North Capitol Collaborative

10^th Anniversary Gala

Friday, October 17^th, 2008

Silent Auction Contribution Form

Deadline: Tuesday, September 30^th, 2008

The youth and families of the North Capitol community greatly appreciate your support of their efforts to achieve self-sufficiency and independence. Help us celebrate NCCI’s 10^th Anniversary by contributing a product or service to be auctioned at the NCCI 10th Anniversary Gala on Friday, October 17^th, 2008.

___ Yes, I’d like to support the programs of NCCI by contributing a product and/or service at the fair market value of $ __________.

___ I am unable to contribute a product or service but would like to make tax deductible donation in support of the programs of NCCI in the following amount:

___ $25 ___ $50 ___ $100 ___ $150 Other $ _________

Description of donation Item(s)/service: ________________________________________________

__________________________________________________________________________________

Donor Name/Company: _____________________________________________________________

Address: __________________________________________________________________________

City: _________________________________________ State: ____ Zip Code: _____________

Phone: _________________ Facsimile: _______________ Email: ______________________

Please mail/fax/email completed form by Tuesday, September 30^th, 2008 to:

North Capitol Collaborative, Inc.

Attn: Carol Jones-Pinckney or Rietchie Earle

200 K Street NW, Suite #3

Washington, DC 20001

Facsimile: (202) 588-1202

Please Note: All donated items will receive an acknowledgement letter from the North Capitol Collaborative, Inc. The Donor is advised that if a tax deduction on a gift is to be taken, the Internal Revenue Service has regulations for filing tax-deductible contributions valued at $250 or more. If the value of the donation is greater than $5,000, an independent appraisal is required and the organization is required to sign the IRS Form 8283 acknowledging receipt of the gift. To be acceptable to the IRS, the appraisal must be made no more than 60 days before the date of the contribution and before the due date of the tax return. The Donor is asked to present the appraisal and completed IRS Form 8283 to the Collaborative.

For questions regarding the NCCI 10^th Anniversary Silent Auction – please contact NCCI’s Deputy Director Carol Jones-Pinckney by phone at (202) 588-1800 or Rietchie Earle by email at 10thgala@north-cap.org. Thank you for your support!