Agency Resources : Enabling Form

Thank you for your donation to The Greater Boston Food Bank, a private non-profit 501(C)(3) tax-exempt organization. Your gift will be distributed to qualified charitable organizations in eastern Massachusetts that feed people in need.

Required fields marked below ( )

THE FOLLOWING ERROR(S) MUST BE CORRECTED BEFORE CONTINUING:

Enabling Information

Date :

Name of Donor Event :

Donor # :

Address Lines :

City :

State :

Zip :

Contact :

Contact Phone :

Receiving Agency :

Agency Number # :

Address Lines :

City :

State :

Zip :

Contact :

Contact Phone :

	Cases	Weight(lbs)	Comments
Dairy :
Bakery :
Meat :
Produce :
Frozen :
Dry :
Non-Food :

HOW WILL YOUR DONATIONS BE USED?

Your donated items will not be sold, transferred or bartered for money, other products or services.
Your donated items will be used only in a manner related to the exempt purpose of the donee organization. This complies with the provisions of clause (i) and (ii) of section 170(e)(3) of the Tax Reform Act of 1976. Our records are available to the IRS upon request.
Your donated items will be distributed only to donee organizations that have legally executed a form of release which is on file at GBFB. The forms are available for your inspection.
GBFB releases the donor mentioned above from any liability resulting from the condition of donated products pursuant to the Federal 'Bill Emerson Good Samaritan Food Donation Act'.
Your donated products will be used as soon as possible to provide greatest palatability and freshness.