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: Cassandra Kotek
1240 8th Avenue
Marion, Iowa 52302
cassandrakotek@fsbmail.net
319-377-4891

As a locally owned community bank, FSB 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.

* Required Fields

*Name of Organization:
*Organization's Mailing Address:
*Contact Name:
*Contact E-Mail:
*Is your organization a 501(c)3?
*If so, please provide your 501c3 Status. If not, please provide your Tax ID.
Does this request provide housing support, financial literacy, job creation and/or economic stability? If yes, please explain.
Your Organization's Mission:
*Amount Requested:
Does your organization have income guidelines under which individuals can qualify for any of your services or programs? If so, please describe those guidelines:
Please describe your relationships with FSB if applicable:
*Date Needed:		*Date:

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