Activity Reporting

Coldwell Banker Sales Associate or Employee Project Champion Information:

Sales associate or employee name(s):

Office Mailing Address:

Street:

City:

State:

Zip:

Project champion telephone numbers:

Brief description of event and activity(ies):

Brief description of specifically how this activity assisted the charitable organization
(ie: food provided to how many families, $ amount of funds raised, # of warm coats collected, etc.):

Number of volunteers:

Number of volunteer work hours:

Benefiting Entity Information:

Organization name:

Main contact:

Mailing Address:

Street:

City:

State:

Zip:

Telephone number:

Website (if any):

Employer Identification Number (EIN):

Note: This number will be used to verify applicant’s status as a qualified 501(c)(3) organization.