Information Sheet for Development Partners

Metrobank Foundation, Inc.

I. Institutional / Organizational Information

1. Name of Institution:

KAKAK FOUNDATION,INC.

2. Name of Head of Institution:

SR. ELOISA L. DAVID, OSB, MD

Position Title:

3. Complete Mailing Address:

CHIEF EXECUTIVE OFFICE

2/F KAKAK Building, St. Scholastica Village,

Guindapunan, Palo, Leyte

4. Contact Telephone / Fax No.

5. Contact Person:

0917 551 3874

Sr. Eloisa L. David, OSB ,MD

6. Official Designation of Contact Person: Chief Executive Officer

II. Organizational Profile

1. Brief History of the Organization / Objectives:

Sometime in 2009, the Provincial Governor of Leyte, Hon. Carlos Jericho L. Petilla and Health
Consultant, Sr. Eloisa L. David, OSB, MD, agreed to address the low facility-based deliveries and low
skilled birth attendance deliveries in the Province of Leyte, using the learning of their partnership in
the Home for the mentally challenged (Asilo de San Benito) in Babatngon, Leyte. Through this
partnership, the government provided the physical facility and the political atmosphere for the private
sector to efficiently deliver the needed services at no additional cost to the public sector.
In her capacity as the COO of KaKaK Foundation, Inc., Sr. Eloisa, OSB immediately sought out
donations for clinic equipment while refurbishing a private building (owned by Accudata, a private
company of Petilla Family) in accordance with PhilHealth guidelines for a birthing clinic. She

mobilized volunteers to work on the permits and accreditation, advocacy and marketing, supplies and
logistics, and personnel compliments. Sister Eloisa, OSB receiving donations from Blesilda, a nurse
based in the US named the clinic after her - Mother Bles Birthing Clinic a major program of KaKaK
Foundation, Inc.
KAKAK Foundation, Inc., a charitable non-government organization registered with the Securities and
Exchange Commission and the Bureau of Internal Revenue. As a program, MBBC is operated as a
public-private partnership (PPP) with PPMs, LGUs and other social entrepreneurs.

2. Year Established:

2009

3. Institutional Affiliations:
(Please specify organization)

_______________________________________________
_______________________________________________

_______________________________________________
_______________________________________________
4. Source/s of Funds

Sources of Funds

Donation / Grant

Percent of Program Funds

___________________________

Earnings from Endowment Funds

___________________________

Earnings from Income Generating

___________________________

Activities
Others (please specify)

___________________________

5. How did you learn about the Metrobank Foundation?

Newspaper / magazine article

Metrobank Branch / Officer, indicate branch
_____________________

Other organizations, please indicate name

_____________________
Others (please specify)

_____________________
_______________________________________

6. Was the request / proposal coursed or endorsed

Yes

No

by a Metrobank branch? If yes, please accomplish

the following:

Name of the branch:

______________________________________

Branch Officer:
Affiliation / Relation:

______________________________________
______________________________________

7. Previous support (financial assistance or in-kind) given by the Foundation in

the past years:

Year

Project title and

description

Amount

8. Other information / comments you want to be included in your profile (e.g.,

organization awards / citations received, special fields of involvement in the
social development arena, pioneering works, etc.)

____________________________________________________________________
____________________________________________________________________
___________________________________________________________________

9. Program / Projects being Undertaken / Implemented

(Please include your administrative / operational budget, you may use additional sheets if necessary.)

Program / Project

Month /
Year
Started

Beneficiaries (i.e.,
indigent, sick,
women, poor,
aged, children,
deserving students,
physically
challenged

Age
Average No. of
Group Beneficiaries
in a year

Areas of
Operations (i.e.,
Province City,
Municipality)

Annual
Budget

III. Profile of Program/Activity Requested for assistance:

1. Title of the Program:

_________________________________________________

2. Contact Person for the Program:

___________________________________________

3. Official Designation of the Contact Person: _______________________________

4. Contact Telephone / Fax No:

___________________________________________

5. Brief History of the Program / Objectives:

6. Beneficiaries:

______________________________________________________

7. Breakdown of the annual / total budget for the program:

ITEM
(i.e. honoraria, food, supplies printing,
documentation, transportation)

TOTAL

AMOUNT

8. Item to be funded by the Foundation:

__________________________________________
9. Timeline / Implementation dates:
_____________________________________________
10.Current Status / Phase of the Program:
__________________________________________
11. Please attached latest institutional brochure, annual report and other
informational materials that you deem important.

Accomplished by:
Designation:

_______________________
_______________________

Date:

_______________________