NPDF MEMBER DONATION PROGRAM (Members Only) The NPDF is an IRS approved 501 (c) (3) non-profit organization wherein tax-deductible donations are needed to fund important police support services and charitable programs, such as Safe CopTM and Operation Kids. Members wishing to make an additional donation may do so by checking one of the donation groups below. As a token of our appreciation you can select one of the enumerated personalized NPDF accessories. “Protecting and Supporting Law Enforcement” MEMBERSHIP APPLICATION The National Police Defense Foundation (NPDF) provides medical and legal support services to the law enforcement community and funds important law enforcement and child safety initiatives worldwide. Some of the services offered by the NPDF include: • Free initial legal consultation via a NPDF approved attorney. • Access to NPDF approved legal and medical support services. Annual Membership entitles Law Enforcement and Associate Members to the above benefits and: • The NPDF is proud to offer five $1000 "Operation Kids" Annual Scholarships. (Restrictions Apply) • NPDF Membership Card, 5 Courtesy Cards and 2 Vehicle Decals. • Access to NPDF Affinity Programs and NEW NPDF Credit Card • Participation in NPDF organizational NY, NJ and PA license plate programs (restrictions apply) • $2,000 Line of Duty Death Benefit (Law Enforcement) • Donated Funeral & Burial Line Of Duty Benefit (Law Enforcement) • And many other services and benefits! Visit www.NPDF.org NPDF MEMBERSHIP PROGRAMS TYPE OF MEMBERSHIP: Is this a New Application or $150 Donation (Please check one item) PUBLIC SAFETY OFFICERS NPDF PHOTO ID CARDS $100 Donation (Please check one item) ___ 100 Gold Foil NPDF Business Cards ___ NPDF Membership Certificate & NPDF Wallet Badge ___ Ceramic Mug & Key Chain ___ 10 NPDF Courtesy Cards $75 Donation (Please check one item) $15 Donation (Please check one item) ___ 50 Gold Foil NPDF Business Cards ___ Wallet Pin, Money Clip, Ceramic Mug & Key Chain ___ NPDF Cuff Links $50 Donation (Please check one item) ___ 20 NPDF Courtesy Cards & 5 Vehicle Decals ___ Official NPDF Polo (Please Indicate Size) $40 Donation Exclusive For Law Enforcement and Associate Members Only Restrictions Apply One per member. Documents and photo required. ___ NPDF Wallet Pin ___ Member Certificate ___ 9/11 Memorial Pin ___ Money Clip ___ Ceramic Mug NPDF NATIONAL POLICE DEFENSE FOUNDATION MEMBER JOSEPH OCCHIPINTI Executive Director Ceramic Mug NEW! Member Card Please know the unauthorized sale of NPDF accessories is a violation of the federal trademark laws. Additional NPDF Courtesy Cards ___ $3 each ___ 50 $100 ___ 25 $50 ___ 10 $25 ___ NEW NPDF Photo ID Wallet 2018 TM ___1 Courtesy Card & 1 Decal ___ 5 Vehicle Decals ___ NPDF Mouse Pad ___ Key Chain PERSONAL DATA Member Name:___________________________________________________________________Date of Birth:_____________________ Address:_______________________________________________ City:______________________ State:_______ Zip:______________ ___ A $35 Law Enforcement (Full Member Package & Benefits) ___ B $50 Student Membership (Full Member Package) (Criminal Justice, Active Student ID Required) Phone:_____________________________________ Cell:_______________________________Fax:_______________________________ HONORARY MEMBERSHIP ___ B $45 Honorary Member (Limited Benefits, 1 Member Card & 1 Vehicle Decal) Title:_________________________________________________ Department/Firm:____________________________________________ E-mail:________________________________________________________ Referral Name:_____________________________________ PROFESSIONAL DATA Address:_______________________________________________ City:______________________ State:_______ Zip:______________ Phone:__________________________________________________ Fax:___________________________________________________ ASSOCIATE MEMBERSHIPS (Civilian & Professional) ___ C $160 Silver Membership (Full member package & benefits noted above) ___ D $350 Gold Membership (Full member package that includes additional 5 courtesy cards, (2") member badge with credentials in Leather wallet, membership certificate and wallet badge pin) PLEASE MAIL YOUR CHECK OR CREDIT CARD INFORMATION TO: National Police Defense Foundation • Membership Processing Center • P.O. Box 318 • Englishtown, NJ 07726 Or fax this with credit card info to: 732-862-1444, or pay online at www.npdf.org The NPDF is an IRS 501(c)(3) non-profit foundation and proud sponsor of the “Safe Cop” and “Operation Kids” Programs. Your membership dues or donation is tax deductible. DESCRIPTION QTY. Member Donation Program (Please select one item from the above programs) BUSINESS MEMBERSHIPS ___ F $1,000 (Full member package, plus 20 courtesy cards, (2") member badge with credentials in a leather wallet, membership certificate, wallet badge, two tickets to annual awards dinner and full page advertisement in journal.) METHOD OF PAYMENT Please Check One: National Police Defense Foundation is a Congressionally recognized and IRS approved 501(c)(3) non-profit foundation. All applicants for membership are subject to approval by the NPDF Executive Board. DONATION TOTAL Membership Dues ___ E $500 Platinum Membership (Full member package, plus 10 courtesy cards, (2") member badge with credentials in a leather wallet, membership certificate, wallet badge pin and one ticket to Annual Awards Dinner. VISA MASTERCARD Restrictions Apply - One per member. Documents and photo required. CHECK AMERICAN EXPRESS SUB TOTAL DISCOVER Name:**_____________________________________________________________________ Account #:**_________________________________________Expiration Date:** ___________ Signature:**________________________________ 3 or 4 Digit Security Code:**___________ Billing Address:**______________________________________________________________ ** REQUIRED FIELDS EXECUTIVE BOARD SSA Joseph Occhipinti (Ret.).......................Executive Director Det. Jack Holder (Ret.)...............................................President SSA Philip Scala (Ret)........................................Vice President C.O. Norma Delgado (Ret).........................................Secretary Det. Joseph Walker................................................... Treasurer Alan E. Wolin, Esq.....................................Chief Legal Counsel Msgr. Robert Romano.............................Chief Police Chaplain Det. David Venezian (Ret)..........................Chief Investigator COALITIONS Chief Kenneth Henderson (Ret)................Police Chief’s Coalition FF Vincent Tummino (Ret)............Firefighters and EMS Coalition P.O. Michele Mastrosimone......Italian Police Defense Foundation ATFSAC Hugo Barrera (Ret).................Federal Officers Coalition PROGRAM SERVICE ADMINISTRATORS Dr. Dhimant Balar............................... Operation Kids Program S/A John "Sparky" McLaughlin (Ret)........... Safe Cop Program Det. Karry McClennan............................... Project Pedophile S/A Wayne Brown (Fmr)...................... Director Public Safety HEADQUARTERS Family Member Card ($3 each / Limit 25) NEW Photo Identification Card & Wallet Package $65 "Protecting and Supporting Law Enforcement Since 1995" Protecting & Supporting Law Enforcement $10 Donation Renewal (Includes Government, Military & Public Safety Officer) NEW! $30 Donation ___ Member Badge (2") Credentials in Leather Wallet ___ NEW NPDF Photo ID Card (Law Enforcement and Associate Members Only) (Restrictions Apply-One per member) ___ NPDF 20th Anniversary Challenge Coin ___ 250 Gold Foil NPDF Business Cards ___ Member Badge in Lucite with name plate $25 Donation (Please check one item) Shipping & Handling Applies to Donation Accessories $25 or above shipped via Priority Mail $7.50 TOTAL NPDF reserves the right to approve all applications for membership. Any misuse of NPDF Property is subject to immediate forfeiture. You must be an NPDF member to possess NPDF accessories. 21 Kilmer Drive • Building 2 • Suite F Morganville, NJ 07751 www.npdf.org • membership@npdf.org 732-617-2330 • fax: 732-862-1444 The NPDF is a Congressionally recognized and IRS approved 501(c)(3) non-profit foundation and proud sponsor of the Safe Cop™ and Operation Kids™ Programs FOLLOW US Printed September 2017 OPERATION KIDS INTRODUCTION The National Police Defense Foundation is a congressionally recognized and IRS designated 501(c)(3) non-profit foundation that provides important medical and legal support services to the law enforcement community. The NPDF funds several law enforcement and child safety initiatives, such as Operation Kids, Safe Cop, Project Pedophile and Save a First Responder through membership dues and public donations. The NPDF Executive Board, its Coalition Administrators, Program Managers and Advisory Board are all volunteers. The NPDF works for the interest of Federal Agents, Sheriffs, Police Chiefs, State Troopers, County and Local Law Enforcement personnel. Its roles exceed over 205,000 members and supporters worldwide, many of which include corporate, professional and associate members. The NPDF membership over the years, has expanded internationally with members in Europe, Asia, South America and the Caribbean. Joseph Occhipinti, Founder & Executive Director The “Operation Kids” program is a multi-faceted NPDF child safety program that distributes free child fingerprint/DNA kits to parents, sponsors youth athletic events, posts periodic rewards on missing children, offers grants and scholarships and arranges life saving operations for critically ill children. This program was personally endorsed by John Walsh of America’s Most Wanted and profiled on CBS Early Show. Emma Robertson, Joseph Hopkins, Leandro Taveras, benefitted from Operation Kids. PROJECT PEDOPHILETM The NPDF is the proud sponsor of “Project Pedophile” addressing the serious increase of pedophile activity on the internet that has been victimizing our children. The program will reward any child with a $1,000 U.S. Savings Bond for information that leads to the arrest and conviction of any pedophile operating on the Internet. SAFE COPTM PROGRAM The NPDF congressionally recognized “Safe Cop”TM posts up to a $10,000 reward for public information leading to the arrest and conviction of any person who shoots at a law enforcement officer anywhere in the United States. This program has been credited for numerous defendant convictions and also provides financial and medical assistance to disabled law enforcement officers and families of officers killed in the line of duty. SAVE A K-9 OFFICER The NPDF also funds the “Save a K-9 Officer” program which addresses the serious increase of armed assaults on K-9 Police dogs by donating bullet proof vests to law enforcement agencies for their K9 officers and dogs. Medical Support Services Restrictions apply. - Must be either a Law Enforcement or Associate Member in good standing. DONATION GIFTS NPDF LEGAL DEFENSE CASES *Eligible for La ASSOCIATE 17 20 E CAT MUG 15 $ MONEY CLIP 07751 Morganville, NJ Bldg. 2, Ste. F, 21 Kilmer Dr., • www.NPDF.org 1-888-SAFE-COP $ THIS IS TO 2 17 AT 20 IS A X DULY CERT SU R THIS A SS IFIED G EO N O C IA EM TE M 17 X IS A A SS IFIED CERT DULY CHA B ER 7 01 IS TO 2 AT IFY TH CERT E IFIED CERT KEY CHAIN 20 IS A M R NA DULY THIS IS TO AT IFY TH CERT YO U AT IFY TH CERT X DU O C IA THIS 7 01 IFY CERT HA UL C 2 DULY THAT EM TE M R LE S IFIED CERT M EM B ER IS TO A SS 7 01 AT IFY TH X IFIED RT LY CE DU O B ER CERT 2 IS A WALLET PIN IFIED RT LY CE PL A IN IS TO 15 15 $ 7 01 IS TO IS A IFY TH CERT IS A 2015 Man of the Year Hon. Joseph D'Amico Superintendent, NY State Police NEW! PL AST IC ID CA RD T IFI CER MEMBER ed member is a duly accredit Foundation, The above named l Police Defense and IRS of the Nationa ly recogn ized a congre ssional ) non-profit organization designated 501(c)(3 support programs and police ion Kids” that administers CopTM” and “Operatd to grant funds the “Safe requeste agencies are courtesies. programs. All onal and professi ation. full cooperation proper identific Valid only with ED O 2010 Man of the Year Honorable Peter King U.S. Congressman 150 ly THIS 2005 Man of the Year Col. Joseph Fuentes NJ State Police 150 $ *Restrictions App THIS The NPDF holds annual awards dinners that benefits the Operation Kids program. The past honorees have included distinguished civilians, corporate, law enforcement and public officials. and Associate Members Only $ case profiled on the NBC Today Show. ANNUAL AWARDS DINNER BA DGE IN LUCITE Badge *Credent ials & allet W r he at with Le w Enforcement The NPDF mission statement is to “protect and support” the interests of law enforcement. Too often, dedicated law enforcement officers are victimized by criminal elements that fabricate allegations of misconduct. The NPDF has been credited in exposing many of those injustices on national news shows, such as 60 Minutes, NBC Date Line, Fox News, CNN among others. The NPDF offers (via its member attorneys) a free legal consultation to its members who experience a job related legal problem. NPDF Legal Defense SAVE A FIRST RESPONDER The FEF coalition funds “Save a First Responder” program, which will post a $10,000 reward for public information leading to the arrest & conviction of any person or criminal act resulting in the death of a first responder. NPDF LICENSE PLATES DMV ORGANIZATION PLATES New York ~ $102 Personalized ~ $133 New Jersey ~ $50 Personalized ~ $100 Pennsylvania ~ $50 Personalized ~ $150 The NPDF is nationally renowned for providing free medical and psychological services to law enforcement officials who have become disabled in the line of duty. The NPDF will periodically establish upon request a medical fund to help the officer pay outstanding medical debt. Due to the serious increase of Post-Traumatic Stress Disorder (PTSD) and police suicides, the NPDF has an affiliation with the "COP 2 Cop" program which offers free confidential counseling to active and retired law enforcement and police safety officers via a 24/7 hotline. M EM C IA TE B ER NEW from NPDF Official Gear designed by GRMTACTM Click the "STORE" link at npdf.org or visit grmtac.com Please know the unauthorized sale of NPDF accessories is a violation of the federal trademark laws.