Employee/Family Matching Gift Program First Name(Required) Last Name(Required) Employee/Family Affiliation(Required)RMSFFOlympus VenturesBest JetsFamily MemberOtherYour Email Address(Required) Donation InformationDate of Donation(Required) Month Day Year Donation Amount(Required)Tax-Exempt Number for the Nonprofit(Required) Please provide the IRS number assigned to the Nonprofit verifying its 501(c)(3) status. It is often referred to as an EIN and is a 9-digit number displayed in the following format: xx-xxxxxxx. It is usually found on the receipt you receive from the charity. Please contact email@example.com if you need assistance finding this number.Name of Nonprofit that Received Your Donation(Required) Mailing Address for Nonprofit that Received Your Donation(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Specific instructions for your matchIf you have specific instructions for the match, please provide above.Attach a donation receipt or email confirmation from your nonprofit..(Required)Accepted file types: jpg, pdf, png, gif, doc, docx, Max. file size: 100 MB.Attach a receipt or email confirmation from your 501(c)(3) nonprofit that shows the amount of your donation.I attest that all of the above information is accurate.(Required) I attest. By submitting this form, I am requesting that the RMSFF match the donation amount listed above.(Required) I am requesting a match. DisclaimerThe Richard M. Schulze Family Foundation (RMSFF) reserves the right to deny a request for matching funds at any time, for any reason. RMSFF will deny a request if: a) making a match would result in an appearance of impropriety; or b) if the participant would receive any inappropriate economic benefit; or c) if the matching funds would be directed to an organization whose mission and activities conflict with the funding guidelines of the Foundation. RMSFF reserves the right to amend, modify, suspend or terminate the Matching Gift Program at any time.