Land O'Lakes Inc. - Direct Donations

DIRECT DONATIONS

Direct member donations may be made on behalf of a member to qualifying tax exempt 501(c)(3) organizations in the form of dollars or a Land O’Lakes dairy product donation. Donations may only be used in cases where Direct Member Matches are not applicable. Complete and submit an application below with the requested amount for review. Approval or denial notifications will be communicated via email.

Member Name

Farm ID

Member Email Address

Event Name

Event Description

Donation Type

Organization Name

Organization Type

Recipient Shipping address

Please attach W9: Request for Taxpayer Identification Number and Certification. Link to W9

Donation Attachment W9

Donation Attachment Other

I certify that the information submitted is correct, that my request complies fully with the provisions of Land O’Lakes Foundation Direct Member Donation Program as described in this application, and that no benefit or service is accruing to me.

Signature

Date