3303-F Gifts and Donations Form

Name of Donor

Contact Person

Address

Phone

Email

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If the Donor is an internal support group operating within the District as described under Policy 3106, please provide the following information, if applicable:

Describe student group or club, activity, or event:

School building associated with Donation (Insert “district-wide” if not associated with a particular school building.):

Please indicate type of Donation and complete the appropriate section that follows.

Cash Donation

Real Property

Personal Property (e.g., equipment, supplies)

Other (e.g., services, capital projects, or other construction):

Cash or Monetary Donation:

Personal Property

Estimated fair market value: * $

Real Property and Capital Projects:

Estimated fair market value: * $

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Pursuant to Policy 3303, donations of real property require approval by the Board of Education. The Superintendent or designee will contact Donors desiring to gift real property or complete capital projects for additional documentation as identified in Policy 3303.

Other:

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* For specific information related to valuation, see IRS Publication 561, Determining the Value of Donated Property.

Is the gift or donation for a specific purpose?

Yes

No

If yes, please describe the specific purpose (e.g., the District building, event or student club) as well as any other related details:

Is the Donation for the purchase of a gift or an award for recognition (e.g., volunteer services, student achievement, staff appreciation)?

Yes

No

If yes, please describe the purpose:

Do any other terms, conditions, or restrictions apply to the Donation?

Yes

No

If yes, please describe:

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By signing this form, I understand and agree that:

The information provided is complete and accurate to the best of my knowledge and belief. I acknowledge that I have read and understand Board Policy 3303, Gifts and Donations, and understand that accepted Donations become public funds of the District unless a specific exception applies under law. Donor acknowledges that the District shall not be accountable to replace Donations that are lost, destroyed, or become obsolete. I further represent that I am an authorized representative of the Donor.

Name

Date

Opt-In

I hereby affirm that by entering my name through typing, I intend for it to function as a digital signature on this document.

Title or Position (if Donor is other than an individual):

SERIES 3000: OPERATIONS, FINANCE, AND PROPERTY

3300 Facilities, Real, and Personal Property

3303-F Gifts and Donations Form

Donor Information

Interim Superintendent Julie Peyok

(989) 868-9864 Ext 2223

Main District Office