phone:
Email Address:

Mission Statement:

Describe the organization, including year founded and a brief description of the organizations primary programs (no more than three):

Please provide information in terms of numbers and characteristics of the people your organization serves:

Sponsorship Information

Amount requested ($):

Please provide the name of event for which sponsorship is sought, date of event, and deadline for which program or event sponsorship
must be secured by the organization:

Briefly describe the event and how will dollars raised be used:

What level of sponsorship is the organization requesting and what are the associated benefits. Briefly describe all available levels of
support and the number of opportunities associated with each:

Please provide all other sponsorship commitments secured to date for this event. Include name of sponsor and level of support:

Is this a new or established event? If it is an established event, how many people participated last year and how much was raised?
For both new and established events, how many people are projected to participate this year?:

Of the amount requested, how much is tax deductible?:

Has the organization in the past 2 years received support (monetary or in-kind) from any new franchised, automobile dealer?
If yes, indicate the nature of support, dates(s) and amount(s), and provide the name of the automobile dealer:

If awarded a grant, describe if and how your organization will recognize the Automobile Dealers Association of Kansas City Charitable Foundation
for its grant:

Required attachments:
Program or event budget, (including both income and expenses)

Operating budget (including projected revenues and expenses for your organization)

Copy of IRS Determination Letter