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For more information visit us at https://sfgov.org/sfc/combined-charities
About Giving Through Payroll Deductions
Q: How does payroll deduction work?
A: Donors determine and tell the payroll department on the pledge form how much money will be deducted from every paycheck throughout the year. For example, if an employee selects “$20 per pay period” on the pledge form, then $20 will be deducted from each of the 26 pay-checks, for a total of $520 by year end. The pledge will be deducted from paychecks beginning in January and ending the last pay period in December. Charities will begin receiving donations in quarterly distributions beginning in May. Please advise donors not to contact the agency of their choice prior to May as the charity will have no record of any donation before then.
Q: What is the advantage of donating via payroll deduction?
A: It is easier for an employee to have a smaller amount taken out of every paycheck than to write one large check for the same amount. In the example above, $520 may be too large an amount to write in one check, where $20 per pay period is much more manageable. Your pay stub keeps track of your charitable contribution, provides proof of your donation and is a re-minder to claim a deduction when filing taxes.Most important, payroll deduction ensures a consistent and reliable stream of income to the charities throughout the year whereas one time gifts do not. This makes it easier for them to budget and plan their annual programs and services. This consistent income stream is a main reason why non-profit organizations participate in campaigns such as this one.Please note: cash contributions are not accepted! All cash donations will be returned, with the pledge form, to the department coordinator.
For more information visit http://sfgov.org/sfc/faq
For more information visit us at https://sfgov.org/sfc/combined-charities
Special ThankS To holiday inn San FranciSco - FiSherman’S WarFFor their generous support to 2017 Combined Charities Campaign
For more information visit us at https://sfgov.org/sfc/combined-charities
For more information visit us at https://sfgov.org/sfc/combined-charities
Six Flags Discovery Kingdom
Culinary Institute of America San Francisco
Kabuki Springs & Spa
Target Gift Cards
Holiday Inn Fisherman Wharf San Francisco
Cabernet from Paradigm Wineries
Prize Drawings
See our complete prize list at https://sfgov.org/sfc/prizes
Sample of Prizes & Rewards
Due to wildfires in Northern California some prizes will not be avaliable until fur-ther notice.
ACCCoordinator/CaptainEsperanza Artola
Kristen HallSara PearceAnne Bingham
Arts CommissionCoordinator/CaptainAlyssa Ventre
Alyssa Ventre
AssessorCoordinator/CaptainNicole Agbayani
Tim LandreganAngela Lucas
BOACoordinator/CaptainEsperanza Artola
Alec LongawayXiomara Mejia
BOSCoordinator/CaptainEsperanza Artola
Leah LacoixVictor Young
City Attorney’s OfficeCoordinator/CaptainTeresa Rechsteiner
Lorenzo DonatiLillian ChowLaura Bernabei
Civil Service CommissionCoordinator/CaptainLizzette Henriquez
Luz MorgantiElizabeth Aldana
CONCoordinator/CaptainMaura Lane
David WeinzimmerOrealis AlvaradoRoberto MercadoRodel AjosteTiffanny WongSang TranRuby LiuWendy SarPhillip JoeLisa DuongLeslie YeeEarl LazoEdward de AsisMaura LaneLindsay OrwigMaria KamMaricar GratuitoKevin Lacsina
Janice CraigChun-Chu YeungSherman LukSteve FlahertyDeric LickoQing LiuMaggie WongSteven MunozMicheal WylieRaymond LiangLouis VocciaMonica WuAlice Kassinger
CSSCoordinator/CaptainVilma Argueta
Cynthia GoffMary Ngwe
DBICoordinator/CaptainCarolyn Jayin
Emily MorrisonSusan BufkaTom Hui
DCYFCoordinator/CaptainLinda Morales
Gonzalina Morales
2017 COFFEE CARD RECIPIENTS
For more information visit us at https://sfgov.org/sfc/combined-charities
DPHCoordinator/CaptainFaye DeGuzman
Ron Weigelt
DPWCoordinator/CaptainJeremy Spitz
Carla ShortCuong TruongCarlo AlfonsoMei Cai HeDuong SySally LuChristina OleaLaVonda WilliamsLinda LeeAlexandria ShamaBryan DahlJennifer BlotDavid WangCham HtumYaoquan ZhuShawn Fincher Mellisa NazzalCarmen YnamiChad SuntayPaul RenziOlu OdufaluOphelia LauEugene LingEdmund ShumAlbert KoRussel TaylorKent Minh
Erika TilneyJin ZhaoLisa MakDaniel BrugmannSu-Wan ChangRichard GrahamMairice WilliamsBen WuEllen WongPeter LuiLesley Wong
DOSWCoordinator/CaptainCarol Sacco
Natalie AlvarezMinouche Kandel
DTISCoordinator/CaptainHao Xie
Marco BrunoKim ThompsonEric ChinMohideenbasha Kamroon-banuLenore CrawfordDeepi VermaHao XiePeter PardiniSam ValdezElain BenvenutiRobin Earle
ECNCoordinator/CaptainArmina Brown
Fred LiedlMarianne ThompsonVicky TanKei LiuRhea AguinaldoRichard KuryloMarhta Yanez
ElectionsCoordinator/CaptainLeo Samuelson
Maggie LauDemetri ChamesIva Joy MaurinJohn Arntz
EnvironmentCoordinator/CaptainMegan Kalsman
Rusununguko MadeMegan Kalsman
GSACoordinator/CaptainPaul Lupion
Joanne CuencaBrian WongHoward ThuKyle SuttonDaniel Powell
2017 COFFEE CARD RECIPIENTS
Agency ContributionRaised to Date
$306,609.00Goal
$1,500,000.00
CONTRIBUTIONS TOTALS
For more information visit us at https://sfgov.org/sfc/combined-charities
Peter O’BrienSteve MulreadyDavid MarquardtAndy MaimoniPaul LupinoSandra DePazGollia AndersonNancy AlfaroMelissa Leon
HSACoordinator/CaptainAngela ChiuMichaela GreeleyJoseph LauChristopher McClennyJill KeelerCatherine Art
Bianca PolovinaRachel CruzMichaela GreeleyGeorgina MoralesDavid McCahonEmily GibbsMaggie DonahueMaria BenozaMichael LeeRosalie PeraRosanna GarciaRandy AdlerAndrew SchreiberIgnacio BelloCatherine ArtTiffany DongAndrea LegoKevin Heaney
John OntiverosDerek HillEileen LeeJennifer WilliamsFanny LapitanJasmine GreenMaria RitnerCummings C NauerRosalba FarrellGustavo GarrardAlexander IsmailBrian Coultersmith
HSSCoordinator/CaptainSertha Gallaread
Elaine GeeMarina ColeridgeMalika AlimSeretha Gallaread
JUV Coordinator/CaptainCecy Ticas
Christopher LaiTony TangRose FuapopoPauline Silva-ReCarla LemusPalminder HernandezDianna JouToni PowllMichele Nieve
LIBCoordinator/CaptainJennifer FiztgeraldWilfred Kong
MODCoordinator/CaptainNathan WebbDawn AndersonHeather Kittel
OCACoordinator/CaptainVictoria Falcon
Jacalyn Hoesing (Jaci Fong)Norman MartinezDavid Salem
OCEIACoordinator/CaptainMelissa Chan
Isis SykesRichard WhippleJamie Richardson
OCII Coordinator/CaptainMocia Davis Stean
April Ward
PLANNINGCoordinator/CaptainNora Priego
2017 COFFEE CARD RECIPIENTS
Chanbory SonThomas DiSanto
PORTCoordinator/CaptainDenise Lum
Claude BustonKevin MasudaAlan GinMatt ValbusaLinda GreenTeri JourgensenAlex ChongMisa PhamDave RauenbuehlerBrandon ChapmanAaron GolbusDenise LumMarilyn YehDemetri AmaroWinny LoiMonico CorralEmeline ZapantaCora SapaenElsa LambSandra OberleJoseph MonroeMatthias Giezendanner
PUBLIC DEFENDERCoordinator/CaptainEsperanza Artola
Kara ChienD. Adam Lipson
PUCCoordinator/CaptainNorma Molina
Mario ValdezWai Ling Chan LukNeil BernardoSerena JiangFan LauRyan CayabyabCheryl MunozIrina P TorreyNora Molina
REAL ESTATECoordinator/CaptainRachel Gosiengfiao
Joshua KeeneClaudia GorhamNam LiMarta BayolAmilia MartinezXiao MaiShui Ying LinJospeh StelmakSharon ChoyTom PetersonKonstantine ApostoloulosElleus SaranfinMei Ling ChanJeff SuesChristina VarnerLiz ChangCandy CheungRobert CollinsPeter Kearns
Kyle Dang
REPOCoordinator/Captain
Julieta CreerEloise Bulandi
SFMTACoordinator/CaptainCris LuiEugenia Wong
Frank LauJohn OrkesSung KimCris LuiNilesh RamChris BufkaSheryl HannemarMike FernandezShahnam FarhangiJeanine DuboisGuillermo RiosLuke BaganJamie O’NealLaura SmithRamon GoodeIsheal Martin Jr.Terrell OliverAngela GenochioKate McCarthyVirginia HarmonLaura Munter
2017 COFFEE CARD RECIPIENTS
For more information visit us at https://sfgov.org/sfc/combined-charities
Freddy PadillaLee CrawfordJoel CernaRosa EsquivelBeverly LeeDavid RosalesShawnda TurnerTeresa ChanOlivia EstaresEvelyn BruceWinne XieBradley DunnLorraine PhelanJonathan RewersNestor GuevaraShawn McCormickMercy ZamoraChris NichelMaria ContrerasFerdie LumbadJohnny HeLatha RamadassMichael YoungDana RyanJames LeeJanice WooAndrew LimDoug GriggsArturo PerezCatrena BrownFreeman CheeTimothy JackHector GodinezMark LaCroixEddie EkeHilton LewBrian LimJuan Ortiz
James McMillan Jr.Maya MaloneRobert WatsonJabari ManuelMike TerellShu Fen ChanPagibig AndacaScarlett EuniceMelvyn HenryJeremiah BryantAaron LampkinDonald EllisonFrederick OrantesRita Donahue
SFOCoordinator/CaptainSadia AfandiTeresa Notarmaso
Regina SooAlex TsaiCynthia DurantAndrea CaporaleSusan ManzanoMelissa AndrettaSadia AfandiEsther LeeBrian KramerWilliam MaherYen PangEmylene AspillaTiffany YeeRicky S. SanChristine ArrigaleTimothy O’BrienEva Cheong
Gina LintonChad AndersonElizabeth IriartMaria ReillySamuel ScottAlisa TsujiKai CaemmererAlisa Eagleston CieslewiczConnie WoodMichelle HoyAntonio A. CarcellarJulie TakataTyler TranMaria T. Iyog-O’MalleyEmily YeeIan M. HartTerresita K. SarmonteAlex MannPeter ParucciniKelvin GodshallMaria CruzCarlos TanquilitCheryl NasirKarin YuenAbe JamalCharito LuzLily LeeJudy LimCrystal DavidClarissa MamarilNicole AzurasDonna PottsAudrey LaurenceT RamosErnesto SantosRoger HoosonSherry Phun Kros Opbroeck
2017 COFFEE CARD RECIPIENTS
Regina Marie BangcayaLynn FilarJennifer ValenzuelaAntonio BorjaDiane ChowRinaldi WibowoTrina PasionTania GharechedaghyRussell VallesErica ClineMun Kwan ChiewBeaver YldefonzoSalvador CarrancejaMatthew McCormickRosa PerezRick ThaliTimothy HatfieldTimothy CarlisleLiXin Li (Natalie)Dina QuesadaMohamed ChekirChristian LeiSanjay MehtaPaul FosterNelson ValleRay RicardoJeffrey HoglindJesse BustosEmi AokiPui Chi LukThien Kim TranZhan Zhou ZhangSophia HomLinda PengTiffany IpYingying WnagShirley WestLouise Ho
Hazelle FernandezYvette ArcenalEarl BegleyShannon WilsonAnthony WongDiane TongViviana SoperKevin Van HoyCourtney YoungMichael OrdonaKelly McCrayHoushang EsmaliRonson CheongMaria ArradazaMillet CabreraPeina ChenLuisito Del RosarioFeng Hua LiuAlice KuangLeonora Del RosarioZhen LiArnold AbrenaGuizhe TangDerrick HomerFuxian LiNatalie ReederWan Ku LuoTy KhuuMarieta TanamalQiaoyun WuCarlos ChicasConstance FitzgeraldDeelan McConnMatthew BufkaAriel CajulaoYachi ChenXing Ciao HuangWei Guo Mei
Enrili BonifacioWilliam MinesBartolome BoadoEduardo DiocanasRenato FranciscoTeresa De DuranManuel CastroHjames SuguitanRavinesh KumarVirginia BelenzoMary Rose CasugayCui Xia RongGery LawZhi Qiang Li
2017 COFFEE CARD RECIPIENTS
For more information visit us at https://sfgov.org/sfc/combined-charities
Wei Yi YuJingming HanVivian ChenJavonda HarrisNastaja von ContaJuan RamosSeverin RizzoWei Jian ZengHiabu KifieCui Hua WuMing Yan ChenEdward FinkSFPDCoordinator/CaptainSara Maunder
John AldenEllen DoleseSherry FletcherStaci WineingerEleanor SalmonElmer SesconMichael ZhangAlvin TongSharon BarkwillJo-Theresa Elias, JacksonLeslie SmithStephanie OtaguroMichael AlexanderNina SariaslaniCarmen BatanKimberly NgGerald LouieDewayne WilsonLauren Newhart
2017 COFFEE CARD RECIPIENTS
TTXCoordinator/CaptainBrittany Williamson
Gustavo BosorquezBianca PintoAngela CooperPhil De La CruzGail WolfeStacey Chinn-IntravongFelipe LeivaJennifer PeneAlvin WongBrittany Williamson
For more information visit us at https://sfgov.org/sfc/combined-charities
For more information visit us at https://sfgov.org/sfc/combined-charities
Agency $ $
2017SanFranciscoCombinedCharitiesCampaign PERPAYPERIOD $20 x 26 pay periods = $520 $10 x 26 pay periods = $260
$5 x 26 pay periods = $130 $ x 26payperiods= $
ONETIMEDONATIONBYCHECKPlease makechecks toagenciespayable to theFederation(s)withwhich theyareaffiliated.
TOTAL CONTRIBUTIONTotalPayrollDeduction $TotalOne-Time Check $
$ ____ For unaffiliated (Donor Choice) agencies see 6 & 7 on back. Attach your check(s) to this form$500 = Leadership Giver. TOTAL ANNUAL GIFT $_______
LastName First Name M.I. Dept # Department Name
Work Phone
DSW#______ (For payroll deductions only)
EmployeeSignature(RequiredforPayroll IDDeductionOnly)
Note: To be thanked by Federation or agency of your choice, please complete the following information, otherwise your gift will be considered anonymous.
Street Address City Zip
Email Address Page of
I would like to remain anonymous
L2000 Local Independent Charities AdministrativeFee1.8% $$$
Total pledges to Federation and Federation Affiliates $A800 Asian Pacific Fund Administrative Fee 9% $
$$
Total pledges to Federation and Federation Affiliates $100 Bay Area Black United Fund Administrative Fee 14% $
$$
Total pledges to Federation and Federation Affiliates $
999 Community Health Charities Administrative Fee5% $$$
Total pledges to Federation and Federation Affiliates $
A-001 EarthShare California Administrative Fee 14.3% $$$
Total pledges to Federation and Federation Affiliates $
10187 Global Impact Administrative Fee 11.64% $$$
Total pledges to Federation and Federation Affiliates $
United Way Bay Area Administrative Fee 15% $$$
Total pledges to Federation and Federation Affiliates $Donor Choice Plan: See Pledge Form Guidelines (5C) on the back of this formbefore completing this section.To designate to an agency not listed, please enter your choice and provide address in this section. The agency must be a qualified tax-exempt organization.
Agency
Address
City/State Zip Phone
$ $Tax ID# .
Address
City/State Zip Phone Grand Total AnnualYELLOW
No goods or services are provided in consideration of the contribution(s) pledged on this form. RETAINPINK COPY OF THIS FORM FOR TAXPURPOSES
Code Agency Name Annual Gift
$
$
$
$
$
$
$
$
NOCASH
ACCEPTEDNO
CASHACCEPTED
NOCASH
ACCEPTED
0.000.00
0.00
0.00
0.000.00
0.000.00
0.000.00
0.000.00
0.000.00
0.000.00
0.000.00
0.00
0.00
0.00
0.00
YOUR DEPARTMENT