FSB Donation Guidelines and Form

All requests made of FSB must be in writing and are subject to approval by the FSB Donations Committee which meets monthly. Please return this completed form to:

Farmers State Bank
Attn: Lynn Ciha
1240 8th Avenue, Marion IA 52302
lynnciha@fsbmail.net 319-730-6893

As a locally owned community bank, Farmers State Bank takes pride in financially supporting a wide variety of charitable organizations. More than 70% of our charitable contributions are given to organizations that operate under the 501(c)(3) section of the Internal Revenue Code.

FSB primarily considers donation requests pertaining to education, health care and quality of life initiatives. We will consider event sponsorships that include non-compete agreements with significant consideration as being the only financial institution sponsoring an event or cause.

Please be sure to include all pertinent information about your request including:

  • Organization’s name and whether it has a 501(c)(3) designation.
  • Donation amount requested and date needed.
  • Complete address information including personal contact name.
  • How the donation will be used to improve/enhance the quality of life or education of the recipients.
  • What type of recognition, if any, FSB will receive as a result of its donation.

While we view charitable giving as a responsibility, regrettably, we are unable to accept or respond favorably to donation requests that do not align with our mission. These include, but are not limited to:

  • Individuals.
  • Private foundations.
  • Gift baskets for silent auctions, fundraisers, etc.
  • Product or premium raffles.
  • Sports programs.
  • Political, religious, fraternal, athletic, or law enforcement organizations.
  • Organizations whose activities extend beyond our immediate 6-county area.
  • Organizations who serve a limited number of clients.
  • Non-client centered overhead expenses.

* Required Fields

*Name of Organization:
*Contact Name:
*Contact Phone:
*Contact E-Mail:
Please describe your relationships with FSB if applicable:
*Donation Amount Requested: (please be as specific as possible)
*Response Deadline:
*Purpose of Donation:
Your Organization’s Mission:
If your organization’s service primarily benefits low and/or moderate income individuals, please describe how:
Does your organization have income guidelines under which individuals can qualify for any of your services or programs? If so, please describe those guidelines:
*Contact Signature: *Date:

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