Prudential Matching Gift Program Form PDF Details

In the spirit of philanthropy, many corporate entities extend their generosity through matching gift programs, an initiative where the company matches donations made by its employees to eligible non-profit organizations. Among these, the Prudential Foundation Matching Gifts Program stands out, facilitating a seamless giving experience for donors wishing to augment their contributions to causes close to their hearts. This program accommodates a variety of donation methods, including direct giving by check and new, more convenient online avenues for contributions made via credit card, securities, or life insurance. Donors, whether active employees, retirees, or members of the board, are required to fill out a form detailing their donation. This form, pivotal in processing the matching gift, requires information such as the donor's identification, the amount donated (which should be a minimum of $25 to qualify for matching, with the Prudential Foundation matching up to $5,000 per individual annually), and a declaration confirming the donation's eligibility under the program's guidelines. Further, recipient organizations are tasked with confirming the receipt of the gift and its intended use, ensuring the adherence to IRS guidelines for tax-exempt purposes. By coupling direct financial contributions with the assurance of a matched donation from the Prudential Foundation, donors are empowered to doubly impact their chosen non-profits, a testament to the program's commitment to amplifying charitable efforts.

QuestionAnswer
Form NamePrudential Matching Gift Program Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesprucares, prudential benevity org user, pru cares, prudential cares matching gifts

Form Preview Example

The Prudential Foundation Matching Gifts Program

Complete this portion for direct giving by check

New, On-Line Giving! Submit your request electronically at www.easymatch.com/Prudential

(For donations by credit card, securities or life insurance, please complete your request for Matching on-line at www.easymatch.com/prudential

Section I: To be completed by the donor (Please print.)

Donor Instructions: Complete Section 1 of this form – one for each gift. Please print or type. Send the form and a copy of the program guidelines with your contribution to the recipient organization.

Donor

Name:

Employee ID* or Retiree ID**:

*This ID number is found on each salary or pension payment stub

**Retirees use first two letters of last name, birth month and day (MMDD), and last four digits in Social Security #.

Check One:

Employee

Retiree

Board

Retired Board

 

 

 

Director

Director

Home Address

City, State, Zip

Home Telephone No.

E-mail

Work Address

City, State, Zip

Work Telephone No.

Recipient Organization

Official Name Legacy Of A Hero The L/Cpl Chris Cosgrove III Foundation, Inc.

Address

12 Cypress Drive

City, State, Zip Cedar Knolls, NJ 07927-1558

Your Gift

Gift Purpose (if any)

Exact Date of Gift

Tax-Deductible Gift Amount (min $25): $

Gift Amount To Be Matched (min $25) $

*The Prudential Foundation will match up to $5,000 per eligible individual, per calendar year, for all methods of giving combined.

Donor Verification (Signature Required)

This gift (and its stated value), which is made from my personal funds or property, fully qualifies as a charitable donation for personal income tax purposes, and is for the use of the above-named organization(s). I understand The Prudential Foundation’s matching gift is for the unrestricted use of the organization and not for any specific purpose designated by me, including the cancellation of any personal obligation. I verify that, in return for this gift, nor I or a member of my family have not received or will not receive any payment, product, service or anything else of value whatsoever. By signing this form, I am certifying that the gift meets all of the requirements listed in the Guidelines. I understand that the maximum amount that will be matched is $5,000 per individual, per calendar year, for all methods of giving combined.

Signature of Donor

Date

\

Section II To be completed by the recipient organization (Please print.)

Recipient Organization: Verify receipt of gift. Complete Section 2 of this form. Please print or type. If this is your first matching gift request to the Prudential Foundation Matching Gifts Program, please enclose a copy of your Internal Revenue Service 501(c)(3) IRS determination letter and a brief description of your organization’s primary mission statement or purpose. Forward form to the address printed below.

Employer Identification Number (EIN) 26-0316723

Fax No.

Organization Name Legacy Of A Hero The L/Cpl Chris Cosgrove III Foundation, Inc.

E-mail lcplcbcIII@legacyofahero.org

Address 12 Cypress Drive

Website Addresses (if any) www.legacyofahero.org

 

 

 

Exact Date of Gift

City, State, Zip

Cedar Knolls, NJ 07927-1558

Gift Amount: $

Telephone No.

973-734-1689

 

Tax Deductible Gift Amount Received: $

I certify that the above-indicated gift has been received, and it will be used to support the primary objectives of the organization, which is classified as a tax-exempt organization under section 501(c)(3) of the U.S. Internal Revenue Code, or is a governmental entity or agency, and: (a) this organization’s mission and operations are broad and non-discriminatory or its activities address social needs or benefit underserved groups and communities; (b) this is an eligible organization; (c) the gift meets all of the requirements listed in the Guidelines; (d) The Prudential Foundation received no goods, services or other quid pro as defined in the relevant IRS rules and regulations. Proof of tax-exempt status is enclosed if this is the initial request to The Prudential Foundation Matching Gifts Program.

Name Charlene A. Bowie

 

Return this form to:

 

Prudential Matching Gifts Program

Title President

 

 

P.O. Box 7184

Signature

Date

Princeton, NJ 08543-7184

Tel: 1-800-554-7846