2024 Super 60 Submission Form - Non-Profit

Recognizing non-profit organizations based on the percentage of their total spending dedicated to programs.

ELIGIBILITY FOR NON-PROFIT AWARD

Non-Profit Based in Hampden or Hampshire Counties.
The nominating organization is responsible for the completion of this form and for informing company of nomination if not self-nominated.
Nominees for this category are required to submit page 10 of their 990 form for verification.

Fields marked with an * are required.

Nominee Information
Tell us about the Organization you are nominating.

Name of Organization Being Nominated *

Year Founded

Product/Service *

What product or service does this organization provide?

Address Line 1 *

Address Line 2

City *

State *

Postal Code *

Nominee Organization Description (100 character limit)* *

*will be included in the Super 60 event program if selected as a winner.

Nominee CEO/President Information
Tell us about the CEO/President of the Organization you are nominating (please specify in the Title field if this somebody other than the CEO/President).

First Name *

Last Name *

Title *

Email *

Phone *

Submission Information

Name of Non-Profit *

Non-Profit Based in Hampden or Hampshire Counties or a member of the Springfield Regional Chamber. *

Hampden County

Hampshire County

Springfield Regional Chamber Member

None of the above

Mission of Non-Profit *

Percentage of Total Spending Dedicated to Programs *

Please submit page 10 of your organization's 990 form *

Please submit page 10 of your organization's 990 form for verification and any additional materials that contribute to your nomination.

20MB max

Nominator Information
Tell us about yourself.

Nominator Name *

Nominator Company *

Nominator Title *

Nominator Email Address *

Nominator Phone Number *

2024 Super 60 Submission Form - Non-Profit

Please verify that you have checked the “I'm not a robot” checkbox.

Springfield Regional Chamber