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SPONSOR INFORMATION

INFORMATION
CHECK ONE:

SPONSOR NUMBER
첸 NEW SPONSOR 첸
MAJOR SPONSOR CODE
CHANGE IN SPONSOR INFORMATION

DISTRICT CODE
hra A homeowner and renter
assistance volunteer program
for the disabled and elderly.

Are you also a sponsor of


the VITA or TCE Program? 첸 YES 첸 NO

SPONSOR

COORDINATOR

SPONSOR’S ADDRESS

ADDITIONAL ADDRESS

CITY ZIP CODE

C A –
SPONSOR’S PHONE
E-MAIL ADDRESS______________________________________

Date ________ / ________ / ________


– –
(Area Code)

FTB 7884HRA (REV 03-2000) SIDE 1 California Volunteers Make the Difference

SPONSOR INFORMATION
INFORMATION
CHECK ONE:

SPONSOR NUMBER
첸 NEW SPONSOR 첸
MAJOR SPONSOR CODE
CHANGE IN SPONSOR INFORMATION

DISTRICT CODE
hra A homeowners and renters
assistance volunteer program
for the disabled and elderly.

Are you also a sponsor of


the VITA or TCE Program? 첸 YES 첸 NO

SPONSOR

COORDINATOR

SPONSOR’S ADDRESS

ADDITIONAL ADDRESS

CITY ZIP CODE

C A –
E-MAIL ADDRESS______________________________________ SPONSOR’S PHONE

– –
Date ________ / ________ / ________
(Area Code)

FTB 7884HRA (REV 03-2000) SIDE 1 California Volunteers Make the Difference
Major Sponsor Codes
Code Sponsor Code Sponsor
01 AARP 14 Other
02 Assembly Office 15 Project Scout
03 City 16 Red Cross
04 College/University 17 Religious Operations
05 Community Center 18 R.S.V.P.
06 Congressional Office 19 Salvation Army
07 Corporate 20 Senior Citizen Center
08 Department of Aging – Area Agency on Aging 21 Senior Information and Referral Center
09 Golden Umbrella 22 Senior Escort
10 High School 23 Social Security Office
11 I.R.S. 24 State Senate Office
12 Library 25 United Way
13 Military

District Codes
Code District Code District
23 Bakersfield 31 San Diego
39 Burbank 71 San Francisco
73 Fresno 77 San Jose
25 Long Beach 33 Santa Ana
21 Los Angeles 79 Santa Rosa
75 Oakland 81 Stockton
11 Sacramento 35 Ventura
29 San Bernardino 27 West Covina
FTB 7884HRA (REV 03-2000) SIDE 2

Major Sponsor Codes


Code Sponsor Code Sponsor
01 AARP 14 Other
02 Assembly Office 15 Project Scout
03 City 16 Red Cross
04 College/University 17 Religious Operations
05 Community Center 18 R.S.V.P.
06 Congressional Office 19 Salvation Army
07 Corporate 20 Senior Citizen Center
08 Department of Aging – Area Agency on Aging 21 Senior Information and Referral Center
09 Golden Umbrella 22 Senior Escort
10 High School 23 Social Security Office
11 I.R.S. 24 State Senate Office
12 Library 25 United Way
13 Military

District Codes
Code District Code District
23 Bakersfield 31 San Diego
39 Burbank 71 San Francisco
73 Fresno 77 San Jose
25 Long Beach 33 Santa Ana
21 Los Angeles 79 Santa Rosa
75 Oakland 81 Stockton
11 Sacramento 35 Ventura
29 San Bernardino 27 West Covina
FTB 7884HRA (REV 03-2000) SIDE 2

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