Toro Giving Program

Product Donation Request Form

Applications will only be accepted electronically at

Organization Information

Name of organization

/

Legal name, if different

Address

/

City, State, Zip

/

Employer Identification Number (EIN)

Phone

/ Fax / Web site

Name of top paid staff

/

Title

/

Phone

/

E-mail

Contact person regarding this application

/

Title

/

Phone

/

E-mail

United States based non-profit please complete the following:

Is your organization an IRS 501(c)(3) not-for-profit? Please provide documentation

verifying status / Yes / No

If no, is your organization a public agency/unit of government?

/ Yes / No
If no, check with funder for details on using fiscal agents, and list name and address of fiscal agent:
Fiscal agent / /

Fiscal agent’s EIN number

Australia based non-profit please complete the following:

Is your organization an approved not-for-profit organization? Please provide

documentation verifying status / Yes / No

If no, is your organization a public agency/unit of government?

/ Yes / No
If no, check with ATO for details on Charity status at: http://ato.gov.au/nonprofit/content.asp?doc=/content/34267.htm

Non-United States based non-profit please complete the following:

Please provide the designation of your organization with documentation verifying status.

Is your organization a public agency/unit of government?

/ Yes / No

A.  Brief summary of organization history, including the date your organization was established.

B.  Brief summary of organization mission and goals.

C.  Brief description of organization’s current programs or activities, including any service statistics and strengths or accomplishments. Please highlight new or different activities, if any, for your organization

D.  Brief description of the opportunity, challenges, issues or needs currently facing your organization.

Equipment Request

If you are requesting irrigation, please see next section.

Please tell us how the donation of Toro product will impact your organization and provide a summary outlining the need for maintenance equipment for your organization:

·  What is the size of the property to be maintained?

·  What percentage of the property is:

○  Turf:

○  Landscaped:

○  Trees:

○  Concrete:

·  What are you currently using to maintain the property?

·  If you currently have maintenance equipment please describe the units and provide their age.

·  Who will be operating the product?

·  Where will the equipment be stored? Please provide dimensions for the storage area.

Please be advised that requests for specific models will be taken into consideration but cannot be guaranteed. All donations are contingent upon committee review and product availability.

Irrigation request

1.  Have you had a professional provide you an estimate for irrigation installation?

(If yes, please provide an electronic copy of the design and estimate.)

2.  What is the size the property to be irrigated?

3.  What is the water source for the irrigation? What is the flow rate? What is the PSI?

4.  What environment are you irrigating?(i.e. athletic field, park, office space) If requesting micro-irrigation provide the crops that will be irrigated

5.  Are you watering plants, turf or both?

6.  What percentage of the property is:

·  turf :

·  landscaped:

·  trees:

·  concrete:

7.  What is the timeline for installation of the irrigation system?

Please provide any additional information to assist in understanding

the need for support of your organization

Applications will only be accepted electronically at

*Please note: Organizational financial information may be requested when the organization is chosen to receive a donation and prior to delivery of the product.