Agenda 11/10/2015 Item #16D10 11/10/2015 16.D.10.
EXECUTIVE SUMMARY
Recommendation to authorize the Collier County Museum to apply for and receive a $1,000 Pfizer
Foundation Volunteer Program donation and approve necessary budget amendment to recognize
same.
OBJECTIVE: To enhance museum resources through a Pfizer Foundation Volunteer Program donation.
CONSIDERATIONS: On October 1, 2013, Museum staff identified several options to supplement
funding provided through the Museum's share of Tourist Development Tax proceeds. Those options
include fund raising, donations and program related revenue opportunities.
The Pfizer Foundation Volunteer Program is designed to encourage volunteerism and to recognize the
outstanding volunteer efforts of Pfizer employees and retirees. To qualify for the grant, the individual
must have volunteered an average of six hours per month for a total of 72 hours for the organization per
calendar year. The individual may request one $1,000 donation per organization each year. The
maximum amount that an eligible organization may receive through the Pfizer Foundation Volunteer
Program in any given year is $5,000. Eligible individuals must be US-based employees and retirees.
This year's application was submitted by an eligible Pfizer retiree, Mr. Walter R. Holbrook,who has been
a volunteer greeter at the Collier County Museum for four years. Mr. Holbrook has exceeded the 72
hours yearly that the Pfizer Volunteer Program requires, and he may qualify every year as long as he
complies with the minimum volunteer hours required through his continued service as a volunteer at the
Collier County Museum. The funds received will be used to enhance volunteer recognition.
FISCAL IMPACT: The Pfizer Volunteer Donation is an addition to the existing Museum budget and
will require a budget amendment. Accordingly, the Museum revenue and expense budgets will be
increased by $1,000 with the expense side addition used to enhance the budget for volunteer recognition.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this
item.
LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a
majority vote for approval -CMG
RECOMMENDATION: That the Board of County Commissioners authorizes the Collier County
Museum through its volunteer to apply for and receive a $1,000 annual donation from the Pfizer
Foundation Volunteer Program and approves associated Budget Amendments.
Prepared by: Christina Apkarian, Marketing&Events Coordinator
Attachments:
1)Pfizer Foundation Volunteer Application
2)Pfizer Eligibility Requirements
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11/10/2015 16.D.10.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.D.16.D.10.
Item Summary: Recommendation to authorize the Collier County Museum to apply for
and receive a $1,000 Pfizer Foundation Volunteer Program donation and approve necessary
budget amendment to recognize same.
Meeting Date: 11/10/2015
Prepared By
Name: AlonsoHailey
Title: Operations Analyst,Public Services Department
10/19/2015 3:52:51 PM
Approved By
Name: JamroRon
Title: Division Director-Museum, Museum
Date: 10/20/2015 1:16:05 PM
Name: AlonsoHailey
Title: Operations Analyst,Public Services Department
Date: 10/20/2015 9:05:25 PM
Name: ApkarianChristina
Title: Events, Sales &Marketing Coordinator, Museum
Date: 10/21/2015 12:18:06 PM
Name: AlonsoHailey
Title: Operations Analyst,Public Services Department
Date: 10/21/2015 2:32:21 PM
Name: AlonsoHailey
Title: Operations Analyst, Public Services Department
Date: 10/21/2015 2:38:17 PM
Name: TownsendAmanda
Title: Division Director-Operations Support,Public Services Department
Date: 10/22/2015 11:35:46 AM
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11/10/2015 16.D.10.
Name: CarnellSteve
Title: Department Head-Public Services, Public Services Department
Date: 10/24/2015 8:45:45 AM
Name: GreeneColleen
Title: Assistant County Attorney, CAO General Services
Date: 10/27/2015 1:03:25 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/28/2015 2:04:22 PM
Name: FinnEd
Title: Management/Budget Analyst, Senior, Office of Management&Budget
Date: 10/29/2015 10:41:25 AM
Name: CasalanguidaNick
Title: Deputy County Manager, County Managers Office
Date: 10/30/2015 9:29:42 AM
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Pfizer Foundation Volunteer Progpdermfect&,,i, i,
Address: Pfizer Foundation Volunteer Program, P.O. Box 2072, Princeton, NJ 08543-2 ?
'-lephone: (888) 782-3048 • Fax: 609-799-8019 • Email: pfizer @easymatch.co
i ie employee or retiree completes Section A of this request form and mails it to the elic organization. The
non-profit organization will complete Section B, and forward the form to the Pfizer Foun on Volunteer Program.
SECTION A:To be completed by employee or retiree
All items in Section A must be completed by the employee or retiree volunteer. Please provide your signat :hen forward to your
volunteer organization for verification.PVP grant requests are reviewed and approved throughout the yea mpleted applications forms
must be received by November 30 of the year for which you are applying.
❑ Employee or l3 Retiree Name: L. - j+=
Employee ID Number: 6-)C z /5 -7 /, Business Phone:
Division/Location: Fax :
E-mail Address:
ti i ,7 r i
Home Address: J ; ;�! ( P1 :J
City: !VA P ,_Et7,c3 State: -I Zip Code: .2
Do you volunteer with this organization at least six hours per month(or 72 hours per year)? al Yes ❑ No
Have you worked as a volunteer with this organization for at least six months? CI Yes ❑ No
Describe the organization with which you volunteer: /%61 G ./ Cc V- /1'1(j _
Briefly describe the nature of your volunteer effort: ; E V r 17-3 i
.hereby certify that the above information is accurate,correct and representative of my involvement with this organization.
Signature X _-( , �u .'� Date: z
SECTION B:To betotnp.letted:by nonprofit organization
Please complete the information below,sign,and forward to Pfizer Foundation Volunteer Program,P.O.Box 2072,Princeton,N],08543-2072.
Be sure to include any required documentation(see below and reverse)when submitting this form.
If you are applying for a PVP grant for the first time,please enclose your:
❑ Organization's mission statement and
❑ 501(c)(3)determination letter verifying your non-profit status.
Organization Name: � t,in tP AS,.tt�l„v,vti Employer ID Number(FIN):
Address: 333\ �c ; ^� � tk.A\ E.CI.S-F
City: State: c-. Zip Code: .3 \\L
Phone: :Y1) .S2- — ' ? Fox: - ) 2 t'.'›".2-,
Contact Person: _\� Ca ez:)\\as140 Title: Nj c\u . {��'
Signature from the contact person serves as verification of the Pfizer employee/retiree's involvement with the organization,based upon
the guidelines and eligibility requirements specified on the back of this form. Misrepresentation will result in exclusion from any and all
future Pfizer Foundation grants.
Signature X j' / f Date: E'er -7 i ;� I5-
rr
ou have questions, please call 1-888-782-3048 or email pfizer @easymatch.com.
PLEASE ALLOW A MINIMUM OF SIX WEEKS FOR PROCESSING.INCOMPLETE APPLICATIONS WILL BE RETURNED AS
THEY CANNOT BE PROCESSED UNTIL ALL THE REQUIRED INFORMATION IS RECEIVED.
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11/10/2015 16.D.10.
http://www.pfizerpiuscorniqiivoiunteer_procraimaspx
Give Back
Pfizer Foundation Volunteer Program
The Pfizer Foundation Volunteer Program (PVP) is designed to encourage volunteerism and to recognize the
outstanding volunteer efforts of Pfizer employee and legacy Pfizer retirees. Through the program, Pfizer
employees and legacy Pfizer retirees may apply for grants to charitable organizations in which they actively
and regularly volunteer. Volunteers may request one$1,000 grant for one organization each year. The
maximum amount an eligible organization may receive from the Pfizer Foundation Volunteer Program in any
given year is $5,000.
Eligibility requirements:
The participant must volunteer at least six hours per month for at least six months before requesting a grant.
Eligible organizations must be tax-exempt under Section 501(c )(3) of the Internal Revenue Code, or be a
public school or public library. Organizations must be located in the United States or Puerto Rico.
How to Apply to the Pfizer Foundation Volunteer Program
Examples of eligible organizations include public and private schools. education-related organizations, health-
related organizations. hospitals, hospices. agencies for the elderly or children, museums and performing arts
groups. To apply, please click here for an application form.
Eligible participants include regular full-time or regular part-time U.S. employees and legacy Pfizer retirees.
Please complete Section A of the PVP Form and forward it to your chosen organization. The non-profit will
complete Section B and forward the form to the Pfizer Foundation Volunteer Program, P.O. Box 2072.
Princeton, NJ 08543-2072. Application review will take approximately ten business days, with payments made
monthly.
If you are unable to print the form, please contact our processing center at PfizerQeasymatch.com or via
phone (888) 782-3048 to obtain one. For grants to be made in the current calendar year, application must be
received by the processing center no later than November 30th. Applications received after November 30
will be processed for the following year.
Frequently Asked Questions About the Pfizer Foundation Volunteer Program
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11/10/2015 16.D.10.
How long does it take to process my application?
Applications are processed daily and paid on a monthly basis.
How do I check the status of my application?
You may check with the processing center either by e-mail- pfizerr easymatch.com or by calling (888) 782-
3048.
How much is the grant?
All grants are $1,000.
Who is eligible to apply for a PVP grant?
Eligible participants include full-time or part-time U.S.-based employees and legacy Pfizer retirees.
How are eligible participants determined?
Eligibility is determined based on program offered at the time of separation/retirement. If you participated in the
PVP program as a Pfizer employee, you are eligible to participate as a retiree.
Can I apply for a grant for more than one organization?
No, only one grant application per organization.
Is my spouse eligible?
No, eligible participants include regular full-time or regular part-time U.S. employees and legacy Pfizer retirees.
New employees are eligible six months from their first day of active employment with Pfizer.
Where do I get the form?
See the "how to apply" section above for instructions on completing the form. You may also call the processing
center at 888-732-3048.
How can I find out if my organization is 501(c)(3)tax-exempt?
You can ask them
What are some examples of eligible organizations?
Examples of organizations that are eligible for to receive PVP grants: schools, health related organizations,
such as American Heart Association, Alzheimer's Association, American Lung Association. etc., Libraries, Little
Leagues, Tutoring programs outside of Pfizer, Literacy Programs, Shelters.
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ls there a maximum an organization may receive from the Program?
Yes. an organization cannot receive more than $5,000 from the Pfizer Foundation Volunteer Program in any
one year.
Is there a deadline?
Yen. November 30 of each year.
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