CA - GIK Complete this form if you are providing detail regarding a RECEIVED gift-in-kind donation. Please do not complete until the item is in-hands. Person Completing this GIK CA:* Soliticor for GIK*Please enter a staff name for populating on the thank you. Your Email*So you can have a confirmation email sent to you for records/review. JA District* CAZ SAZ GIK DonorIs this donor a company or individual?*CompanyIndividualDonor Organization Name* Donor Name* Is this donor already in BCRM?* Yes No Constituent ID* Review the record in BCRM. Are ANY changes needed?* Confirm no changes Changes needed Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*GIK Donation InfoPlease tell us about the received GIK donationFor what purpose is this gift-in-kind donation?*SPEVJA BizTown inventory (GIKGENERAL)JA BizTown shop build-out/update (GIKFIXEDASSET)Long-term asset for the office (over $2,500 value) (GIKFIXEDASSET)Other (GIKGENERAL)For what department will this GIK be used?*SPEV (12)Admin (11)K12 (13)DEV (14)JA BizTown (18)SAZ Admin (31)SAZ SPEV (32)SAZ K12 (33)SAZ DEV (34)For what event will this GIK be used?*BAT (210)GDD (220)JAYH (221)JAO (230)BFB (260)SMC (265)SSMC (266)Other/newIf other, please specify the use:* What is the purpose of the GIK?*Auction/Raffle Item used to generate $ for JA (GIKINVENTORY)Other event use that we would have otherwise paid for (GIKGENERAL)Is this a good or service being donated?*GoodsServiceItem Received Date* MM slash DD slash YYYY Value of the donation*How did you get this value?* Letter Packing slip Email Website Phone Call Historical (RE/BCRM) Other Has the GIK Support been uploaded to J:\GIK Accounting\GIK INBOX\GIK SUPPORT?*STOP: the answer should ALWAYS be YES. 🙂 Please upload your support before submitting this form. Yes No If other, please specify* In what fiscal year will this donation first be used?*22-2323-24Please provide a description of the item(s) donated*Including (if relevant) quantities, use, vendor, etc.)Are there any donor limitations or requirements?*(e.g. Expiration Dates)GIK Contact InformationIs the organization's GIK contact already in BCRM?* Yes No Existing Constituent ID for GIK Contact Are there changes to the GIK contact?* Yes No GIK Contact* First Last GIK Contact Salutation* Mr. Mrs. Ms. Dr. GIK Contact Nickname First GIK Contact Work Title GIK Contact PhoneGIK Contact Phone*Phone Type Work Direct Cell GIK Contact Email* Is the GIK contact address different than the main address for the donor record? Yes No GIK Contact Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Should this donor be receipted?* Yes No Should a second copy of the receipt be sent to anyone in addition to the GIK contact? Yes No Who should the receipt copy by sent to? First Last Copy Receipt Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands