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ABOUT ME

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COMMUNITY IMPACT FUNDAddresses the greatest local needs in health, education and financial stability.

SPECIFIC IMPACT AREA(S)(See back for listing)

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Under 23Age – Check One: 23-38 39-55 56-74 75+To reduce cost and waste, United Way uses e-mail as a main form of communication. By providing your e-mail address and cell phone number, you are authorizing United Way to communicate with you via e-mail and text message. You may opt out of these communications at any time. We do not sell, trade or share your contact information with others.

Recognition: Donors will be listed as noted above unless otherwise specified below: Please publish my/our name as:

OR I wish to remain ANONYMOUS. By checking here, my name will not be published.I am giving jointly with: Name: Employer:

Loyal Contributor – I first gave in (year):Volunteer/Advocate – Contact me with opportunities.Retiree – Contact me to continue my annual gift.Women United — Women committed to creating change.Legacy – I want to make/have made a bequest to United Way of Anchorage in my will or estate plan.Emerging Leaders – Young, civic-minded leaders investing and engaging in the community.

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Copies: White - United Way Pink - Payroll Office Blue - DonorNo goods or services of substantial value were given from United Way in return for this donation. To claim a tax deduction for payroll deduction gifts of $250 or more, you must keep on file a copy of your pledge form and a copy of your year-end pay stub or a copy of your W-2 form.

My United Way Is: Anchorage Kenai Peninsula Mat-Su Southeast Alaska Tanana Valley Valdez

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UNITED WAY’S DRIVE CHANGE SWEEPSTAKESGive a new gift of $52 or increase your current gift to United Way of Anchorage* and you will be automatically entered to win a new Chevy Trailblazer!

*Donation is not required to enter. For official rules go to www.liveunitedanc.org

SATISFACTION GUARANTEEDThe donor remains the top priority at United Way. We do not sell our list of donor names and do not divulge donor names unless the donor gives us written permission to do so. Your United Way operates with the highest standards. If you feel you were coerced into making a pledge, please contact our office at 907.263.3800 for a confidential refund.

100% of contributions to United Way of Anchorage (UWA), the UWA Community Fund, and UWA Community Impact Areas support local causes.No fees are charged for contributions made to an Alaska United Way. UWA charges a 13% processing fee for pledges designated to qualified nonprofit agencies that provide health and human care services in Alaska. Agencies must be designated by the Internal Revenue Service as a 501(c)3 tax exempt organization. Churches, religious programs, educational institutions and foundations, cultural groups, service clubs, legal defense funds and political organizations are not eligible. United Way of Anchorage does not charge a fee to become a member agency or to retain membership status.

DONOR OPTION POLICY

United Way of AnchorageCommunity Impact FundEducation: Keeping at-risk youth on track to earn their diplomasFight Homelessness: Prevention, swift rehousing, intensive help for hardest to house Alaska 2-1-1: Statewide helpline connects Alaskans in need to services that can help Funded PartnersAbused Women’s Aid in Crisis (AWAIC)AK Child & FamilyAlaska Health Fair, Inc., AnchorageAlaska Injury Prevention Center DBA Center for Safe AlaskansAlaska Literacy ProgramAlaskan AIDS Assistance AssociationAnchorage Community Mental Health ServicesAnchorage Neighborhood Health CenterAnchorage Project Access Anchorage School Based Health CentersAnchorage Youth CourtBean’s Cafe, Inc.Best BeginningsBig Brothers Big Sisters of AlaskaBoys & Girls Clubs of Southcentral AlaskaCamp Fire AlaskaCatholic Social ServicesCCS Early LearningCovenant House AlaskaFood Bank of AlaskaGirl Scouts of AlaskaHabitat for Humanity AnchorageHospice of AnchorageKids’ Corps, Inc.Lutheran Social Services of AlaskaMoney Management International Nine Star Education & Employment ServicesPrograms for Infants and Children, Inc.Rural Alaska Community Action Program, Inc. (RurAL CAP)Spirit of YouthStanding Together Against Rape (STAR)The Salvation ArmythreadVolunteers of America AlaskaYWCA Alaska

Other PartnersAccess AlaskaAlaska Institute for Justice American Cancer Society American Diabetes Association, Alaska AreaAmerican Heart Association Western States AffiliateAmerican Lung Association in Alaska American Red Cross of AlaskaAnchorage Community YMCAArmed Services YMCA of AlaskaAssets, Inc.Birchwood Behavioral HealthBoy Scouts of America, Great Alaska Council Challenge AlaskaCommunity Pregnancy CenterHealthy FuturesNAMI Anchorage – National Alliance on Mental Illness

Mat-Su Svs for Children & AdultsMat-Su Youth HousingNine Star Educ. & Employment Svs Mat-Su NW Resource Assoc/AK Ctr for Resource FamiliesOnward and UpwardPresbyterian Hospitality HouseThe Salvation Army Mat-SuSet Free AKSunshine Community Health Ctr Sunshine TransitTurn-A-Leaf Thrift StoresUpper Susitna Food PantryUpper Susitna SeniorsValley Residential SvsValley TransitWasilla Area Seniors

United Way of Southeast AlaskaCommunity Impact FundAreas of Care: Education, Health, Income

Aiding Women in Abuse & Rape (AWARE) AK Health Fair SE AKAlaska Legal Svs SE AKAlaskan AIDS Assistance Assoc SE AK American Red Cross of AK SE AKAssoc for Educ. of Young Children SE AK Big Brothers Big Sisters of AK - Juneau Boy Scouts, Great AK Council SE AK Boys and Girls Club of SE AKCancer ConnectionCatholic Community ServiceGastineau Human Svs Corp.Girl Scouts of AK SE AKThe Glory HallHelping HandsHospice of HainesJuneau Alliance for Mental Health Juneau Family Health & Birth Ctr Juneau Youth ServicesKetchikan Youth InitiativesLove INC JuneauNAMI JuneauPlanned Parenthood of the Great NW & HI REACHThe Salvation Army SE AKSitka Counseling & Prevention Svs Sitkans Against Family Violence SE AK Food BankSE AK Independent Living SE AK Regional Health ConsortiumSE Regional Resource CtrWildflower CourtWAVE (Working Against Violence)Women In Safe Homes - Ketchikan

United Way of the Tanana ValleyCommunity Care Fund Clear Minds, Bright Futures

Access AK – FairbanksAK Ctr for Children and Adults

Narcotic Drug Treatment Center, Inc.Planned Parenthood of the Great NW & HIVictims for Justice

Kenai Peninsula Area AgenciesAmerican Red Cross – Kenai Peninsula Anchor Point Senior CenterBig Brothers Big Sisters of Alaska – Homer ProgramBoy Scouts of America, Great Alaska Council – Kenai Peninsula AreaBoys & Girls Club of the Kenai PeninsulaForget-Me-Not Care CenterFrontier Community ServicesGirl Scouts of Alaska – Kenai PeninsulaHomer Senior Citizens Friendship CenterHospice of HomerHospice of the Central PeninsulaKachemak Bay Family Planning ClinicKenai Civil Air Patrol CadetsKenai Peninsula Community Care CenterKenai Peninsula Food BankKenai Peninsula Youth CourtLove INC of the Kenai PeninsulaSalvation Army – KenaiSeaView Community ServicesSeward Senior CenterSouth Peninsula Haven HouseSprout Family ServicesSterling Area Senior Citizens, Inc.The LeeShore Center

United Way of Matanuska -Susitna Borough

Community Impact FundStrategic Areas: Education, Health, Income

Access AK Mat-SuAK Addiction Rehabilitation SvsAK Attachment & Bonding Associates AK Family SvsAK Legal Svs Corporation Mat-Su Alzheimer’s Resource of AK Mat-Su American Lung Assoc Mat-SuAmerican Red Cross Mat-SuBig Brothers and Big Sisters of AK Mat-Su Blood n Fire Ministry of AKBoy Scouts, Great AK Council Mat-Su Boys and Girls Club of Mat-Su Catholic Social ServicesCCS Early Learning Mat-SuThe Children’s Place Compassionate DirectionsDenali Family SvsFamily Centered SvsFamily Promise Mat-SuFive Loaves Two Fish Frontline MissionGirl Scouts of AK Mat-SuHeart Reach Pregnancy CenterJunior Achievement of AK Mat-SuKids KupboardKnik HouseLinks Mat-Su Parent Resource CtrMat-Su Food BankMat-Su Health SvsMat-Su Imagination LibraryMat-Su Seniors

AK Health Fair - TVAmerican Red Cross of AK TVBig Brothers Big Sisters of AK TV Boy Scouts, Midnight Sun Council Boys & Girls Club - TVBread Line, Inc.Fairbanks Children’s Museum Fairbanks Resource AgencyGirl Scouts, Farthest North Council Interior AK Ctr for Non-Violent Living Literacy Council of AKNorth Star Council on AgingNorth Star Youth Court Presbyterian Hospitality House Resource Ctr for Parents & Children The Salvation Army - Fairbanks ThrivAK

Valdez United WayHelping children and youth succeedMeeting the basic needs of people in crisis to promote wellnessPromoting self-sufficiency and strengthening our communitySupporting the elderly and people with disabilities

Advocates for Victims of ViolenceAmerican Cancer Society - VDZ Rly for Life Civil Air Patrol, AK Wing, VDZ Squardon Connecting TiesConnections to CareCopper River Basin Child Advocacy Ctr Copper River Hockey ClubCordova Family Resource CtrFOCUS/VDZ Infant Learning Program Friends of the VDZ Animal Shelter Frontier Community SvsGirl Scouts of AK - VDZ Service Unit 852 KCHU Terminal RadioPWSC/UAF - pls specify programProvidence Valdez Counseling CenterSpecial Olympics VDZ community Program Stepping StonesVDZ Arts CouncilVDZ Boy Scouts, Troop 311VDZ City Schools Please specify program at HHES, GMS, VHS, or DistrictVDZ Cooperative PreschoolVDZ Cub Scouts, Pack 311VDZ Emergency Assistance and Food BankVDZ Imagination Library VDZ Little League AssocVDZ Museum & Historical Archive AssocVDZ Safe Ride / F.O.E.VDZ Senior Citizens CtrVDZ Swim Club, Inc. / Torpedoes ProgramVDZ Youth BasketballVDZ Youth CourtVDZ Youth Wrestling

CONTACTUnited Way701 West 8th Avenue, Suite 230Anchorage, AK 99501T: 907.263.3800 F: 907.263.3801www.liveunitedanc.org