Rotary District 6440 Charitable Fund Inc. Donation Form

The Rotary District 6440 Charitable Fund is a registered 501(c)(3) organization and has been established to accept donations to fund charitable and educational activities developed and sponsored by Rotary District 6440, the individual Rotary Clubs in Rotary District 6440, and The Rotary Foundation of Rotary International. Gifts are deductible to the full extent allowable under IRS regulations. FEIN 36-4831206. A copy of our IRS 501(c)(3) determination letter is available upon request to 501c3@rotary6440.org.
Name

First NameLast Name
Rotary Club Name and District
Rotary Club Name and District
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Recipient of donation*

Iron Lung (RILEE) reservationIron Lung Project (RILEE) Supporter (any amount)Memorial Donations (please indicate name and other details in the comments section below)Humanitarian Relief in Ukraine - District Governor's Discretionary channelRotary Club Project - specify club name and project description in comment section belowRotary District 6440 Grant - specify grant number/reference, participating club name and project description in comment section belowRotary District 6440 RYLA (Rotary Youth Leadership Awards) Program Educational SupportRotary District 6440 Youth ExchangeRotary Global Grant - specify participating club name, project description, and global grant reference number in comment section belowRotary District 6440 Discretionary Contribution FundRotary District 6440 Youth Program
Comments section for recipient and project details
Donation Amount*

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USDDonation
Contributions by check - please click button below to Print Form, and mail a printed copy with your check to Rotary District 6440 Charitable Fund, Inc., P.O. Box 90, Deerfield IL 60015.

Contributions by PayPal including credit cards - please click button below to Print Form for your records and then click Submit to enter PayPal or credit card information. Consider adding 3% to your contribution to cover bank and credit card fees.
This corporation is organized exclusively for charitable, educational, scientific, literary, and other exempt purposes as generally described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, or the corresponding section of any future federal tax code (the “Internal Revenue Code”). The term “charitable” is used in its generally accepted legal sense and includes relief of the poor, the distressed, or the underprivileged; advancement of education or science; erecting or maintaining public buildings, monuments, or works; lessening the burdens of government; lessening neighborhood tensions; eliminating prejudice and discrimination; defending human and civil rights secured by law; providing health care for the economically disadvantaged; combating community deterioration and juvenile delinquency; or providing other goods and services in keeping with the areas of focus of Rotary International.
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