SUPPORT YOUR PASSIONS. CREATE LASTING CHANGE.

SUPPORT YOUR PASSIONS. CREATE LASTING CHANGE.

1 I'D LIKE MY CONTRIBUTION TO GO TO

THE UNITED WAY IMPACT FUND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Your contribution to the Impact Fund supports critical and effective assistance to our neighbors in need ? impacting more

than 325,000 FAMILIES this year.

or TO ONE OR MORE OF OUR TARGET AREAS TO CREATE BIG CHANGE AS FOLLOWS:

165,000 struggling families will avoid hunger and homelessness (10704054) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 105,000 children will have the support they need to succeed in school and life (1621715) . . . . . . . . . . . . . . . . . . . . . . $ 25,000 seniors will find help to make ends meet and to live with dignity (1670029) . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 20,000 people with disabilities will be able to pursue greater independence, employment and housing (10704088) . . . . $

2,500 women will get the help they need to make it through challenging times through United for Women (10704138) $

8,000 veterans and their families will avoid homelessness and be able to meet basic needs (11506722) . . . . . . . . . . . $

or SELECT A PREFERRED AGENCY(IES)

Find United Way agency code numbers at non-profits or call 412.456.6824.

Agency name:

$

Agency code number: $

Agency name:

Agency code number: If you wish to add additional agencies, please attach a list with agency name(s) code number(s) and gift amount(s)

Your contact information will be shared with the organizations you selected. If you want to be listed as ANONYMOUS, check the box.

2 BE A LEADER!

TOTAL GIVING (Add all contributions above) $

DONATING $500 OR MORE ANNUALLY? You can build to Leadership and enjoy the benefits now! To learn more, turn over to see the

reverse side. To be enrolled in a 3-year or 5-year Step-Up Plan and enjoy the benefits of leadership now check all that apply.

Women's Leadership Council Step-Up Bridges Society Step-Up (45 and under) Pick a plan: 3-Year Plan 5-Year Plan

DONATING MORE THAN $1,000 ANNUALLY?

Welcome to Leadership! To be enrolled, and enjoy the benefits of leadership, please check all that apply below:

Women's Leadership Council Bridges Society (45 and under)

3 Please recognize me in Leadership Publications* as follows: __________________________________________________________

*Tocqueville Society and Heinz Level are recognised in a printed publication, Leadership and Arthur J. Rooney Sr Level are online

4 SIGN ME UP FOR LINC ($250+ to United Way's Impact Fund/Initiatives and age 30 and under) to gain access to networking and volunteer opportunities.

5 CHOOSE YOUR PAYMENT OPTION

PAYROLL DEDUCTION: Amount per pay: $

BILL ME: For gifts of $50 or more: Start date:

/

(MM)

(YY)

CHECK: (enclosed/payable to United Way) Check # CREDIT CARD or STOCK DONATION: Call 412.456.6754

X no of pay periods:

Frequency: Once

= Total Contribution (matches above):

$

Monthly Quarterly $

$

$

6 FILL IN YOUR INFORMATION

PREFIX

FIRST NAME

MI LAST NAME

SUFFIX GENDER

HOME ADDRESS

CITY

EMAIL (Please provide so we can confirm your donation)

COMPANY NAME BIRTH YEAR:

EMPLOYEE ID (IF APPLICABLE) This information allows us to match you to the myriad of opportunities that United Way offers.

STATE ZIP

-

-

DAYTIME PHONE

-

-

MOBILE PHONE

7

Signature _________________________________________________ Date __________________

THANK YOU

The official registration and financial information for United Way of Southwestern PA may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement. NO GOODS OR SERVICES WERE PROVIDED IN EXCHANGE FOR THIS CONTRIBUTION. United Way is a nonprofit 501(c)(3) eligible to receive tax-deductible gifts. United Way of Southwestern PA serves Allegheny, Butler, Westmoreland, Fayette & Southern Armstrong Counties.

PFAC2018

BECOME A UNITED WAY LEADER!

Leadership. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,000 - $2,499 Senator John Heinz. . . . . . . . . . . . . . . . . . . . . . . . . . . $5,000 - $9,999 Arthur J. Rooney Sr. . . . . . . . . . . . . . . . . . . . . . . . . . . $2,500 - $4,999 Alexis de Tocqueville Society. . . . . . . . . . . . . . . . . . . . . . . $10,000 +

NOTE: Major Gifts levels vary among United Ways. The levels indicated here are for United Way of Southwestern Pennsylvania (UWSWPA). Please contact your local United Way for more information on its Major Gifts Program.

WOMEN'S LEADERSHIP COUNCIL (WLC)

UNITED WAY BRIDGES SOCIETY

STEP-UP TO THE WLC OR BRIDGES SOCIETY

MOBILIZING THE CARING POWER OF WOMEN TO IMPROVE LIVES. WLC members constitute an ever-growing network of powerful women ? over 2000 strong ? who use their energy, talent, and passion to positively impact the lives of people in need in our community. Women who donate $1,000 or more on an annual basis are making a real change for people in need in Pittsburgh and Southwestern Pennsylvania. Please contact Lynne Popash at Lynne.Popash@ or

412.456.6871 for more information.

BRIDGING THE GAP BETWEEN COMMUNITY PROBLEMS AND RESOLUTIONS.

Bridges Society welcomes young professionals under the age of 45 who represent our next

generation of leadership in the greater Pittsburgh area. Membership is extended to donors who contribute $1,000+ annually. Members get to enjoy a myriad of benefits including volunteer events, unique professional and personal development opportunities,

and exclusive networking events with other community-minded professionals. Contact Robert Jackson at 412.456.6863 or Robert.Jackson@ for more

information.

United Way offers a special step up giving option that provides donors with the opportunity to join the WLC or Bridges

Society by incrementally increasing their gift over the course of three or five years. Make a step up commitment now, and you will be recognized as a Women's Leadership Council member or Bridges Society member, with full

access to all member benefits.

TWO CONVENIENT PLANS

3 YEAR PLAN 5 YEAR PLAN

Year 1 $500

$500

Year 2 $750

$600

Year 3 $1,000

$700

Year 4

$850

Year 5

$1,000

CONTRIBUTOR CHOICE ? SPECIFIC AGENCY OR UNITED WAY Contributor Choice Eligibility Criteria: In order for an agency to be eligible for the Contributor Choice program, the agency must be in compliance with the USA PATRIOT ACT and all other counterterrorism laws; must be a health or human service agency or an approved agency of another United Way; must have an IRS 501(c)(3) tax-exempt/tax-deductible status; must be in full compliance with all federal, state, county and local requirements and laws pertaining to non-profits; meet the requirements of the Solicitation of Funds for Charitable Purposes Act passed by the Pennsylvania Legislature in 1990; and should be setup to receive ACH deposits. NOTE: Arts, cultural, religious, recreational, political programs, government agencies and institutions providing formal education are not eligible for designations through UWSWPA. United Way contracts with a third party vendor to validate agencies against the IRS Publication 78, the terrorist watch list and 990 revocation list on a monthly basis before agencies receive a payment. A fee will be charged on all contributions to reimburse UWSWPA for fundraising and processing expenses incurred. Pledges and designations are valid for one year only.

P.O. Box 735 Pittsburgh, PA 15230-0735 Phone: (412) 261-6010

United Way of Southwestern Pennsylvania serves Allegheny, Butler, Westmoreland, Fayette & Southern Armstrong Counties.

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