In-Kind Donation Form

In-Kind Donation Form

MTECH welcomes in-kind donations that have an educational purpose for the college. Please confirm with a program director that a donation fulfills a need, prior to receiving it.
MTECH In-Kind Donation Form Instructions

Purpose: For MTECH Employees to record in-kind donations.
Receipt: A donation receipt will be sent to the donor using the information collected in this form.
Deadline: Please submit the form within one business day of receiving a donation. This will ensure that we can formally acknowledge the gift and send a donation receipt to the donor.
Contact: For questions about form, contact Renee Kalaniuvalu, Scholarship & Grants Manager, at renee.kalaniuvalu@mtec.edu.
Name of MTECH Employee submitting form*
Program/Department*
Job Title*
.
Email*
Phone number*
I have verified with a director that this donation is of use to an MTECH program.*

YesNo
Director name*
Are you the MTECH employee who is the primary contact with this donor? If not, provide the name and contact information for person who is.*
Donor Information
Donor Name*
Company/Organization*
Donor Type*

IndividualBusinessOther
Donor email*
MTECH will send a donation receipt to this email.
Address*
MTECH will send a donation receipt to his address if requested by donor.
City*
State*
Zip Code*
Phone*
Donor's preferred way to receive a Donor Receipt for tax purposes is

EmailMailBoth
Donation Information
Description of Items/Services*
Provide a detailed description including quantity, brand, model, condition. Examples for condition: New; Used, in Excellent Condition; Used, in Good Condition; Used, in Poor Condition.
List the Estimated Fair Value of Items/Services
Estimate of Fair Value is provided by the donor, not MTECH. The donor is responsible for substantiating the fair market value of an gift in kind, for their own tax purposes. The dollar amount listed above will be used by MTECH for internal donor recognition purposes only. MTECH donation receipts for in-kind gifts do not include estimated values.
Attach document scans here.

If you have donor statements, or other documents you want to include, please scan and attach them here. All vehicle donations must have a title. The physical title needs to be delivered to Nicole Shelly in the Lehi Admin. Suite in person or via intercampus mail. A scanned copy of the title should be attached here.
Cancelof
Total Estimated Fair Value of all Items/Services donated is

$250 or less$500 - $999$1000 - $4999$5000 - $9999$10,000 - $24,999$25,000 - $49,999$50,000 or greater
Date Donation Received (MM/DD/YYYY)*
This is the ACTUAL date the donation was received by MTECH.
Are there restrictions to this donation?*

YesNo
If YES, please describe the restriction(s): (e.g.,specific programs, materials for particular purposes, etc.)
Intended Use for Donation: *
Specify how this donation will be utilized, for a department, event, or program.
Were goods or services exchanged for this contribution ?

NoYes
Tax-Exempt Status:
Mountainland Technical College is a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. Our
Federal Tax ID Number (EIN) is: 41-2126821
Donations are tax-deductible to the extent allowed by law.
Should be Empty: