McDonald's Leonard Management is committed to supporting communities by contributing to various non-profit groups such as churches, schools, and youth groups in the communities we serve. If you have a donation you would like us to consider, please complete the information below and submit your request at least four (4) weeks prior to the event. Completion of this form is a request only and does not guarantee that we will donate to every cause. We ask that you submit only one (1) request per organization per year as it is our goal is to ensure that we maintain our commitment to the many various causes in the communities that we serve. Thank you.

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* 1. Hosting Organization Name:

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* 2. Event Name:

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* 3. Federal EIN:

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* 4. Tax Exempt:

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* 5. Event Date:

Date

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* 6. Event Location:

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* 8. Audience Size

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* 10. What item(s) are requested:

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* 11. Number of years event has taken place:

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* 14. Contact Person:

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