Fillable FOUNDATION IN-KIND GIFT/DONATION REPORT FORM (Southwest Tennessee Community College)

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FOUNDATION IN-KIND GIFT/DONATION REPORT FORM (Southwest Tennessee Community College)

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TO: Executive Director of Institutional Development
FROM: ________________________________
SUBJECT: In-Kind Gift/Donation
DATE: ________________________________
This is to advise of and recommend acceptance of the following identified gift/donation:
1. Identification of gift item: _________________________________________________________________________________________
________________________________________________________________________________________________________________
2. Date of gift(s)/material(s) received or to be received: ____________________________________________________________________
3. Name of Donor: _________________________________________________________________________________________________
Title _________________________________________________________________________________________________________
Address ______________________________________________________________________________________________________
City _________________________________________________ State ________________________ ZIP _______________________
4. Value as estimated by donor: $ ______________________________________________________________________________________
If donor has not given value, please provide conservative estimate: $___________________________________________________________
Estimated value is for internal purposes only and should not be considered official for the donor’s tax purposes.
5. Restrictions on gift, if any: __________________________________________________________________________________________
_________________________________________________________________________________________________________________
6. Budget implications, if any: _________________________________________________________________________________________
APPROVED:
Division Head Division Account # Date
Dean/Administrative Head Date
Executive Director of Institutional Development Date
INSTRUCTIONS: The individual originating this notification form should secure the approvals of his/her department head and
dean/administrative head before submitting to the Executive Director of Institutional Development.
White: Development Yellow: Inventory Pink: File Gold: Department • 0800053/NEW00237
IN-KIND GIFT/DONATION REPORT FORM
FOUNDATION
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FOUNDATION IN-KIND GIFTDONATION REPORT FORM (Southwest Tennessee Community College)

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Completed 27 July 2020

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