New England Patriots Charitable Foundation/Morgan Lewis & Bockius LLP Pro Bono Alliance
Intake Form
Complete form and return with any attachments to or mail to Pro Bono Alliance, 1 Patriot Place Foxboro, MA 02035. Please email with any questions. The New England Patriots Charitable Foundation and Morgan Lewis & Bockius LLP reserve the right to review each submission and determine whether to undertake any referral or representation in their sole discretion.
Background Information
Organization Name:
Address: City: State: Zip:
Phone: Fax:
Website:
Contact Person
Name: Position/Relationship to Org.:
Address (if different): City: State: Zip:
Phone (if different): Email Address:
Mission of Organization
Is your organization non-profit or for profit?
Is the organization incorporated?
If yes, please provide a copy of certification of incorporation and updated bylaws.
Is the organization tax exempt?
If yes, please provide a copy of the IRS letter confirming tax exempt status.
How long has the organization existed?
Please describe the mission/purpose of the organization:
1. Does the organization operate programs that benefit the needs of low income individuals/communities? Please describe.
2. Does the organization operate in an economically distressed or underserved community? Please describe.
3. Does the organization seek to protect civil rights and civil liberties? Please describe.
4. Does the organization serve some other charitable, religious, civic, educational purpose? Please describe.
5. Which, if any, of the following outreach efforts are supported by the organization?
Please describe the organization’s activities and programs, including plans for future programming.
How many people does the organization serve or plan to serve?
What geographic region does the organization serve or plan to serve?
Please describe the organization’s structure.
Does it have a board of directors? If so, please include names and titles.
How many employees does the organization have? Please include names and titles of management.
Finances
Please provide a statement of the organization’s finances, including all assets, revenue and expenses, for the most recent fiscal year. (e.g., an annual report, income/expense statement, or Form 990)
If the organization receives external funding, please list the sources and amounts.
Does the organization’s budget include a line item for legal fees?
Does the organization have insurance coverage for legal fees?
If yes, please describe.
NEPCF Matters
Has the organization worked with the New England Patriots Charitable Foundation before?
If yes, please indicate in what capacity by checking all that apply below:
How did you hear about the Alliance between the Patriots Charitable Foundation and Morgan Lewis?
Legal Needs
Please describe, in as much detail as possible, the legal issue for which the organization seeks assistance.
Please list other parties involved in this matter, including affiliates of the organization and adverse parties.
Is the need for legal advice ongoing?
If yes, please describe.
Has the organization worked with any other attorney/legal service provider previously?
If yes, please list the attorney’s name and affiliation.
With what issues did the attorney provide legal services?
Did the organization pay for those legal services?