Instruction booklet - Alabama Department of Revenue - Alabama.gov

Donation of Refund
You may elect to donate all or
part of your refund to one or
more funds shown on this page.
See Form 40A, Page 2, Part IV
HELP SAVE ALABAMA’S WILDLIFE
See Page 2, Part IV, Line 1c of Form 40A to donate to
the Alabama Nongame Wildlife Fund. Your donation
will help bring back bluebirds, eagles, ospreys, and
many other nongame wildlife species in Alabama.
With a $5 donation we can raise $20 for wildlife
restoration and management. The Nongame Wildlife
Fund does not receive state tax dollars. For information
write or call the Nongame Wildlife
Coordinator, Game and Fish Division,
64 North Union Street, Montgomery, AL
36130. Telephone 334 / 242-3469.
“Listen to the Drum”
Your contribution will assure
an Indian child’s future.
Donate all or part of your
refund to the —
Alabama Department of Senior Services
Your generous donation of all or part of your refund to
the ALABAMA SENIOR SERVICES TRUST FUND will
provide additional services to older Alabamians.
Form 40A, Page 2, Part IV, Line 1a, or contribute directly to:
Alabama Department of Senior Services
RSA Plaza, 770 Washington Ave. Suite 470
Montgomery, AL 36130 Telephone: (334) 242-5743
See Form 40A,
Page 2, Part IV, Line 1d
(SEE FORM 40A, PAGE 2, PART IV, LINE 1b)
Alabama’s Disabled Veterans
Need Your Support
“FREEDOM IS NOT FREE”
Your generous contributions allow the
most affordable and efficient skilled
nursing care for our disabled veterans
in our state veterans homes. You may
elect to donate all or part of your refund as an expression of your
appreciation for the sacrifices these proud men and women have
made on our behalf. Direct donation can be made to: Veterans Home
Trust Fund, P.O. Box 1509, Montgomery, AL 36102.
See Form 40A, Page 2, Part IV, Line 1e for
Alabama Veterans Home Program
Alabama Foster Care Trust Fund
Helping Alabama’s Foster Children
Alabama Indian Children’s
Scholarship Fund
Form 40A, Page 2, Part IV, Line 1f
Alabama Indian Affairs Commission
(334) 242-2831
MENTAL ILLNESS
is a very cruel disease.
Your donation will be
used by volunteers to advocate
for good care and treatment of
those so affected. (800) 626-4199
NAMI Alabama
Alabama’s Voice on Mental Illness
See Form 40A, Page 2, Part IV, Line 1i
Alabama 4-H: For Today and Tomorrow
4-H is Alabama’s largest youth development organization.
4-H reaches nearly 180,000 youngsters – rural and urban and
all ethnic groups. Kids explore space, the environment, family
issues, agriculture, healthy lifestyle, and communications,
while learning the values of leadership and citizenship.
4H does not charge membership fees. All donations support
youth programs. For information, call 334/844-2247.
See Form 40A, Page 2, Part IV, Line 1l
Your contribution will help the University of South Alabama Mitchell
Cancer Institute improve cancer survival rates for patients in the Gulf
Coast region through prevention, diagnosis, treatment, research, discovery
and development. The Institute works closely with regional hospitals
and physicians, so patients have access to the latest cancer
technologies without leaving the area. The USAMCI also focuses on
research to accelerate the translation of new knowledge into novel therapies
and diagnostic tools. See Form 40A, Page 2, Part IV, Line 1o.
University of South Alabama – Mobile AL 36688-0002
1 (251) 460-6993
Appointments: (251) 665-8000 (800) 330-8538
For questions or comments Contact Us
http://www.southalabama.edu/mci/aboutus.html
Neighbors Helping Neighbors Fund
“Weatherizing Homes for Energy Efficient Living”
YOUR CONTRIBUTIONS
HELP WEATHERIZE HOMES FOR:
PERSONS 60 YEARS & OLDER
FAMILIES WITH CHILDREN
DISABLED PERSONS
FOR MORE INFORMATION PLEASE CALL NEIGHBORS HELPING
NEIGHBORS FUND (334) 242-5368. Direct contributions should be made
to The Department of Economic and Community Affairs, P.O. Box 5690,
Montgomery, AL 36103-5690.
Please see Form 40A, Page 2, Part IV, Line 1j
Organ Donation.
Giving Life a Second Chance.
For more information, visit
www.legacyalabama.org
Alabama
Alternative Fuels Fund
Your donation will be used to promote,
develop and raise awareness about
alternative fuels.
For more information visit
www.agi.alabama.gov/alternative_fuels
See Form 40A, Page 2, Part IV, Line 1p
Contributions provide educational, athletic, artistic, and special occasion opportunities
to children in the custody of the Alabama Department of Human Resources.
Direct contributions may be made to the Department of Human Resources, 50
Ripley St., Montgomery, AL 36130. For information, call (334) 242-9500.
Alabama Breast and Cervical Cancer
Research Program at the
University of Alabama at Birmingham
Comprehensive Cancer Center
COMPREHENSIVE
CANCER CENTER
The Cancer Center is a nationally funded leader in breast and
cervical research providing cutting edge clinical care to the
people of Alabama. Your donation will help in the fight against
breast and cervical cancer. See Page 2, Part IV, Line 1k.
Direct contributions may be made to the
UAB Comprehensive Cancer Center, LNB 1001,
1530 3rd Ave. S., Birmingham, AL 35294-0001.
For more information, call (205) 934-0282.
Alabama National
Guard Foundation Inc.
Form 40A, Page 2, Part IV, Line 1n
The Foundation actively seeks opportunities to aid or assist our Alabama
National Guard members during times of hardship because of
non-funded needs. The fund will assist with needs for dependents left
behind for those guardsmen killed in action or those who die in noncombat
status while on active duty.
For more information, visit www.alguardhelp.org
Alabama National Guard Foundation, Inc.
1720 Congressman W. L. Dickinson Drive
Montgomery, AL 36109
Phone: (334) 271-8192
Alabama Military
Support Foundation
Your donation will be used to
promote better relations between
employers and National Guard/
Reserve members.
See Form 40A, Page 2, Part IV, Line 1q