Please note that applications for matching gifts for employee/Trustee contributions made must be received by March 31 of the following year for any given calendar year.

Fields marked with an * are required

Date Gift Was Received 
Organization Address

In January of each year an IRS ruling letter will be required to be submitted by the recipient organization.

By submitting this form I am certifying that the submitted Internal Revenue Service 501(c)(3) tax exemption and 509(a) non-private foundation rulings are still correct and that no modifications are planned or pending.