Illinois Invest in Kids Donor Taxpayer Information Form

Illinois Invest in Kids Act

Taxpayer Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Contribution Authorization Certificate Number*
Designation Authorizations
The Invest in Kids Act allows contributions made by individual donors to be directed to a particular school or subset of schools. Please indicate which school (or subset of schools) that you would like to donate to; if you would prefer to have your funds undesignated, simply leave the space blank.
Designation 1: I want to donate to the following school(s):
If an unused balance remains at the designated school, CATC will use the remaining balance to provide scholarships for eligible students at other schools. Please indicate which school(s) you would like to donate to if a balance remains; if you would prefer CATC to choose the alternative school, simply leave the space blank.
Designation 2: If there is an unused balance at Designation 1, I would like the remainder to go to the following school(s):
- I authorize CATC to share my donation information with the designee(s) that I selected.
Contribution Authorization Certificate*
Please upload your Illinois Department of Revenue Contribution Authorization Certificate.

Children at the Crossroads Foundation