Internal Gift-in-Kind Report Form

Individual Reporting Gift *

Department *

Phone *

Email address *

Description of gift *

Were goods and/or services provided in exchange for this gift? *

Yes

If yes, what is the monetary value? *

Account Name *

Donor Name *

Company or Individual

Contact person

Email address *

Phone *

Street address *

City *

State *

Zip code *

Donor is: *

Select all that apply.

Corporation

Foundation

Alumnus

Parent

Friend

If a corporate gift, is this company a product?

Fair market value of gift at time of donation *

Donor restrictions on gift (if any)

Additional comments

Note: Gifts-in-kind cannot be formally accepted until this report is received and approved. The VPUA or designee will consider gifts of tangible and intangible personal property only after a thorough review indicates that the property is readily marketable or needed by the University. Gift-in-Kinds are considered charitable in accordance with IRS publication 526. Software usage, services and gift cards not redeemable for cash are not considered charitable gifts.

If you happen to see this, do not fill this field.