Rotary Club of Savannah South, Savannah, Georgia Member of Rotary International, District 6920, Club No. 4213 Charitable Donation Request As a member of the Rotary Club of Savannah South, you are invited to submit a request to the Contributions Committee for charitable donations to worthy organizations and projects. This form is intended to gather sufficient information regarding the nature of the organization and the purpose of the donation to fairly evaluate the request for funding by the club. At least once during each Rotary Year, the Committee and Board of Directors of this club will consider all submitted requests and determine the funding levels appropriate for the year. Charitable Organization Information: Name: Phone: Address: Fax: E-Mail: City, State, Zip Web Site: Primary Contact: # Employees: Other Contacts: Fed Tax ID: Organizational Purpose and/or Goals Year Established: Gross Annual Budget $ IRS Registered IRS Form 990 on 501(c)3 Org? File? Donation Information: Requested Amount: $ Date Requested: Avenue of Service: Donation Purpose (human needs met) (Fit with Rotary themes) Member’s (How does this fit your personal interest? Are you or other Rotarians personally involved Comments with the organization? Submitted for consideration and sponsored by: Savannah South Rotarian: ___________________________ Date Submitted: _________________ th To be considered for funding during the current Rotary year ending June 30 , you must submit your sponsored charitable donation request to a member of the Charitable Giving Committee no later than April 19. Requests received after April 19 will be considered for the new Rotary year beginning July 1 st. Charitable Giving Committee: John Duren, Bruce Peyton, Jenny Gentry, Byron Loomis, Jeff O’Connor, Carol Brooks Rotary Club of Savannah South, Savannah, Georgia Member of Rotary International, District 6920, Club No. 4213 Charitable Donation Guidelines Each Rotary year, the Board of Directors of the Rotary Club of Savannah South considers requests for charitable donations. The Board wishes to evaluate any requests as consistently and objectively as possible, consistent with the expressed priorities of the Club. Please review the general guidelines listed below when considering your sponsorship of a charitable funding request. Requests representing a possible conflict of interest may not be considered. o Timeliness. To be considered for funding during the current Rotary year ending June 30th, you must submit your sponsored charitable donation request to the Contributions Committee by no later than April 19. Requests received after April 19 will be forwarded to and considered for the new Rotary year beginning July 1st. o Sponsorship. Any charitable donation requests must be submitted to the Board by a sponsoring current member of the Rotary Club of Savannah South. The sponsoring member is responsible for gathering appropriate information that will enable the Board to evaluate the request. The sponsoring member should also be available to assist the Board in communicating with his/her proposed recipient. This will include approval or denial of the request as well as scheduling of presentations to the club and/or the Board. o Humanitarian Requests. Requests benefiting basic human needs including food, water, shelter, and safety will be given higher priority. o Local Focus. Equivalent requests will be prioritized based on proximity to our community. o Avenue of Service. All requests should be identified with respect to one of the following four avenues of service: Club Service Community Service International Service Vocational Service Note: Turning in the form as an email attachment is helpful to the committee but handwritten ones will be accepted. You may send it electronically to firstname.lastname@example.org or to email@example.com.
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