PDSSN Buddy Walk & 5K Race
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1 PDSSN Buddy Walk & 5K Race 2014 Sponsorship Packet Fun Walk, 5K Race, and Festival For Down Syndrome Awareness October 4, K Timed Race - 8:45am Buddy Walk Festivities - 9am-12:30pm Register online at PDSSN.org West Forsyth High School 1735 Lewisville-Clemmons Rd, Clemmons
2 PDSSN's Buddy Walk & 5K Race Saturday, October 4, 2014 Re: Buddy Walk & 5K for Down Syndrome Awareness Saturday, October 4, K Timed Race: 8:45am Buddy Walk Festivities: 9am - 12:30pm The Buddy Walk was established in 1995 by the National Down Syndrome Society to celebrate Down Syndrome Awareness Month in October and to promote acceptance and inclusion of people with Down syndrome. Today, the Buddy Walk program is supported nationally by NDSS and organized at the local level by parent support groups, schools and other organizations and individuals. It is an inspirational and educational event that celebrates the many abilities and accomplishments of people with Down syndrome. We invite you to join us as a sponsor of the Buddy Walk. PDSSN (Piedmont Down Syndrome Support Network) is a local nonprofit organization that serves to enrich the lives of individuals with Down syndrome and to provide information and support to families and professionals in our community. Your support of this event would help our efforts to advocate and educate throughout the year. We are a 501(c)(3) organization and all donations are tax deductible. For your reference, our Tax ID Number is This year will be our 14th Annual Buddy Walk and our first 5K Race. In 2013, we had over 1,000 members of the community come out to support Down Syndrome Awareness and raised over $55,000 for programs provided by PDSSN. This fun filled event is designed to foster community involvement and produces visible, tangible, unifying outcomes that you and your employees can be proud of for years to come. Remember that this community event will have long-term, positive repercussions in the city where your customers live and work. We are asking for your help! Would you support PDSSN by becoming a 2014 Buddy Walk & 5K Race sponsor? Important Deadline Dates for Sponsorship Benefits (based on sponsorship level): Please submit the attached sponsorship form or contact Dana Alley at (336) or Dana.pdssn@gmail.com for more details! Whether you have Down syndrome, know someone who does, or just want to show your support, come and join the 2014 Piedmont Buddy Walk & 5K Race! Thank you in advance for your support! Sincerely, Dana T-shirts - Sept. 3 - Deadline to have your name or logo printed on event T-shirts. Brochures - The first batch of brochures will be printed on Aug. 19th. We'll be printing additional brochures periodically up until the Buddy Walk & 5K Race on Oct. 4. Your company s logo will appear on all brochures printed following our receipt of your donation. Dana Alley Executive Director You can also visit or click on the link below to sign up: PDSSN, 4715 Yadkinville Road, #144, Pfafftown, NC * * info.pdssn@gmail.com
3 Impact of Your Sponsorship Did you know that the money raised at the PDSSN Buddy Walk pays for the No Limit II Dances? Here are just a few of the programs PDSSN is able to provide with your support! No Limits II Dances Each quarter, PDSSN hosts a No Limits II Dance for adults (18 years or older) with intellectual, developmental, and physical challenges. No Limits II Dances provide opportunities for adults with disabilities to enjoy food, fun and fellowship with activities such as dancing, bingo, refreshments and door prizes at no cost to attendees. More than 500 people come from six counties to enjoy the dances. One guest said, "I want the world to know this is the best place you could ever come!" First Call Program Next Chapter Book Club Our First Call program is a volunteer group of experienced parents who make themselves available to parents of children newly diagnosed with Down syndrome. Whether people have received a diagnosis prenatally or after the birth of their children, we are here to help. We answer questions honestly and do our best to describe the joys and challenges we have experienced in our own personal journeys. We provide a Resource Notebook to each family containing up-to-date information about Down syndrome and resources available to the family. One grateful parent said, "It was very reassuring to hear another family's stories and to learn about all of PDSSN's programs." The Next Chapter Book Club (NCBC) promotes literacy and social connection experiences for adolescents and adults with intellectual disabilities that encourage friendship and lifelong learning within a community-based setting. Participants, regardless of their reading skills, gather weekly with volunteer facilitators in a local bookstore, coffee shop, or cafe to read aloud and discuss a book. NCBC received the Prevention, Outreach, and Wellness Program of Excellence Award from NC Council of Community Programs in When asked what she thought about book club, one young woman exclaimed, "It's fun to learn how to read all together!" Family Events & Parent Networking Exceptional Families From monthly Ladies' Night Out & D.A.D.S. Group meetings to quarterly family social gatherings, funds raised through the Buddy Walk allow PDSSN to provide frequent opportunities for members and friends to get together. One dad summed it up by saying, "whether you're just beginning the journey or you ve been on this road for a few decades, it s a time to laugh, tell stories, receive affirmation, be involved and enjoy this beautiful gift called life." PDSSN partners with the Family Support Network of Greater Forsyth to host monthly educational meetings with dinner and child care provided at no cost to attendees. Guest facilitators lead discussions regarding topics of interest for parents of children who have intellectual and developmental disabilities. Past topics have included: IEP Preparation; Guardianship; SSI benefits, Dental Care for Kids with Special Needs; Assistive Technology; and more. One parent remarked, "I was so grateful to get my questions answered!" We hope to count on your support as PDSSN expands its programs and services. For more information on services provided by PDSSN, please visit PDSSN.org, call (336) , or info.pdssn@gmail.com
4 Piedmont Down Syndrome Support Network 2014 Buddy Walk & 5K Sponsorship Packages Sponsorship Benefits Include: Diamond Custom Package $5000+ Emerald $ $4999 Platinum $ $2499 Gold $ $1499 Silver $750 - $999 Bronze $500 - $749 Friend $250 - $499 Number of registrations included with each sponsorship level Signage along the walk route Company logo featured on Buddy Walk & 5K fundraising website and on the PDSSN website Recognition as sponsor in PDSSN newsletter (circulation 680 and growing) Company name listed on 2000 T-shirts (if donation received before print deadline) Company logo printed on 2000 T-shirts (if donation received before print deadline) extra large very large large medium Company logo printed on Buddy Walk & 5K tri-fold brochures (if donation received before print deadline) Link to company website from Buddy Walk & 5K fundraising website and on sponsor page of PDSSN website Recognition from the stage at the Buddy Walk Banners displayed at Buddy Walk OR 5K - your choice (banner provided by sponsor) Banners displayed at Buddy Walk AND 5K (banners provided by sponsor) Company name featured on Buddy Walk & 5K flyers & event day handouts (if donation received before deadline) Company logo featured on all 2014 Buddy Walk & 5K s (from date of donation receipt) Company logo featured on all PDSSN s (from date of donation receipt through 4/30/15) Corporate tent(s) at Buddy Walk (tent provided by sponsor) to showcase company and sell materials two two one Special award recognition from the stage at the Buddy Walk Ad in PDSSN newsletter from date of donation receipt through Spring 2014 edition full page full page 1/2 page 1/4 page Company name integrated into PDSSN's Buddy Walk and 5K social media communication Custom packages: Let us know how we can meet your communication goals. Examples include: Opportunity to distribute promotional items to all Buddy Walk participants. Exclusive sponsorship category Sponsorship of a specific area of walk with corporate signage (provided by sponsor). For example: inflatables, teen tent, carnival games, resource tent, raffle, stage, train ride, etc. Four Ways to Become a Sponsor 1. Financial Donation 2. In-kind Donation 3. Form a Corporate Buddy Walk Team 4. Any Combination of Options 1-3 For Additional Information Regarding Sponsorship Opportunities: Contact Dana Alley at (336) or BW.5K.pdssn@gmail.com for more information. Learn more about our organization at Your support is truly appreciated!
5 PDSSN's Buddy Walk & 5K Race Sponsorship Commitment Form You can also visit or click on the link below to sign up: CONTACT NAME: COMPANY: ADDRESS: PHONE: FA: CONTACT NAME OF TEAM YOU ARE SUPPORTING (if applicable): Option #1: We are pleased to sponsor the Buddy Walk & 5K Timed Race with the following donation: Diamond ($5000+) Emerald ($ $4999) Platinum ($ $2499) Gold ($ $1499) Silver ($750 - $999) Bronze ($500 - $749) Friend ($250 - $499) Option #2: We are pleased to provide the following gift cards: $25 gift cards $50 gift cards $75 gift cards $100 gift cards $ gift cards Option #3: We will donate the following food item(s): Option #4: We are pleased to donate the following item(s) to benefit the Buddy Walk & 5K Timed Race (i.e. raffle items, team incentive prizes, etc): Estimated fair market value of each item donated (for tax receipt purposes): ************************************************ Sponsors $750+: Brochures - To have your company logo featured on our Buddy Walk brochure, we need to receive your donation and your company logo (color or black and white) in JPG or PDF format by Aug. 14, T-shirts - To have your company logo featured on the back of the Buddy Walk T-shirts, we need to receive your donation and your company logo (black and white) in PDF or JPG format by Sept. 3, Sponsors $500-$999: To have your company name featured on the back of the Buddy Walk T-shirts, we need to receive your donation by Sept. 3, Please send your donation to the address listed below and your company logo by the specified deadline to BW.5K.pdssn@gmail.com. If your logo is not sent in the correct format, we will list your company name as it appears above. If you would like us to pick up your donated items, please us at BW.5K.pdssn@gmail.com, or leave a message at (336) T-shirts come with your sponsorship. Please contact our office at BW.5K.pdssn@gmail.com to order your T-shirts. Please complete and mail this form with your donation and any gift cards/certificates to: PDSSN, Attn: Buddy Walk / 5K Race, 4715 Yadkinville Road, #144, Pfafftown, NC All donations are tax deductible. PDSSN is a 501(c)(3) organization (Federal Tax ID # ). Thank you for your support!
6 Form W-9 (Rev. August 2013) Department of the Treasury Internal Revenue Service Name (as shown on your income tax return) Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Business name/disregarded entity name, if different from above Piedmont Down Syndrome Support Network Check appropriate box for federal tax classification: Individual/sole proprietor C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Other (see instructions) Address (number, street, and apt. or suite no.) 4715 Yadkinville Road, #144 City, state, and ZIP code Pfafftown, NC List account number(s) here (optional) 501(c)(3) Exemptions (see instructions): Exempt payee code (if any) Exemption from FATCA reporting code (if any) Requester s name and address (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the Name line to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Social security number Employer identification number Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below), and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Dana Alley 7/1/14 Signature of U.S. person General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. The IRS has created a page on IRS.gov for information about Form W-9, at Information about any future developments affecting Form W-9 (such as legislation enacted after we release it) will be posted on that page. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, payments made to you in settlement of payment card and third party network transactions, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the Date withholding tax on foreign partners share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: An individual who is a U.S. citizen or U.S. resident alien, A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, An estate (other than a foreign estate), or A domestic trust (as defined in Regulations section ). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. Cat. No Form W-9 (Rev )
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