Charitable Contribution and Sponsorship Request Form

Blattner Gives Back. Proud to Support Our Local Communities.

At Blattner, thousands of employees are working to build a better tomorrow by constructing wind and solar energy projects throughout the United States.
Our purpose is to lead America to a clean energy future.
We are proud to give back to the communities where we live, build and work.
We have established the following criteria to guide us in distributing charitable contributions and sponsorships in the communities we serve. These criteria are not intended to discourage organizations from requesting charitable contributions or sponsorships but rather to maintain a direction and focus as we respond to the ever-growing number of requests for support.

Charitable Contribution and Sponsorship Criteria:

To qualify as a recipient of a charitable contribution, the organization must meet specific requirements under section 501(c)(3) of the Internal Revenue Code as a non-profit and be in a community that we serve.
Priority is given to employee requests and organizations that ensure public safety and environmental stewardship, focus on education, bring the community together and fight against human trafficking.
Blattner reserves the right to determine which organizations or activities it chooses to fund.
Requests should be submitted at least four weeks in advance to ensure proper consideration and processing. Blattner’s Charitable Contributions and Sponsorships Committee meets regularly to review requests.
Requests must be submitted through this Charitable Contribution and Sponsorship Approval Request Form. Please complete all fields to the best of your knowledge and attach any supporting documents.

Organization's Name (Recipient)*

Organization's Mission:*

Organization's Contact Information (First & Last Name)*

Organization's Mailing Address*

Organization's Phone Number*

Contact's Email Address*

Date of Event (if applicable)

Description of event (if applicable)*

Describe the in-kind or monetary contribution you are requesting, including the dollar amount.*

Describe how the contribution will be used.*

501(c)(3) Tax ID Number*

Attach: Copy of the IRS letter showing your organization's 501(c)(3) status (W-9 form) and any supporting documentation (e.g. Letter of Intent)*

Describe why your request is suitable for Blattner.*

If the request was made by a Blattner customer, have you received written confirmation that their request does not violate the customer’s internal conflicts of interest or gifts policies? If yes, please attach.

To your knowledge, does the organization raise any reputational risks of which Blattner should be aware?*

Yes

Charitable Certifications: Please check all that apply.*

This contribution or sponsorship is not being made in exchange for any benefit to Blattner or decision in Blattner’s favor or otherwise for the purpose of securing any improper or corrupt advantage for Blattner

To the best of my knowledge and belief, the recipient of this contribution or sponsorship not subject to any investigations, scandals or scrutiny of political or social views that raise risks of reputational harm to Blattner by association

To the best of my knowledge and belief, this contribution or sponsorship does not violate any local laws, rules or regulations nor does it violate Blattner’s or any relevant Blattner customer’s policies regarding conflicts of interest and/or gifts

By checking this box, I attest that all information provided herein is true and accurate to the best of my knowledge

Requester Name*

Requester email address

Requester Date of Submission*

Month/Day/Year