In the spirit of giving back to communities and fostering a culture of philanthropy, Barilla America, Inc. has established a commendable program that amplifies the impact of individual donations through its Barilla Matching Gift Form. This comprehensive and structured document serves as a gateway for both donors and recipient institutions to partake in a matching gift opportunity, thereby potentially doubling the contributions to eligible organizations. The process begins with the donor completing Part A of the form, ensuring all details are meticulously filled out and the form is signed to confirm the accuracy and eligibility of the contribution. The importance of clarity in completing this section cannot be overstated, as any incomplete or illegible submissions could hinder the processing timeline. Following the donor's part, an authorized officer from the beneficiary institution is required to review and complete Part B, including the validation of the gift and ascertaining the organization's eligibility, notably for those new to receiving Barilla's matching gifts, a copy of the IRS 501(c)(3) letter must accompany the form. Processing of these forms takes place on a quarterly basis, after which, once all criteria are met and verifications concluded, Barilla issues a matching check directly to the organization, concluding the cycle with a statement sent to the original donor, thereby affirming the successful completion of the matching gift process. This initiative not only exemplifies Barilla's commitment to social responsibility but also encourages donors by maximizing their philanthropic contributions towards their chosen causes.
| Question | Answer |
|---|---|
| Form Name | Barilla Pasta Donation Request Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | barilla pasta donation, barilla pasta donations, barilla ny donation request, barilla product donations |
The Barilla Matching Gift Form
1.Fill out Part A completely. Check that form is completed and signed. Incomplete or illegible forms delay processing and will be returned. Send this form and your donation to the institution of your choice.
2.An appropriate financial officer of the institution should review Part A and complete Part B. The entire form along with any necessary materials should then be mailed to Barilla America, Inc. at the address shown in Part B below.
3.All processing is done on a quarterly basis. After verifying eligibility, the form will be processed and a check will be sent directly to the organization at the end of the payment cycle. A statement will be sent to the donor after the checks have been mailed.
PART A: TO BE COMPLEDED BY DONOR
Employee Name: ___________________________________ |
Organization Receiving Gift: ____________________________ |
|
Home Address: ____________________________________ |
Organization Address: _________________________________ |
|
City, State, Zip: ____________________________________ |
City, State, Zip: _______________________________________ |
|
Date of Gift: _______________________________________ |
I certify that the information submitted is correct and that this |
|
|
|
contribution qualifies as a |
|
|
or tuition payment. Neither I, nor any member of my family, |
|
|
derive any direct or indirect financial benefit from this |
Amount of Gift: ____________________________________ |
contribution. It does not represent payment for service. |
|
|
||
(check one) ____Cash |
____Check ____Credit Card |
|
____Visa ____MasterCard ____AMX |
Signature of Donor: [X] _______________________________ |
|
Credit Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ |
|
|
Exp. Date: ____________ |
Name on Card: _____________________________________________________________________ |
|
PART B: TO BE COMPLETED BY RECIPIENT INSTITUTION
1.Verify donor section.
2.If you have never received a Barilla gift match before, please submit a copy of your IRS 501©(3) letter along with this form.
3.Mail to:
Barilla America, Inc.
1200 Lakeside Drive
Bannockburn, IL 60015
Attn: Benefits Department
I certify that the amount of $_______________ was received on _________________(date) and that this institution is an eligible
recipient, and this gift is not a pledge, group gift, or tuition payment.
[X] ____________________________________________________________________________________________________________
Signature of Organization Representative |
Date |
Print or Type Name of Representative |
|
|
|
Address |
|
|
|
|
|
City |
State |
Zip Code |
Barilla reserves the right to discontinue or amend this program at any time, and also reserves the right not to match any particular gift or gifts to any particular organization.