2025 Benefiting Org Agreement

Agreement Forms may be submitted no later than Thursday, September 5th by 10:00pm.

Benefiting organizations are selected by the Fiesta Especial® Royal Court candidates to benefit from 40% of the candidate’s total campaign funds (minus the credit card processing fees from all online transactions of the campaign.) The first $250 of these funds will be credited toward a disABILITYsa basic nonprofit membership for your organization. Selected organizations must complete the agreement form in its entirety and agree to the terms to qualify as a benefiting organization in the Fiesta Especial Royal Court program.

Organization*

Organization Type*

Contact Name*

First NameLast Name

Contact Title*

Contact Email*

example@example.com

Cell Phone Number*

Please enter a valid phone number which can receive text messages.

IRS EIN: *

Organizational URL*

If a school, please link to information on your special education program.

Mission Statement

Upload W9 Form:*

Upload 501(c)3 IRS Determination Ltr:*

Upload Agency Logo (PDF Vector preferred)*

Please confirm that you are authorized to enter into agreements on behalf of the organization:*

I confirm

As a Benefiting Organization, I agree that all funds received will specifically be used directly in programs and services that will benefit individuals with physical, cognitive or sensory disabilities located in the San Antonio area.*

I Acknowledge and Agree

I will promote and/or highlight the candidate’s campaign.*

I Acknowledge and Agree

Please describe how you will promote and/or highlight the candidate’s campaign.*

As a benefiting organization, I agree and acknowledge that the first $250 of the 40% raised will be credited toward our disABILITYsa Nonprofit Basic Membership. Our organization will receive the associate benefits with this membership level or apply the credit toward our supporter level membership.*

I Acknowledge and Agree

Member benefit information can be found online at disABILITYsa.org

Actual funds from the campaigns will be distributed to benefiting organizations following the close out of the program year on May 31st, 2025 after all agreement requirements have been met.*

I Acknowledge and Agree

As a benefiting organization of Fiesta Especial Royal Court funds, we will submit a report within 12 months of receiving the gift outlining the impact the funds have had for our organization.*

I Acknowledge and Agree

We will have a representative attend the Coronation event to participate in the ceremony and acknowledge the court member's efforts on Thursday, January 23rd, 2025. (Tickets are $35-$60/person.*

I Acknowledge and Agree to attend the Coronation on January 23rd.

Recognize the Royal Court member and the Fiesta Especial® contribution in an agency newsletter/website/social media. You will be required to show proof of publication.*

I Acknowledge and Agree

Documentation of publication or post can be emailed to fiestaespecial@disabilitysa.org.

Benefiting organizations may elect to participate in these optional opportunities as well (select benefits you’d like to receive):*

We’d like to schedule a big check presentation at an event for our organization.We’d like to have a complimentary information booth at the Fiesta Especial Celebration Event on April 29th, 2025.We’d like to host a program orientation for our families to learn more about the 2025-2026 Fiesta Especial® Royal Court program.We'd like to have a complimentary information booth at the AccessAbility fest on Oct. 4th, 2025.

I have attached a copy of our Form W-9 and IRS Determination Letter.*

I Acknowledge and Agree

Agreement Authorized by:*

First NameLast Name

Title of Authorizing Representative:*

Email*

example@example.com

2025 Benefiting Organizational Agreement

Contact & Agency Information

Agency Agreement