Contact Information:

Name
Title
Email
Organization Name
Address
City
State
Zip
Phone
Fax*

Organization Information:

Is your organization incorporated and operating in the Greater Los Angeles County area? Yes No
Is your agency a 501(c)(3) nonprofit arts organization with three (3) years of operating history? Yes No
Has your organization filed a form 990 for at least the past three (3) years? Yes No
Do you have an independent board of directors with at least five (5) unrelated members? Yes No
What is your annual budget?
What is your organization's mission?

Loan Information:

How much money do you need to borrow? $
Why do you need a loan?
How do you intend to repay the loan