Employee Charitable Giving Aeronautics

Transcription

1 Employee Charitable Giving Aeronautics Employee Name LM People Number Work Telephone Numberber I select the following contribution level: Platinum Circle (1.2% of weekly salary) Bronze Circle (0.5% of weekly salary) Gold Circle (1.0% of weekly salary) Other set weekly amount: $ ($2.00 minimum per restriction) Silver Circle (0.7% of weekly salary) One time amount $ ($25.00 minimum with increase in $5.00 increments) Payroll Deduction for LM AERO Club Upon submitting this form, Lockheed Martin will begin making the requested deduction from your pay. Please carefully review your paychecks for accuracy upon receipt to ensure that no inadvertent errors have occurred. If you have any questions or concerns about any deductions from your pay, you should immediately contact payroll. If an organization you are restricting funds towards is removed from the LM AERO Club card, your funds will go to the general fund for your location unless otherwise directed by submitting a new card. Payroll Deduction Please designate your contribution to one of the organizations on the list of charities. Minimum of $2.00 per week per organization. Write-In Option: Payroll Deduction I wish to contribute to a 501(c)3 charity not listed. Minimum of $2.00 per week per organization. Charity Name Address City State Zip Tax ID Number (optional) Charity Name Address Amount $ City State Zip Tax ID Number (optional) Amount $

2 AUTHORIZATION OF PLEDGE I hereby authorize Lockheed Martin to deduct this amount from my paycheck. Employee Signature Date Telephone: Your contributions to the LM AERO Club, a 501 (c)3 charitable organization, are tax deductible in accordance with IRS rules and regulations. The LM AERO Club will distribute donated funds to charities as designated. Please return completed form to America s Charities By fax to (703) Attn: CFMS/ LM Aero Club or by to help@charities.org Make checks payable to America s Charities - Fiscal Agent Contact America s Charities with questions at help@charities.org or (703) Other questions, contact Susan Wright at susan.j.wright@lmco.com or (817) Charities Local to Aeronautics Facilities LM AREO CLUB FUNDS LM AERO Club Beaufort General Fund LM AERO Club Bethesda General Fund LM AERO Club Clarksburgh General Fund LM AERO Club Edwards AFB General Fund LM AERO Club Eglin General Fund LM AERO Club Fort Worth General Fund LM AERO Club General Fund LM AERO Club Hill AFB General Fund LM AERO Club Jacksonville General Fund LM AERO Club Johnstown General Fund LM AERO Club Marietta General Fund LM AERO Club Meridian General Fund LM AERO Club Nellis General Fund LM AERO Club Palmdale General Fund LM AERO Club Patuxent River MD General Fund LM AERO Club Pinellas General Fund LM AERO Club San General Fund LM AERO Club Yuma General Fund LM AERO Club Emergency Aid Fort Worth LM AERO Club Emergency Aid LM AERO Club Emergency Aid Marietta LM AERO Club Emergency Aid Palmdale LM AERO Club Emergency Aid San

3 CALIFORNIA American Cancer Society, Antelope Valley Office 2106 American Diabetes Association, LA American Heart Association, Los Angeles Affiliate American Red Cross of Greater Los Angeles Antelope Valley Community Clinic, Care-a-Van Services Antelope Valley on Alcoholism & Drug Dependency Antelope Valley Partners For Health Arrowhead United Way Assistance League of Antelope Valley Boy Scouts of America, Western Los Angeles American Cancer Society, Antelope Valley Office 2106 American Diabetes Association, LA American Heart Association, Los Angeles Affiliate American Red Cross of Greater Los Angeles Antelope Valley Community Clinic, Care-a-Van Services Antelope Valley on Alcoholism & Drug Dependency Antelope Valley Partners For Health Arrowhead United Way Assistance League of Antelope Valley Boy Scouts of America, Western Los Angeles Boys and Girls Club, Antelope Valley Boys and Girls Club, Santa Clarita Valley Boys and Girls Club of San Bernardino Bridges To Ability Foundation Child and Family Guidance Center Children s Bureau Of Southern California Children s Center of the Antelope Valley Children s Hospital of Los Angeles David Cooley Scholarship At Antelope Valley Community College Desert Haven Enterprises El Nido Family Centers Friends of Jackie Robinson Park Girl Scouts - of Greater Los Angeles Grace Resource Center Guide Dogs of America Healthy Homes Program of Antelope Valley Partners for Health Homeless Solutions Access Center Inland Empire United Way Lancaster Community Shelter March of Dimes, Los Angeles Division Meals on Wheels of the San Fernando Valley Interfaith Inc Mental Health America of Los Angeles National Multiple Sclerosis Society Southern California Our Lady of Charity Conference of St. Vincent De Paul Society Salvation Army Corps, Lancaster Samuel Dixon Family Health Center Inc Santa Clarita Valley Food Pantry Single Mothers Outreach, Santa Clara Valley United Way of Desert Communities United Way of Greater Los Angeles (Antelope Valley) United Way of the Inland Valleys United Way of Kern United Way of Mojave Valley United Way of Ventura Inc United Way of Yuba-Sutter Valley Oasis Visiting Nurse Association & Hospice of Southern California YMCA Antelope Valley YMCA Santa Clarita Valley

4 GEORGIA A.G. Rhodes Home American Cancer Society of Georgia Cobb Office 1371 American Diabetes Association Georgia Affiliate American Heart Association, GA Division American Lung Association of Georgia American Red Cross - Metropolitan Atlanta Atlanta Alliance on Developmental Disabilities Atlanta Legal Aid Society, Inc Big Brothers Big Sisters of Metro Atlanta Bobby Dodd Institute Boy Scouts of America - Atlanta Area # Boys & Girls Club of Metro Atlanta Camp Fire USA Georgia Catholic Charities of the Archdiocese of Atlanta Center for the Visually Impaired Atlanta Children s Healthcare of Atlanta CHRIS Kids, Inc Cobb Center for Children and Young Adults Easter Seals North Georgia Epilepsy Foundation of Georgia Families First Gate City Day Nursery Association Georgia Hispanic Chamber of Commerce Girl Scouts of Greater Atlanta Girls Incorporated of Greater Atlanta Goodwill Industries of North Georgia Jewish Family and Career Services of Atlanta Juvenile Diabetes Research Foundation, Georgia Latin American Association Link Counseling Center March of Dimes, Georgia Marcus Jewish Community Center National Mental Health Association of Georgia Parent To Parent of Georgia 225 Planned Parenthood of Southeast Prevent Child Abuse Georgia Quality Care for Children Salvation Army, Metro Atlanta Sheltering Arms Early Education and Family Centers of Atlanta 1699 Sickle Cell Foundation of Georgia Spina Bifida Association of Georgia St. Joseph s Mercy Care Services Sweetwater Mission The Center for Family Resources The Edge Connection The Georgia Radio Reading Service Travelers Aid of Metropolitan Atlanta, (HOPE Atlanta) United Way Cobb United Way of Bartow United Way of Metropolitan Atlanta United Way of Rome & Floyd USO of Georgia Vision Rehab Services of Georgia Visiting Nurse Health System of Metropolitan Atlanta YWCA of Northwest Georgia Neighbor To Family - Baltimore MARYLAND A Child s Haven AIDS Upstate Alston Wilkes Society SOUTH CAROLINA Alzheimer s Association SC American Red Cross, Upstate SC Big Brothers Big Sisters of the Upstate Boy Scouts of America - Blue Ridge

5 SOUTH CAROLINA - continued Camp Spearhead Cancer Society of Catholic Charities of the Piedmont Deanery Center for Community Services Center for Developing Minds, Health System Center for Developmental Services Childcare Assistance Program of Technical College Clarity Communities in Schools of CommunityWorks Carolina Compass Of Carolina First Steps of Foothills Family Resources Gateway House Girl Scouts of South Carolina Golden Strip Emergency Relief & Resource Agency Area Interfaith Hospitality Network (GAIHN) Disabilities and Special Needs Board Free Medical Clinic Literacy Association Rape Crisis & Child Abuse Center Greer Relief and Resources Agency Homes of Hope Little Steps Loaves & Fishes of Mental Health Association of Meyer Center for Special Children New Horizon Family Health Services, Pendleton Place Children s Shelter The Phoenix Center/The Family Effect A Child s Haven AIDS Upstate Alston Wilkes Society Alzheimer s Association SC American Red Cross, Upstate SC Big Brothers Big Sisters of the Upstate Boy Scouts of America - Blue Ridge Camp Spearhead Cancer Society of Catholic Charities of the Piedmont Deanery Center for Community Services Center for Developing Minds, Health System Center for Developmental Services Childcare Assistance Program of Technical College Clarity Communities in Schools of CommunityWorks Carolina Compass Of Carolina First Steps of Foothills Family Resources Gateway House Girl Scouts of South Carolina Golden Strip Emergency Relief & Resource Agency Area Interfaith Hospitality Network (GAIHN) Disabilities and Special Needs Board Free Medical Clinic Literacy Association Rape Crisis & Child Abuse Center Greer Relief and Resources Agency Homes of Hope Little Steps Loaves & Fishes of Mental Health Association of Meyer Center for Special Children New Horizon Family Health Services, Pendleton Place Children s Shelter The Phoenix Center/The Family Effect Phyllis Wheatley Association/Julie Valentine Center Pleasant Valley Connection Project Hope Foundation Project Host Ready 4 Reading Safe Harbor Salvation Army Ray & Joan Kroc Corps Community Center

6 SOUTH CAROLINA - continued Senior Action SHARE (Sunbelt Human Advancement Resources) South Carolina Centers for Equal Justice St. Francis Episcopal Church Sterling Hope Center Taylors Free Medical Clinic United Ministries United Way of United Way of Low Country (Beaufort) Urban League of the Upstate, Spartanburg YMCA of Greater Youth BASE YWCA of TEXAS ACH Child & Family Services AIDS Outreach Center Alamo Area Rape Crisis Center Alzheimer s Association North Central Texas Alzheimer s Association - San and South Texas American Cancer Society - Fort Worth American Cancer Society - San American Diabetes Association, San American Heart Association - San American Heart Association - Fort Worth American Red Cross, DFW - Chisholm Trail American Red Cross, San Area Any Baby Can of San ARC of Greater Tarrant Battered Women s Shelter of Bexar Big Brothers Big Sisters of Texas Big Brothers Big Sisters South Texas Boy Scouts of America - Alamo Area Boy Scouts of America - Longhorn Boys & Girls Clubs of Arlington Boys & Girls Clubs of Greater Fort Worth Boys & Girls Clubs of San Boysville Camp Fire First Texas Camp Sweeney for Children, Southwestern Diabetic Foundation Cancer Care Services Catholic Charities, Archdiocese of San Catholic Charities, Diocese of Fort Worth Child Care Associates Child Study Center Children s Association for Maximum Potential, Inc. (C.A.M.P.) Children s Shelter of San Christian Senior Services/Meals on Wheels CHRISTUS Santa Rosa Health Care, Center for Children Communities In Schools of Greater Tarrant Communities In Schools of San Community Enrichment Center Cowboy Santa Cystic Fibrosis Foundation - Lone Star Dental Health Arlington Easter Seals North Texas Family Service Association of San Fisher House Fort Worth Audubon Society Gill Children s Services Girl Scouts of Texas Oklahoma Plains Girls Inc. of Tarrant Good Samaritan Center of San Texas Goodfellow Fund of Fort Worth Star Telegram Charities Goodwill Industries of San

7 TEXAS - continued GRACE (Grapevine Relief and Community Exchange) Guadalupe United Way Guardianship Services Haven for Hope of Bexar Jewish Community Center of San Jewish Federation of Fort Worth and Tarrant Junior Achievement of the Chisholm Trail Lena Pope Madonna Neighborhood Center Meals On Wheels of Tarrant Mental Health Association of Tarrant Muscular Dystrophy Association of North Texas Muscular Dystrophy Association, San National Multiple Sclerosis Society, Lone Star Operation Homefront Parenting Center Presbyterian Night Shelter of Tarrant Recovery Resource Ronald McDonald House of San Roy Maas Youth Alternatives SafeHaven of Tarrant Salvation Army DFW Command Salvation Army, San Metro Area Command SAMMinistries (San Metropolitan Ministry) San Food Bank Senior Citizen Services of Greater Tarrant Seton Home for Pregnant Women Sickle Cell Disease Association Tarrant - Ft. Worth South Texas Blood & Tissue Center St. Peter - St. Joseph Children s Home Tarrant Area Food Bank Tarrant Challenge, Inc Tarrant Literacy Coalition Travelers Aid Dallas/Fort Worth United Community Centers United Way of Comal United Way of Denton United Way of Erath United Way of Hood United Way of Johnson United Way of Kendall United Way of Palo Pinto United Way of Parker United Way of San & Bexar Counties United Way of Tarrant United Way of Wise USO of San and Central Texas Women s Center of Tarrant YMCA of Arlington Texas YMCA of Metropolitan Fort Worth YWCA Fort Worth & Tarrant