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DONATION RECEIPT
Date __________________________________________________________________________________
Name _________________________________________________________________________________
Cash contribution $ ______________________________________________________________________
In-kind non-cash items exceeding $250 in value (description of items):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
“Quid Pro Quo” contributions (Contributions that are made partly as a contribution and partly in payment for
goods and services received, for example, a ticket price that is higher than its normal value). For Quid Pro
Quo contributions of more than $75, list item(s) and total amount paid for each.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
In consideration of their donation, donor received (e.g., value of meal):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
The California State PTA is a tax-exempt nonprofit organization as described in Section 501(c)(3) of the
Internal Revenue Code. This exemption applies to all the California State PTA’s constituent organizations.
Authorized by ___________________________________________________________________________
IRS EIN________________________________________________________________________________
PLEASE RETAIN FOR YOUR TAX RECORDS
THANK YOU FOR YOUR SUPPORT
322 California State PTA Toolkit – 2013