Series 703.5.1.1P - Gifts Valued at $500 or More

 

We appreciate your interest in considering a gift to (check one):

❏ a school, specify                                                                                                     

❏ a district department, specify                                                                                  

❏ the district

❏ Student Activity Account, specify                                                                            

Please indicate the type of gift you are considering:

❏ Cash Amount :                       

❏ Other:                                                                                                                   

Intended use:                                                                                                                  

                                                                                                                                      

Estimated value:                            (For school district gift acceptance purposes only. See IRS regulation for tax deductibility.)

Would this gift be given in honor or memory of someone or something?  Please explain:

                                                                                                                                      

                                                                                                                                      

                                                                                                                                      

Organization you represent:                                                                                             

Your Name                                                                    Phone  (        )                              

Your Address                                                                                                                  

                        Street                                                    City/State/Zip

 

Gifts may only be accepted by action of the School Board

School/Department Recommendation:  ❏ Accept gift    ❏ Not accept gift

Explain:                                                                                                                          

                                                                                                                                      

 

____________________________________              Account Code:                                              

Signature of Administrator     Date

Director’s Recommendation:  ❏ Accept gift     ❏ Not accept gift

____________________________________

Signature of Administrator   Date

School Principal/Coordinator routes to:

      Appropriate director                                                   

      Superintendent _____

Director of Finance and Operations - Date the School Board is scheduled to take action on this gift                   

Procedures/703.5.1.1P/11-21-16