United Way Campaign 2014 Live United October 29—November 21, 2014 www.princeton.edu/pr/uw Less than 15 percent of all donations cover standard indirect costs related to management and fundraising efforts. This amount is well within the normal range recommended and monitored by charity watchdog organizations. All organizations receiving funds from the United Way of Greater Mercer County are required to be in compliance with the USA Patriot Act. United Way of Greater Mercer County will retain funds designated to agencies failing to meet compliance requirements for use in funding human service needs in the community. Information filed with the attorney general concerning this charitable solicitation and the percentage of contributions received by the charity during the last reporting period that were dedicated to the charitable purpose may be obtained from the Attorney General of the State of New Jersey by calling (973) 504-6215 and is available on the internet at www.state.nj.us/lps/ca/ocp/charities.htm. Registration with the Attorney General does not imply endorsement. United Way acknowledges that no tangible goods or services have been given in consideration of this contribution.. 1 Distribution Options Please choose one distribution option. Descriptions of each option can be found in the enclosed campaign brochure. If no distribution options are chosen, your donation will be divided among all funded programs. United Way of Greater Mercer County United Way Partner or Nonprofit Agency of Your Choice Distribute my donation to the United Way of Greater Mercer County Community Impact Fund. □ Education □ Income □ Health Address 2 Payment Methods You can donate any amount. There are two ways to give to the campaign: easy payroll deduction*** or a one-time gift. Easy Payroll Deduction*** Signature Total donation for the entire year: Phone $ Daniel Sherman Tax Department, Office of Finance and Treasury 701 Carnegie Center, Suite 445 Princeton, NJ 08540 Mailing address of agency: Employee ID Please fill in parts 1 and 2 of this form, sign, enclose your payment (if paying by cash or check), seal the envelope, and return to: Distribute my donation* to the United Way in my home community:** I authorize Princeton University to deduct my total annual donation from my paycheck in equal amounts beginning January 2015. Distribute my donation* to a nonprofit agency^ of my choice:** Distribute my donation to the following United Way Initiatives: Name Distribute my donation to the UWGMC Community Impact Fund except the following partner agency(ies): One-Time Gift: □ Cash $ □ Check $ made payable to: United Way of Greater Mercer County □ Credit Card*$ □ MC □ AMEX □ Visa Acct. # □ Discover Exp. Date *Minimum donation of $52 is required. **A nine percent processing fee not to exceed $250 will be deducted. ***Payroll deduction is only available for current employees of Princeton University. ^This agency must have 501(c)(3) tax status and comply with the Patriot Act.