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Correspondence
[
THE WHITE HOUSE
WASHINGTON
November 1, 1993
MEMORANDUM FOR ALL WHITE HOUSE STAFF
FROM:
MACK MCLARTY
SUBJECT:
The Combined Federal Campaign
The Combined Federal Campaign ("CFC"), which begins today, is the Federal government's
annual campaign to help raise money for charitable causes. As Chairman of the White
House Office's CFC, I encourage each of you to make a generous donation to support the
many charities that improve the quality of life in this community and throughout the nation.
With your help I am sure that we can exceed our goal of $25,000 by the end of our
campaign on November 24, 1993.
More than 2,100 local, national and international charities are participating in the CFC this
year. Your donation will benefit only those charities that you designate to receive your gift
and giving through the campaign is easy, you may either give a one time gift or authorize a
payroll donation to be taken from your paycheck each pay period.
A few dollars donated each pay period goes a long way toward sheltering the homeless,
funding medical research, subsidizing child development programs, or supporting other
worthwhile endeavors. I invite you to look through the Catalog of Caring for descriptions of
the charities; I am sure you will find many that interest you.
In the coming days the Administrative Contact for each office will provide you with your
Catalog of Caring and pledge card. As well, your contact will receive your completed
pledge card or answer any questions you may have.
Please take a moment over the next few weeks to support the CFC. With your help, the
White House will be a leader and pacesetter for this important program.
Med wehn
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
Form 100
CFC
Fall 1993 Pledge Card
Be sure you have the contributor's brochure
(Catalog of Caring) for the Fall 1993
CFC of the National Capital Area
when completing this card.
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
WORK ADDRESS & ZIP CODE
FULL DAYTIME TELEPHONE NUMBER
SOCIAL SECURITY NUMBER
DEPT. OF DEFENSE USE ONL PAYROLL LOCATION
(
)
Fill in the blank showing the total amount of your payroll allotment, cash or check contribution. Authorize your payroll deduction contribution by signing the
Payroll Deduction Authorization. If you wish to makle a one-time gift, checks should be made payable to Combined Federal Campaign.
MILITARY
TOTAL GIFT
CIVILIANS
TOTAL GIFT
$
X 12 months = $
$
X 26 periods = $
PLEASE PRINT ALL INFORMATION USING
BALL POINT PEN AND WRITE FIRMLY
$50.00
X 12 months = $
$25.00
X 26 periods = $
For
$25.00
X 12 months = $
$12.50
X 26 periods = $
EAGLE AWARD
(1%)
$16.00
X 12 months = $
$ 8.00
X 26 periods = $
initial here:
$ 8.00
X 12 months = $
$ 4.00
X 26 periods = $
Cash
or Check
$
Cash
or Check
$
DESIGNATED GIFTS: To designate one or more charities or federated groups that appear on the list provided, fill in the charity or federation identification number(s) and dollar
amounts here: ALL AGENCY CODES ARE FOUR DIGITS
1993 Combined Federal Campaign of the National Capital Area
95 M Street, S.W., Washington, D.C. 20024 (CFC # 0990)
COPY - PAYROLL OFFICE COPY
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
PAYROLL DEDUCTION AUTHORIZATION
NAME RELEASE AUTHORIZATION (Please check one box)
I hereby authorize any agency of the United States Government by
I DO want my name and address released to the voluntary organization(s) 1 have designated above.
which 1 may be employed during 1994 to deduct the amount(s) shown
My address is:
above from my pay each pay period during the calendar year 1994
starting with the first pay period in January and ending with the last pay
(HOME ADDRESS) STREET
period that begins in December, and to pay the amounts so deducted to
the Combined Federal Campaign shown above. I understand that this
authorization may be revoked by me in writing at any time before it
CITY
STATE
ZIP CODE
expires.
I DO NOT want my name and address released to the voluntary organization(s) I have designated
above.
SIGNATURE
DATE
You make it happen.
EAGLE AWARD
Monthly
Society's most noble accomplishments begin with individuals who share a common
Payroll Deduction
vision, one that aims high for all society, and seeks to lift those who cannot lift
$50.00
themselves up onto the broad shoulders of those who can. To recognize those
11 patient visits to a medical clinic in
individuals who contribute 1% of their salary, the Combined Federal Campaign
a poverty-stricken, medically
underserved rural area.
presents the EAGLE AWARD. Your gift at this level will qualify you for the EAGLE
AWARD, an attractive pin that symbolizes generosity and caring through the CFC.
$25.00
Provides community education and
Indicate your EAGLE AWARD gift by signing your initials in the appropriate space on
referral services on mental retardation
the right-hand side of the pledge card.
for over 300 individuals.
You may be surprised at how affordable it is to be an Eagle!
For example,
Your Monthly
Your Biweekly
$16.00
50 hot breakfasts to feed the homeless.
if your annual
Allotment
Payroll Deduction
salary is:
Would Be:
Would Be:
Biweekly
$
10,000
$
8.33
$ 3.85
Payroll Deduction
$ 20,000
$16.67
$ 7.69
$
30,000
$25.00
$11.54
$25.00
Feeds a starving refugee family in the
$ 40,000
$33.33
$15.38
Sudan for a year.
$ 50,000
$41.67
$19.23
$12.50
5 diagnostic hearing evaluations.
$ 60,000
$50.00
$23.08
$ 70,000
$58.33
$26.92
$ 8.00
Assists 190 persons with information
$ 80,000
$66.67
$30.77
on addiction, substance abuse, and
$100,000
$83.33
$38.64
recovery.
PHOTOCOPY
PRESERVATION
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
WORK ADDRESS & ZIP CODE
FULL DAYTIME TELEPHONE NUMBER
SOCIAL SECURITY NUMBER
DEPT. OF DEFENSE USE ONLY: PAYROLL LOCATION
(
)
Fill in the blank showing the total amount of your payroll allotment, cash or check contribution. Authorize your payroll deduction contribution by signing the
Payroll Deduction Authorization. If you wish to makle a one-time gift, checks should be made payable to Combined Federal Campaign.
MILITARY
TOTAL GIFT
CIVILIANS
TOTAL GIFT
$
X 12 months = $
$
X 26 periods = $
PLEASE PRINT ALL INFORMATION USING
BALL POINT PEN AND WRITE FIRMLY
$50.00
X 12 months = $
$25.00
X 26 periods = $
For
$25.00
X 12 months = $
$12.50
X 26 periods = $
EAGLE AWARD
(1%)
$16.00
X 12 months = $
$ 8.00
X 26 periods = $
Initial here:
$ 8.00
X 12 months - $
$ 4.00
X 26 periods = $
Cash
or Check
$
Cash
or Check
$
DESIGNATED GIFTS: To designate one or more charities or federated groups that appear on the list provided, fill in the charity or federation identification number(s) and dollar
amounts here: ALL AGENCY CODES ARE FOUR DIGITS
---
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
PAYROLL DEDUCTION AUTHORIZATION
COPY
NAME RELEASE AUTHORIZATION (Please check one box)
I hereby authorize any agency of the United States Government by
1993 Combined Federal Campaign of the National Capital Area
95 M Street, S.W., Washington, D.C. 20024 (CFC # 0990)
I DO want my name and address released to the voluntary organization(s) 1 have designated above.
which I may be employed during 1994 to deduct the amount(s) shown
My address Is:
above from my pay each pay period during the calendar year 1994
starting with the first pay period in January and ending with the last pay
(HOME ADDRESS) STREET
period that begins in December, and to pay the amounts so deducted to
the Combined Federal Campaign shown above. I understand that this
authorization may be revoked by me in writing at any time before it
CITY
STATE
ZIP CODE
expires.
I DO NOT want my name and address released to the voluntary organization(s) I have designated
above.
SIGNATURE
DATE
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
WORK ADDRESS & ZIP CODE
FULL DAYTIME TELEPHONE NUMBER
SOCIAL SECURITY NUMBER
(
)
DEPT. OF DEFENSE USE ONL Y: PAYROLL LOCATION
-
Fill in the blank showing the total amount of your payroll allotment, cash or check contribution. Authorize your payroll deduction contribution by signing the
Payroll Deduction MILITARY Authorization. If you wish to makle a one-time gift, checks should be made payable to Combined Federal Campaign.
TOTAL GIFT
CIVILIANS
TOTAL GIFT
$
X 12 months = $
PLEASE PRINT ALL INFORMATION USING
$
X 26 periods = $
BALL POINT PEN AND WRITE FIRMLY
$50.00
X 12 months = $
$25.00
X 26 periods = $
$25.00
For
X 12 months = $
$12.50
X 26 periods = $
EAGLE AWARD
$16.00
X 12 months = $
$ 8.00
X 26 periods = $
(1%)
$ 8.00
X 12 months = $
initial here:
$ 4.00
X 26 periods = $
Cash
or Check
$
Cash
or Check
$
amounts here: ALL AGENCY CODES ARE FOUR DIGITS
DESIGNATED GIFTS: To designate one or more charities or federated groups that appear on the list provided, fill in the charity or federation identification number(s) and dollar
AGENCY CODE
1993 Combined Federal Campaign of the National Capital Area
95 M Street, S.W., Washington, D.C. 20024 (CFC # 0990)
COPY #3-CONTRIBUTOR'S RECEIPT
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
NAME RELEASE AUTHORIZATION (Please check one box)
PAYROLL DEDUCTION AUTHORIZATION
I DO want my name and address released to the voluntary organization(s) I have designated above.
I hereby authorize any agency of the United States Government by
My address is:
which I may be employed during 1994 to deduct the amount(s) shown
above from my pay each pay period during the calendar year 1994
(HOME ADDRESS) STREET
starting with the first pay period in January and ending with the last pay
period that begins in December, and to pay the amounts so deducted to
the Combined Federal Campaign shown above. I understand that this
CITY
authorization may be revoked by me in writing at any time before it
STATE
ZIP CODE
expires.
I
DO NOT want my name and address released to the voluntary organization(s) I have designated
above.
SIGNATURE
DATE
MIXA in siture 22 BE ASPIDATA USAG desidenced
00
we
SUA AWG person if
IND
0141 BOX
touce M/9 as 20 10
7605 WILL sue 1991 bat
1031 1889
Executive Order No 12353 authorizes
the U.S. Office of Personnel Management
to conduct und raising activities and to
establish procedures for collecting
information related to such activities.
Executive Order ONE 9397 authorizes
collection of your Social Security Number
1600 epone
as identification of your pay roll payroll record.
35
PA
YOU
DIGIT
This collected information 1 will be
disclosed to organizations maintaining
the accounting of contributions and to
yo your payroll office Additional disclosure
may be made to the Department of the
Treasury to make proper financial
adjustments to a court of another agency
when the is government.is. party to a suit;
and to the Internal Revenue Service and
state and local localitaxing taxing authorities regarding
N929
ilil
income tax returns
The Will furnishing of the SSN, along with
other data requested is voluntary.
However, failure to furnish any of the
requested information may result in errors
or noncompliance with your your reques equest a for a
IATICO payroll deduction by your agency Orderido vd
you are making alone time ESUM lump-sum
not required to furnish your SSN
version
nogal
(0433) HOIS:
(100)
THERE a
ere VMVHD
DGL
gift and therefore not using the payroll
deduction method of payment you are
LOS
ESTÁ lalige3 implish edit to ngisgms3 latebe" benidino Each
(0990 # 20 Jasua 00
10
lujua tue
0000522
CODE
Entr AUTG EMORE WATERED
MOCTOR ИЛИВЕН
DESL On DELIVERE TYPE ONI A: MY ABOIT ГОСУДОЙ
STATE
terms
(IMILIVI)
ENVENT ON VOHMCA
CbC BELOWING илнага
PHOTOCOPY
PRESERVATION
U
makeit
happen
go
CFC
Catalog of Caring
W
1993 Combined Federal Campaign
IIIIIIII
(II)
THE
OFFICE M
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a publication.
Publications have not been scanned in their entirety for the purpose
of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
million
November 8, 1993
MEMO TO THE STAFF
FROM: DIANE LIMO
SUBJECT: COMBINED FEDERAL CAMPAIGN
The Combined Federal Campaign ("CFC"), which began November 1, is
the Federal government's annual campaign to help raise money for
charitable causes. Each of us are encouraged to make a generous
donation to support the many charities that improve the quality
of life in this community and throughout the nation. Mack
McLarty, Chairman of White House Office's CFC, hopes we can
exceed our goal of $25,000 by the end of the campaign.
More than 2,100 local, national, and international charities are
participating in the CFC this year. Your donation will benefit
only those charities that you designate to receive your gift.
You may either give a one time gift or authorize a payroll
donation to be taken from your paycheck each pay period.
Please look through the Catalog for Caring for descriptions of
the charities and fill out the enclosed pledge card. If you
would please return it to me in room 100 no later than Friday,
November 19, 1993, I'd appreciate it. Thanks for your cooperation
in this matter.
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
Form 100
CFC
Fall 1993 Pledge Card
Be sure you have the contributor's brochure
(Catalog of Caring) for the Fall 1993
CFC of the National Capital Area
when completing this card.
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
WORK ADDRESS & ZIP CODE
FULL DAYTIME TELEPHONE NUMBER
SOCIAL SECURITY NUMBER
DEPT. OF DEFENSE USE ONLY: PAYROLL LOCATION
(
)
Fill in the blank showing the total amount of your payroll allotment, cash or check contribution. Authorize your payroll deduction contribution by signing the
Payroll Deduction Authorization. If you wish to makle a one-time gift, checks should be made payable to Combined Federal Campaign.
MILITARY
TOTAL GIFT
CIVILIANS
TOTAL GIFT
$
X 12 months = $
$
X 26 periods = $
PLEASE PRINT ALL INFORMATION USING
BALL POINT PEN AND WRITE FIRMLY
$50.00
X 12 months = $
$25.00
X 26 periods = $
For
$25.00
X 12 months = $
$12.50
X 26 periods = $
EAGLE AWARD
(1%)
$16.00
X 12 months = $
$ 8.00
X 26 periods = $
initial here:
$ 8.00
X 12 months = $
$ 4.00
X 26 periods = $
Cash
or Check
$
Cash
or Check
$
DESIGNATED GIFTS: To designate one or more charities or federated groups that appear on the list provided, fill in the charity or federation identification number(s) and dollar
amounts here: ALL AGENCY CODES ARE FOUR DIGITS
1993 Combined Federal Campaign of the National Capital Area
95 M Street, S.W., Washington, D.C. 20024 (CFC # 0990)
COP - PAYROLL OFFICE COPY
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
PAYROLL DEDUCTION AUTHORIZATION
NAME RELEASE AUTHORIZATION (Please check one box)
I hereby authorize any agency of the United States Government by
I DO want my name and address released to the voluntary organization(s) I have designated above.
which 1 may be employed during 1994 to deduct the amount(s) shown
My address is:
above from my pay each pay period during the calendar year 1994
starting with the first pay period in January and ending with the last pay
(HOME ADDRESS) STREET
period that begins in December, and to pay the amounts so deducted to
the Combined Federal Campaign shown above. I understand that this
authorization may be revoked by me in writing at any time before it
CITY
STATE
ZIP CODE
expires.
I
DO NOT want my name and address released to the voluntary organization(s) I have designated
above.
SIGNATURE
DATE
You make it happen.
EAGLE AWARD
Monthly
Society's most noble accomplishments begin with individuals who share a common
Payroll Deduction
vision, one that aims high for all society, and seeks to lift those who cannot lift
$50.00
11 patient visits to a medical clinic in
themselves up onto the broad shoulders of those who can. To recognize those
a poverty-stricken, medically
individuals who contribute 1% of their salary, the Combined Federal Campaign
underserved rural area.
presents the EAGLE AWARD. Your gift at this level will qualify you for the EAGLE
Lix
AWARD, an attractive pin that symbolizes generosity and caring through the CFC.
$25.00
Provides community education and
Indicate your EAGLE AWARD gift by signing your initials in the appropriate space on
referral services on mental retardation
the right-hand side of the pledge card.
for over 300 individuals.
You may be surprised at how affordable it is to be an Eagle!
For example,
Your Monthly
Your Biweekly
$16.00
50 hot breakfasts to feed the homeless.
if your annual
Allotment
Payroll Deduction
salary is:
Would Be:
Would Be:
Biweekly
$
10,000
8.33
$ 3.85
Payroll Deduction
$ 20,000
$16.67
$ 7.69
$
30,000
$25.00
$11.54
$25.00
Feeds a starving refugee family in the
$ 40,000
$33.33
$15.38
Sudan for a year.
$ 50,000
$41.67
$19.23
$12.50
5 diagnostic hearing evaluations.
$ 60,000
$50.00
$23.08
$ 70,000
$58.33
$26.92
$ 8.00
Assists 190 persons with information
$ 80,000
$66.67
$30.77
on addiction, substance abuse, and
$100,000.
$83.33
$38.64
recovery.
PHOTOCOPY
PRESERVATION
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT. BUREAU, OR AGENCY
CFC REPORTING NUMBER
WORK ADDRESS & ZIP CODE
FULL DAYTIME TELEPHONE NUMBER
SOCIAL SECURITY NUMBER
DEPT. OF DEFENSE USE ONL Y: PAYROLL LOCATION
(
)
Fill in the blank showing the total amount of your payroll allotment, cash or check contribution. Authorize your payroll deduction contribution by signing the
Payroll Deduction Authorization. If you wish to makle a one-time gift, checks should be made payable to Combined Federal Campaign.
MILITARY
TOTAL GIFT
CIVILIANS
TOTAL GIFT
$
X 12 months = $
$
X 26 periods = $
a
PLEASE PRINT ALL INFORMATION USING
BALL POINT PEN AND WRITE FIRMLY
$50.00
X 12 months = $
$25.00
X 26 periods = $
For
$25.00
X 12 months = $
$12.50
X 26 periods = $
EAGLE AWARD
(1%)
$16.00
X 12 months = $
$ 8.00
X 26 periods = $
Initial here:
$ 8.00
X 12 months = $
$ 4.00
X 26 periods = $
Cash
or Check
$
Cash
or Check
$
DESIGNATED GIFTS: To designate one or more charities or federated groups that appear on the list provided, fill in the charity or federation identification number(s) and dollar
amounts here: ALL AGENCY CODES ARE FOUR DIGITS
-
1993 Combined Federal Campaign of the National Capital Area
95 M Street, S.W., Washington, D.C. 20024 (CFC # 0990)
COPY COPY
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
PAYROLL DEDUCTION AUTHORIZATION
NAME RELEASE AUTHORIZATION (Please check one box)
I hereby authorize any agency of the United States Government by
I DO want my name and address released to the voluntary organization(s) I have designated above.
which I may be employed during 1994 to deduct the amount(s) shown
My address is:
above from my pay each pay period during the calendar year 1994
starting with the first pay period in January and ending with the last pay
(HOME ADDRESS) STREET
period that begins in December, and to pay the amounts so deducted to
the Combined Federal Campaign shown above. I understand that this
authorization may be revoked by me in writing at any time before it
CITY
STATE
ZIP CODE
expires.
I DO NOT want my name and address released to the voluntary organization(s) I have designated
above.
SIGNATURE
DATE
NAME (LAST)
(FIRST)
(INITIAL)
DEPARTMENT, BUREAU, OR AGENCY
CFC REPORTING NUMBER
WORK ADDRESS & ZIP CODE
FULL AYTIME TELEPHONE NUMBER
SOCIAL SECURITY NUMBER
(
)
DEPT. OF DEFENSE USE ONLY: PAYROLL LOCATION
Fill in the blank showing the total amount of your payroll allotment, cash or check contribution. Authorize your payroll deduction contribution by signing the
Payroll Deduction MILITARY Authorization. If you wish to makle a one-time gift, checks should be made payable to Combined Federal Campaign.
TOTAL GIFT
CIVILIANS
TOTAL GIFT
$
X 12 months = $
PLEASE PRINT ALL INFORMATION USING
$
X 26 periods = $
BALL POINT PEN AND WRITE FIRMLY
$50.00
X 12 months = $
$25.00
X 26 periods = $
$25.00
For
X 12 months = $
$12.50
X 26 periods - $
EAGLE AWARD
$16.00
X 12 months = $
$ 8.00
X 26 periods = $
(1%)
$ 8.00
X 12 months = $
initial here:
$ 4.00
X 26 periods = $
Cash
or Check
$
Cash
or Check
$
DESIGNATED GIFTS: To designate one or more charities or federated groups that appear on the list provided, fill in the charity or federation identification number(s) and dollar
amounts here: ALL AGENCY CODES ARE FOUR DIGITS
AGENCY CODE
1993 Combined Federal Campaign of the National Capital Area
95 M Street, S.W., Washington, D.C. 20024 (CFC # 0990)
COPY #3--CONTRIBUTOR'S RECEIPT
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
AGENCY CODE
ANNUAL AMOUNT
NAME RELEASE AUTHORIZATION (Please check one box)
PAYROLL DEDUCTION AUTHORIZATION
I DO want my name and address released to the voluntary organization(s) I have designated above.
I hereby authorize any agency of the United States Government by
My address is:
which I may be employed during 1994 to deduct the amount(s) shown
above from my pay each pay period during the calendar year 1994
(HOME ADDRESS) STREET
starting with the first pay period in January and ending with the last pay
period that begins in December, and to pay the amounts so deducted to
the Combined Federal Campaign shown above. I understand that this
CITY
authorization may be revoked by me in writing at any time before it
STATE
ZIP CODE
expires,
1
DO NOT want my name and address released to the voluntary organization(s) I have designated
above.
SIGNATURE
DATE
PRESERVATION
PHOTOCOPY
BIGHVIDBE
DV16
UA shows aggress UNIVERSITY & HAVE delivering
00
DA
we
FUA que paid if
Obside Registration 004 -
ballog are (A/(r) in nuse as georging 10
THERE Show 75157 ONE MID No 1931 tral
bohor
ADHL
1839
BIG
1889
formal(s) SPONSE
Executive Order No. 2353 authorizes
the U.S Office of Personnel Management
to conduct fund raising activities and to
establish procedures for collecting
of
INC
DA
information related to such activities.
Executive Order che 9397 authorizes
collection of your Social Security Number
as aslidentification of your payroll payroll.record. record.
VCI
DIGIT
This: collected information will be
disclosed to organizations maintaining
the accounting of contributions and to
your payroll office Additional disclosure
may be made to the Department of the
Treasury to make proper financial
adjustments to to a a court of another agency
when the government is party to a suit;
and to the Internal Revenue Service and
state and localitaxing authorities regarding
income tax e eturns
The applica of furnishing?of the SSN, paradi along with
other data requested is voluntary.
However, failure to to furnish any of the
requested information may result in-errors
or noncompliance with your request a
payroll deduction by your your agency
fyou are making a.one-time, Jump-sum
gift and therefore no using the the payroll
deduction method of payment you are
not-required to furnish yourS SSN
VISIT
intion
page Help:
(109)
OHAWA
LOS
ESTÁ letigeO fonolish ed: is ngisqms0 benidmo3 each
(0000 # 20 0 Jasufe M 20
DIVI
10
Mont
lujua IPS
CODE
ENT CV ENHOME WHREE
20017 DECIDENT HOMBEY
DEST Oh DECEMED TYPE OVIT W ABOIT ГОСУДОЙ
tesau
(JAITIM)
INTERNATION BEREVITY OU VOEMCA
CEC BELOWING WITHING
amound
"
U
makeit
happen
CFC
Catalog of Caring ''''
1993 Combined Federal Campaign
LNAN
THE
THIPPI
THE
THE
mm
OFFICIAL
Clinton Presidential Records
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