Support Organiza.on Dona.on Form

Organiza2on Name [exactly as listed in 501(c)(3) ﬁling] __________________________________________________

Status of 501(c)(3) ﬁling: □Registered	□Pending

EIN # ___________________________________

Dona2on Value: $___________________

Dona2on Type: □Money	□ Item(s)

Money to be used for:

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Item(s) to be donated:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

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Submit to the Treasurer

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Treasurer’s Oﬃce Use Only:

Reviewed with Superintendent’s Oﬃce (date) _________________________________________

Recommenda2on to Board of Educa2on to Accept: □YES	□NO

Rev 0 March 2024