Fundraising Authorization Request Page 2
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4Please attach the following addendums to this application:
Policies and procedures for maintaining the organization’s/individual’s finances, and membership
qualifications, if any.
A statement identifying the criteria and process for distribution of funds, and the planned use for any
money remaining at the end of the year if the organization/individual not longer plans, or is authorized,
to fundraise in the future.
Evidence of liability insurance as required by law; minimum coverage is $1,000,000 (one million)
combined single limit.
If District facilities are needed, please attach a copy of the completed NUSD Facilities Use Permit.
By submitting this form for approval, the organization/individual acknowledges the following:
If the organization/individual fundraising does
have tax-exempt status, any promotion must
NOT
clearly state that donations are
tax deductible for the donor.
NOT
An agreement that the group will not engage in unlawful discrimination.
Annually, or upon completion of fundraising activities/events, organizations/individuals with 501 (c)
(3) (tax-exempt) status shall submit a copy of their IRS form 990 to the district. Non-tax-exempt
organizations/individuals shall submit the equivalent information, as defined in AR 1230.
Requests for subsequent authorization for fundraising activities shall be presented to the
Superintendent or designee annually, and shall include all of the above information.
The following guidelines direct any fundraising event authorized in accordance with this policy:
This request must be approved by the Superintendent or designee before any promotion,
1.
communication or other public planning may commence.
Fundraising events must not interfere with the instructional day.
2.
Fundraising activities must be consistent with the District Wellness Policy.
3.
Student and staff participation must be voluntary.
4.
No students shall sell raffle or drawing tickets that include alcoholic beverages or tobacco in the
5.
prize.
Fundraising involving elementary- and/or middle-school aged students shall not endorse door-to-
6.
door sales or solicitations.
R e q u e s t e d B y :
S i g n a t u r e o r O r g a n i z a t i o n / I n d i vi d u a l R e p r e s e n t a t i v e
D a te
A p p r o v e d B y :
S i g n a t u r e o f N U S D S u p e r i n t e n d e n t o r D e s i g n e e
D a te
NUSD 1015 7
Street Novato CA 94945 (415) 897-4201
FUNDRAISING AUTHORIZATION REQUEST
3.11
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