"Donation Request Form" - Town of Atoka, Tennessee

"Donation Request Form" - Town of Atoka, Tennessee Download Pdf

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Donation Request Form is a legal document that was released by the Administration Department - Town of Atoka, Tennessee - a government authority operating within Tennessee. The form may be used strictly within Town of Atoka.

Form Details:

Released on March 6, 2012;
The latest edition currently provided by the Administration Department - Town of Atoka, Tennessee;
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D

P

& P

ONATION

OLICY

ROCEDURES

General Policy

The Town of Atoka is committed to positively impacting the community by providing financial

assistance to local schools, churches, organizations and charities. Under Tennessee State Law,

the Town may allocate funding to non-profit charitable or non-profit civic organizations that, in

the Town's opinion, provide services that benefit the Town and its residents.

The following Donations Request Policy has been developed as a way to create consistency and

fairness to organizations that ask for the Town's financial support. Please be aware that the

Town attempts to fulfill as many requests as possible and cannot guarantee that every donation

request will be met. Funds for donation are approved each year during the annual budget process

and then allocated by a resolution of the Board of Mayor and Aldermen during the fiscal year.

Area of Focus

The Town of Atoka places priority on giving to qualified 501(C)3 charitable organizations and

non-profit institutions whose primary service area is or includes the municipality. Priority is

given to charitable organizations who have received support in the past and who remain in good

standing with the Town.

Exclusions

The Town of Atoka is unable to honor requests or make contributions to the following:

 Donations to labor, social or political groups.

 Donations to benefit specific individuals or families.

 Donations of goods or services intended for online auctions.

 Donations of goods or services intended for resale.

Application

 Donation requests exceeding $250 must be submitted on the Town of Atoka's "Donation

Request Form" by May 1 of each calendar year.

 Donation requests for less than $250 must be submitted on the Town of Atoka's

"Donation Request Form" and are accepted on an ongoing basis.

 In an effort to fulfill as many requests as possible, the Town will only honor one (1)

request per organization in a fiscal year.

 Incomplete applications will not be processed. The areas in red MUST be filled out

completely for us to process your request.

Policy – Donation Policy

Adopted – 03/06/12

D

P

& P

ONATION

OLICY

ROCEDURES

General Policy

The Town of Atoka is committed to positively impacting the community by providing financial

assistance to local schools, churches, organizations and charities. Under Tennessee State Law,

the Town may allocate funding to non-profit charitable or non-profit civic organizations that, in

the Town's opinion, provide services that benefit the Town and its residents.

The following Donations Request Policy has been developed as a way to create consistency and

fairness to organizations that ask for the Town's financial support. Please be aware that the

Town attempts to fulfill as many requests as possible and cannot guarantee that every donation

request will be met. Funds for donation are approved each year during the annual budget process

and then allocated by a resolution of the Board of Mayor and Aldermen during the fiscal year.

Area of Focus

The Town of Atoka places priority on giving to qualified 501(C)3 charitable organizations and

non-profit institutions whose primary service area is or includes the municipality. Priority is

given to charitable organizations who have received support in the past and who remain in good

standing with the Town.

Exclusions

The Town of Atoka is unable to honor requests or make contributions to the following:

 Donations to labor, social or political groups.

 Donations to benefit specific individuals or families.

 Donations of goods or services intended for online auctions.

 Donations of goods or services intended for resale.

Application

 Donation requests exceeding $250 must be submitted on the Town of Atoka's "Donation

Request Form" by May 1 of each calendar year.

 Donation requests for less than $250 must be submitted on the Town of Atoka's

"Donation Request Form" and are accepted on an ongoing basis.

 In an effort to fulfill as many requests as possible, the Town will only honor one (1)

request per organization in a fiscal year.

 Incomplete applications will not be processed. The areas in red MUST be filled out

completely for us to process your request.

Policy – Donation Policy

Adopted – 03/06/12

Processing

 Please allow a minimum of three weeks to process your donation request.

 Declined Requests: The requesting organization will receive notification via e-mail

indicating the request has been declined and the reason for the decision.

 Approved Requests: The approved donation will be mailed to the organizations mailing

address provided on the Donation Request Form.

 All donation decisions made by the Town are final and will be mailed according to the

date of the event and/or date donation is needed.

Requirements for Approved Requests

Organizations receiving funding from the Town of Atoka shall comply with all requirements of

Section 6-54-111 of the Tennessee Code Annotated and Title 4, Chapter 3, Section 1 of the

Internal Controls and Compliance Manual for Tennessee Municipalities.

The organization will be required to submit an annual report of its business affairs and

transactions and the proposed use of the municipal assistance.

Acknowledgement

Please acknowledge that you have read and understand the Donations Policies and

Procedures outlined above, and that your organization meets our requirements as stated,

by entering your name below:

Name of Organization: _______________________________________________

Requestor’s Name: _____________________

Signature : ______________________

Date: _____ / _____ / 20 _____

Policy – Donation Policy

Adopted – 03/06/12

D

R

F

ONATION

EQUEST

ORM

Instructions: Please read our Policy and Procedure document before completing this Donation

Request Form. The areas in red MUST be filled out completely for us to process your request.

About the Organization

Name of Organization

Federal Tax ID #

Mailing Address

Phone

City / State / ZIP

Email

Contact Person

Have you previously requested a donation

If yes, when ?

from the Town ?

If yes, was it approved ?  Yes

 No

 Yes

 No

Organization's mission statement

About the Program

Is this request for a one-time event of an

If a one-time event, what is the event date ?

ongoing program ?

 One time

 Ongoing

Description of event or program associated with the requested donation

About the Request

Requested donation amount

Number of people served by event/program

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