Charitable Donation Request

The Cosmopolitan of Las Vegas

What We Stand For | Our Giving Priorities

We practice the discipline of being Good Company—cultivating meaningful awareness, driving sustainable action, and setting a new standard for how businesses and communities impact the Greater Good together. A grassroots appeal guides our efforts in food and the arts, while a holistic approach integrates commitment to learning and the environment. Compassion is extended from the inside out with actionable goals and a global perspective. We create mutually enriching philanthropic experiences for our CoStars, guests, investors and the community. And, although we are located in Las Vegas, we are home all around the world.

We take part in several charitable and community events throughout the year, many focused on our community giving priorities:

Food and Hunger Relief - Providing food and nourishment, especially to those that are low-income or homeless.
Learning and Student Enrichment - Enhancements to schools and programs that help students succeed in school.
Accessible Art - Providing opportunities for the community to engage with and create their own expression of art.
Military - Programs and services that support the military, veterans and their families.
Diversity and Inclusion - Programs and services that support minorities and the LGBT Community.

The Cosmopolitan will not provide support to organizations that, in their constitution or practice, discriminate against a person or group on the basis of age, political affiliation, race, national origin, ethnicity, gender, gender identity, gender expression, disability, sexual orientation or LGBT status, HIV/AIDS status or religious belief. By signing this donation request you agree your organization does not discriminate.

1. Name of organization: *This question is required.

2. Contact person name: *This question is required.

3. Organization street address: *This question is required.

4. Organization city, state and zip code: *This question is required.

5. Telephone number: *This question is required.

6. Tax ID number: *This question is required.

7. Contact email address (this will be our primary method of communication): *This question is required. This question requires a valid email address.

8. What are you requesting? *This question is required.

Cash donation (please provide desired amount) Please enter an 'other' value for this selection. * This question is required.
In-kind donation (please describe desired item) Please enter an 'other' value for this selection. * This question is required.

9. Have you been funded by The Cosmopolitan before, or provided with an in-kind donation? *This question is required.

No
Yes (please provide date, amount and purpose) Please enter an 'other' value for this selection. * This question is required.

10. What is the purpose of the current request?
For example: event sponsorship, operating grant, program grant, in-kind item to be used in a silent auction/raffle, etc. *This question is required.

11. Date needed: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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12. Event date: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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13. Please provide a statement describing how your request fits The Cosmopolitan's giving priorities (refer to "What We Stand For" at the top of the survey): *This question is required.

14. Please describe how The Cosmopolitan's support will be acknowledged: *This question is required.

15. Please share information in regards to the audience for this event (i.e. how many people will attend): *This question is required.

16. Are you an educational provider (example: elementary school, private school, preschool, etc.)? *This question is required.

Please attach: IRS Form W9 *This question is required.

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If you are an educational provider, please attach a letter of support on school letterhead, signed by a school administrator. *This question is required.

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Please attach: IRS 501(c)(3) Determination Letter
*This question is required.

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Please attach: Audited Financials - Executive Summary Only
*This question is required.

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Please attach: List of Board of Directors & Officers, with titles & affiliations
*This question is required.

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17. Applicant signature and printed name: *This question is required.

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Signature of

18. Today's date: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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