Online Application Legal name of organisation: Working name: Year your organisation was established: Charity number (if applicable): Title MrMsDrOther Name of main contact: Position held: Chief Executive (if different from main contact): Chair of Trustees: Organisation address: Correspondence address (if different): Organisation telephone: Contact email address: Contact telephone: Website: Please answer for your organisation as a whole: Have you applied to The Illum Davis Foundation before? Yes No Primary beneficiaries and numbers: Geographical area(s) in which you work: How many paid staff (full-time equivalent) do you employ? How many volunteers do you have? Annual accounts year ending: Total income: £ Total expenditure: £ Free reserves: £ Project Name: Amount requested from The Illum Davis Foundation: £ Appeal Summary: Bank name: Account name: Sort Code Account Number: Please confirm that you consent to The Illum Davis Foundation using information, images and any other material provided by your organisation for the purpose of promotion of the Foundation. This is to help us promote our charitable work and reach more charitable causes in need: I confirm that I provide consent of such information The Illum Davis Charitable Foundation (the “Foundation”) treats your privacy rights seriously. To comply with enhanced data protection requirements under the General Data Protection Regulation (“GDPR”), which became effective 25 May 2018, this Privacy Policy sets out how the Foundation will deal with your personal data, ie information that identifies and relates to you. To read our privacy notice, please visit our website: www.illumdavisfoundation.com/privacy-notice. Signature Date Signed Name and position in organisation: Send