Matching Gift | Koch Enterprises

*Qualifying companies include: Amprod, Audubon Metals, Koch Air, Koch Finishing Systems and South Western Communications.
*Matching Gifts are for charitable giving only and cannot include the cost of meals, auction items, tickets, golfing, apparel, etc.
*Gifts must be in Team Member's or Retiree's name.

Contact: Jennifer Slade | Phone (812) 465-9678 | Email: jslade@kochllc.com

Koch Foundation
10 South 11th Avenue
Evansville, IN 47712

Employee ID #

First Name

Last Name

Your Address

Your Address 2

Your City/Town

Your State/Province

Your ZIP/Postal Code

Your Country

E-Mail Address

Date of Employment

Company

Company Address

Company Address 2

Company City/Town

Company State/Province

Company ZIP/Postal Code

Company Country

Employment Status

Date of Donation

Match Up To $

Of My Personal Gift Of $

Federal Tax ID Number for the Nonprofit

Please provide the IRS number assigned to the nonprofit verifying its 501(c)(3) status. It is often referred to as an EIN and is a 9-digit number displayed in the following format: xx-xxxxxxx. It is usually found on the receipt you receive from the charity.

Nonprofit Name

Nonprofit Address

Nonprofit Address 2

Nonprofit City/Town

Nonprofit State/Province

Nonprofit ZIP/Postal Code

Nonprofit Country

Specific Instructions for Your Match

If you have specific instructions for the match, please provide it above.

Donation Receipt

One file only.
8 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf.