Please, enter a valid organization name Organization Name - Required Please, enter a valid primary contact name Primary Contact Name - Required Please, enter a valid email Email - Required Please, enter a valid phone number Phone Number - Required Organization Website - Optional Please, enter a valid is your organization a registered nonprofit? Is your organization a registered nonprofit? - Required

Is your organization a registered nonprofit? Yes No

If yes, what is your IRS status? - Optional

If yes, what is your IRS status? 501(c)(3) Other Not sure

Please, enter a valid ein (tax id number) (required for tax-deductible consideration) EIN (Tax ID Number) (required for tax-deductible consideration) - Required Please, enter a valid can you provide a written donation acknowledgment if approved? Can you provide a written donation acknowledgment if approved? - Required

Can you provide a written donation acknowledgment if approved? Yes No

Please, enter a valid how will the donated food be used? How will the donated food be used? - Required

How will the donated food be used? Meals for individuals or families in need After-school or tutoring program meals/snacks Shelter or community feeding program Fundraising event or gala School or athletic team Staff, volunteers, or appreciation event Other (please explain)

If other, please explain. - Optional Please, enter a valid who will directly consume the food? Who will directly consume the food? - Required

Who will directly consume the food? Needy individuals or families Children in a care or support program Event attendees Students/athletes Staff or volunteers

Will the food be sold, auctioned, or used to raise funds? - Optional

Will the food be sold, auctioned, or used to raise funds? Yes No

Event or Program Name - Optional Event Date(s) - Optional

Event Location - Optional Type of food requested (example: fried chicken pieces, sides, boxed meals) - Optional Estimated quantity needed - Optional Does your organization have proper food handling and storage procedures? - Optional

Does your organization have proper food handling and storage procedures? Yes No

Is this a ticketed or paid event? - Optional

Is this a ticketed or paid event? Yes No

Will Richie’s Chicken & Soul receive recognition or promotion? - Optional

Will Richie’s Chicken & Soul receive recognition or promotion? Logo placement Social media mention Event signage Verbal recognition None

Please describe any promotional or sponsorship opportunities: - Optional