Organization Request Form

Organization Funds Request

Please follow the steps below to request funds for an organization
Requests will be reviewed at our monthly Business Meeting, which is held the 1st Tuesday of each month.
Submission Deadline: 5 days prior to Business Meeting.

Fill out this form as much as possible.
Click the SUBMIT button on the bottom of this page.
After reviewing your request, we may contact you to attend one of our meetings and present your request to our club.
A financial statement from your organization may be requested.
All 501(c)(3) & 501(c)(4) organizations must submit an IRS tax status determination letter, or have one on file with the Clear Lake Lions.
Request may take up to 90 days for a response.

Who will be presenting at the meeting

* Indicates required field

Presenter *

Name and address of organization that request is being made on behalf of

Organization Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Please complete the following list of questions.

Number of people *

Budget *

Amount requested *

Is your organization a non-profit/501c3 *

Yes No

If you answered YES to the question above, please upload your organization IRS determination letter below.
Please note: your organization's legal structure and tax status must be submitted prior to your request being considered.

Upload IRS determination letter *

Max file size: 20MB

Are you asking other clubs or organizations for assistance also?

Choose One *

Yes No

Reason for request?

Comment *

The following information needs to be provided to the Clear Lake Lions President (CEO) before a check can be issued.

Contact name *

Contact Phone Number *

Contact Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Email *

Name or Organization Check should be made out to *

Submit Request