Permian Basin Gives Nonprofit Participation Agreement

To take part in the Permian Basin giving day, a nonprofit must complete and submit the following form by Thursday, April 1, 2021.

All criteria must be met in order to be considered eligible. All profile information must be received in order to be included on Permian Basin Gives website and marketing materials/efforts.

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Agency Name
Executive Director Executive Director First Last
If agency does not have an Executive Director, please list appropriate leadership such as Board President.
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Agency Email

Preferred public contact email.
Primary Contact Primary Contact First Last
Primary Contact Email (if different from agency email)
Participating agency must have a physical location or mailing address in at least one of the following counties.

Participating agency must have a physical location or mailing address in at least one of the following counties. Andrews Borden Brewster Crane Jeff Davis Dawson Ector Gaines Glasscock Howard Loving Martin Midland Pecos Presidio Reeves Terrell Upton Ward Winkler

Please select only those counties in which your agency has a physical presence or mailing address.
I acknowledge that 100% of proceeds raised through this effort will go directly to programs and services in one or more of the counties listed above.

I acknowledge that 100% of proceeds raised through this effort will go directly to programs and services in one or more of the counties listed above. Yes No
Participating agencies must be classified as a 501(c)3 by the IRS and be in good standing with the state and IRS and not in violation of any applicable state, local, federal law, ordinance, or regulation. Please enter your EIN/Federal Tax Identification Number below.

An Employer Identification Number (EIN) is a unique identification number that is assigned to a business entity so that it can easily be identified by the Internal Revenue Service (IRS). 1 It is commonly used by employers for the purpose of reporting taxes. The EIN is also known as a Federal Tax Identification Number.
Category of Service (Please select only one)

Category of Service (Please select only one) Arts, Culture & Humanities Education & Research Health Human Services International Public/Societal Benefit Religion
Participating agencies must promote the event, both in advance and day of, through invitations to the giving day event on your website (if possible) and on all social media accounts beginning two weeks prior to the event and continuing through the actual day, May 18.

Participating agencies must promote the event, both in advance and day of, through invitations to the giving day event on your website (if possible) and on all social media accounts beginning two weeks prior to the event and continuing through the actual day, May 18. Yes, our agency is committed to utilizing website and social media tools to promote the event. Our agency does not have the in-house ability to alter our existing website. However, we committ to social media promotion of Permian Basin Gives. No, our agency does not have access to website or social media opportunties.
Our agency agrees to distribute outdoor signage in the community in which we primarily reside.

Our agency agrees to distribute outdoor signage in the community in which we primarily reside. Yes
We would like to promote an overall Permian Basin Gives fundraising goal for the event day. (i.e. 26 agencies hope to raise $500,000). Individual agency goals will be aggregated to set this goal.

Please identify your agency goal for this specific event.

*Changes to this goal will not be allowed after form is submitted.

Please enter as a number without $ or ,
Agency Mission Statement (Please use complete sentences, this will be used on the Permian Basin Gives website.)
Upload Agency Logo (High resolution images requested. Files must be a minimum of 300 px wide. Square configuration is preferred.)

If your agency participated in Permian Basin Gives 2020 you do not need to submit a logo unless you wish to change the logo previously used.

Attach Files

Your logo will be included on PermianBasinGives.org.
Participating Agency must have ability to accept online giving. If agency is not currently equipped, assistance can be available.

Participating Agency must have ability to accept online giving. If agency is not currently equipped, assistance can be available. Yes, our agency currently accepts online donation. No, our agency does not currently accept online donations and requests assistance to implement.
Preferred Web Link for Donors

This link will be used on Permian Basin Gives to drive donors to your agency website. Consider how easy your donation options will be for a new donor to find if you choose to use the home page of your website.
Weblink to Agency Promotional Video

If your video is not currently available on line, you can use https://gofile.io/uploadFiles to share your file at no cost. Once you have uploaded your file, it will create a link. Please paste that link below.
Participating agencies must have representation in one virtual meeting to review plans, best practices, etc. prior to Permian Basin Gives Day. Please select the date you plan to attend the virtual meeting.

Participating agencies must have representation in one virtual meeting to review plans, best practices, etc. prior to Permian Basin Gives Day. Please select the date you plan to attend the virtual meeting. Tuesday, April 6 at 9:30 am Thursday, April 8 at 2:00 pm
Participating agencies must promote and direct all donors to donate through the Permian Basin Gives website - https://permianbasingives.org/
for donations on May 18, 2021.

I agree to promote only Permian Basin Gives website for donations on May 18, 2021.

Participating agencies must promote and direct all donors to donate through the Permian Basin Gives website - https://permianbasingives.org/
for donations on May 18, 2021.

I agree to promote only Permian Basin Gives website for donations on May 18, 2021. Yes No
Participating agencies must agree to report giving four times (8:30 a.m., Noon, 4 p.m. and 8 p.m.) on the day of Permian Basin Gives. (Mechanism for reporting will be circulated in advance.)

Participating agencies must agree to report giving four times (8:30 a.m., Noon, 4 p.m. and 8 p.m.) on the day of Permian Basin Gives. (Mechanism for reporting will be circulated in advance.) Yes, my agency agrees to report giving at times listed above on Permian Basin Gives Day.

This information will be aggregated for use in permianbasingives.org ticker and social media posts to encourage giving.
Participating agencies must report final giving total and total number of donors by May 25. (Reporting mechanism to be provided.) Data will be used to report to the Abell-Hanger Foundation and to acknowledge participation within our communities.

Participating agencies must report final giving total and total number of donors by May 25. (Reporting mechanism to be provided.) Data will be used to report to the Abell-Hanger Foundation and to acknowledge participation within our communities. Yes, my agency agrees to report total giving and number of donors on or before May 25, 2021.
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Permian Basin Gives Nonprofit Participation Agreement

Permian Basin Gives Nonprofit Participation Agreement

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