Matching Gift and Community Connection Program - Lubrizol 2026

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The document outlines the Matching Gift Program of The Lubrizol Foundation, established to promote employee philanthropy by matching donations made by current employees and eligible retirees to qualifying nonprofit organizations. It details eligibility criteria, contribution limits, application procedures, and restrictions on matching gifts. Employees can have up to five gifts matched per year, with a maximum of $5,000 for employees and $2,500 for retirees. The program excludes certain types of organizations and contributions.

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Click ‘Get Form’ to open it in the editor.
In Section A, select whether you are an Employee or Retiree and fill in your HR Employee number or Department number as applicable.
Provide your name, address, and the date of your gift. Enter the amount of your gift and if applicable, details about securities including company name and market value.
Certify that your gift meets the program's terms by signing and dating the form. Ensure all fields are completed accurately to avoid processing delays.
For Section B, ensure that the charitable organization fills in their details, including IRS Tax Exemption number and acknowledges receipt of the gift with an authorized signature.
Submit the completed form along with any required receipts to The Lubrizol Foundation via mail, fax, or email as specified.

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