Donation Guidelines Thank you for your interest in a community donation from Fairway Market! Please review the following guidelines prior to submitting your application: Fairway Market follows specific guidelines when considering requests to support community-focused initiatives from educational organizations and institutions, civic organizations, social service agencies, houses of worship and other organizations. In order to be considered, your organization should be: A not-for-profit located in the communities served by Fairway stores Working within Fairway’s giving priorities, i.e. Community Services, Health and Wellness, The Environment, Youth Please Note: Individuals, political candidates or organizations, employee recognition events, pageants, organizations without 501(c)3 status are ineligible for donations. Guidelines: All donation requests must be submitted in writing on the organization’s letterhead, describing the nature of the request and for what purpose the donation will be used. A copy of the organization’s 501 (c) (3) or 170 (b) (1) letter must accompany the request. State taxexempt forms cannot be substituted for these documents.* Literature and printed material in support of the request may be submitted. This material will not be returned to the applicant. Requests must be received at least 30 days in advance of the event date. The donation application form must be fully completed. Requests by phone will not be accepted. No more than one request for a donation per calendar year will be accepted. Recipient organizations are responsible for picking up donations of food or food products. Individuals picking up donations will be asked to sign a receipt. In order to be considered, you must submit your completed application to the Donations Manager at your local Fairway Market. Although we would like to support all worthwhile causes, due to the number of donation requests, it is not possible for Fairway Markets to fulfill every request. 1 DONATION APPLICATION Please review the attached guidelines prior to completing this application. To be considered, your completed application must be received at least 30 days in advance of your event date and “pick up” date. Today’s Date:__________ Event Date: ____________ Pick Up Date: ___________ Organization: ___________________________________________________________ *501(c)3 or 170(b)1 is attached? Yes No (see donation guidelines) Organization’s Address: ______________________________________________________________ Organization’s Webpage: ______________________________________________________________ Your Name: _____________________________________________ Position: ________________________________________________ Phone : ______________________________ Alternate Phone: ____________________________ Email: ________________________________ Description of Event: ___________________________________________________________________________________ ___________________________________________________________________________________ Approximately, how many people will attend this event? __________ How will Fairway Market be acknowledged for this event? ___________________________________________________________________________________ ___________________________________________________________________________________ Requesting (check one): _____ Food _____Gift Certificate _____ Gift Basket Has your organization ever received a Donation from us? Yes No If so, what did we donate, how much, and when did we donate it? ______________________________________________________________________________________ Describe your request here or on separate sheet. Be specific and explain how the donation will be used: OFFICE USE ONLY: Recommended by _________________________________________________ Approved by ____________________________________________________ 2