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DIRECT DONATIONS
Direct member donations may be made on behalf of a member to qualifying tax exempt 501(c)(3) organizations in the form of dollars or a Land O’Lakes dairy product donation. Donations may only be used in cases where Direct Member Matches are not applicable. Complete and submit an application below with the requested amount for review. Approval or denial notifications will be communicated via email. Please allow 4-6 weeks response time on all donation requests.
Member Name
Farm ID
Member Email Address
Event Name
Event Description
Donation Type
--None--
Monetary Donation
Product Donation
Organization Name
Organization Type
--None--
501(c)(3) Non-profit
For Profit
Uncertain/Other
Recipient Shipping address
Please attach W9: Request for Taxpayer Identification Number and Certification. Link to
W9
Donation Attachment W9
Donation Attachment Other
I certify that the information submitted is correct, that my request complies fully with the provisions of Land O’Lakes Foundation Direct Member Donation Program as described in this application, and that no benefit or service is accruing to me.
Signature
Date