Sasol NAO Request Form

Note: All requests must be received at least 90 days out from the event date to provide for adequate assessment.

Giving Guidelines

The following organizations are eligible to be considered for charitable contributions from Sasol:
- Nonprofit organizations recognized by the U. S. Internal Revenue Service as tax-exempt under Section 501(c)(3) of the Internal Revenue Code (IRC).
- Governmental entities such as libraries, museums, zoos, public schools, police and fire departments, state colleges and universities, and community colleges.
Specifically excluded from eligibility, regardless of tax-exempt status, are organizations that:
1. Discriminate unfairly in the allocation of their support according to race, creed, sexual orientation, religion, gender, disability or age.
2. Are principally political, have as their main purpose the dissemination of political information, and/or use of their charitable work to encourage support of political causes.
3. Are principally religious, have as their main purpose the dissemination of religious information, and/or use their charitable work to encourage support of religious causes.
4. Are ineligible for company contributions under federal, state or local law.
5. Present a conflict of interest or reputational risk to Sasol, as determined by company management.
Sasol will not make contributions to churches, mosques, synagogues or other houses of worship. However, Sasol will make charitable contributions to:
- Programs operated by faith-based organizations if those programs: (a) are open to all individuals in the community regardless of religious belief; (b) serve a secular purpose, such as a food pantry or a homeless shelter; and (c) do not require participants to join in the religious worship as a condition of receiving the services that the nonprofit offers.
- Accredited schools affiliated with religious institutions, as long as enrollment is open to all individuals in the community regardless of religious belief.
*Incomplete requests or applications received outside of the established timelines for review will not be accepted.

CONTRIBUTION REQUEST FORM
Name of the organization*
Name of the event/activity*
Date of the event*

MonthDayYear
Name of the requestor*
Phone number*

Area CodePhone Number
E-mail*
Mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is this organization/event classified as a 501(c)(3)?*

YesNo
Please provide a brief description of this organization. (Include a website and/or social media pages.)*
Please provide a brief description of this event.*
Is there a sponsorship (table sponsorship) associated with this event? If yes, please list all levels and opportunities.
Describe how your organization will inform the community or event attendees about Sasol's participation or sponsorship. (Note: Use of Sasol's logo will require written prior approval and compliance with Sasol's legal terms and policies - please indicate in the space below if you propose to use Sasol's logo or branding in your organization's promotional materials).
Please list the amount requested for this event.
If received, how will these funds be used?*
Are there employee volunteer opportunities associated with this event? If yes, please list.
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