Chip-in for Charity

Please complete the form below and click 'Submit' when you are done.

Before applying, please review the requirements below to ensure program eligibility.

Eligible organizations include the following:

Nonprofit organizations with 501(c)(3) tax-exempt status
Government entities, including law enforcement and fire departments
Educational institutions (K-12 public, private, charter schools, and colleges and universities)

To be considered for funding, an organization must:

Operate and serve citizens in at least one of the following Northeast Florida counties - Baker, Clay, Duval, Nassau, and/or St. Johns
Practice and provide services without discrimination as protected by law
Have a non-profit, tax exempt classification under section 501(c)(3) of the Internal Revenue Code

To confirm eligilibity, we will check:

Current solication status in Florida
Non-profit status
Status as an organization doing business in Florida

You will be asked to provide:

An IRS Determination Letter
A 2024, 2025, or 2026 Form 990 (or demonstrate exempt status)
A 2025 or 2026 W9
State Good Standing Certificate/Screenshot of Active Status
Evidence of eligibility to solicit charitable funds in the state

IMPORTANT NOTES:

Please complete the form and upload all required documents. Failure to do so may result in the application being declined.
You will not be able to save or submit a partial entry, so please be prepared to complete the application in its entirety before submitting.
Please ensure that your organization can accept electronic payments (ACH transfer/direct deposit) as any funds dispersed by the PGA Tour will be sent electronically.
If you want multiple codes for groups within your organization, please upload a list at the bottom of the application.
If you have questions or issues uploading information, contact Marjie Dennis at MarjorieDennis@pgatourhq.com.

Contact Information

Name

Phone

Organization Information

Name of Organization

Federal Tax ID (EIN)

Street Address

City

State

ZIP Code

Brief Organization Overview

Please select all counties served by your organization:

Please select all your organization's areas of service:

Bank Information

Please check this box to confirm that your organization can accept ACH payments (your organization must accept ACH payments to participate).

Please select one of the following:

I do not need to update the bank information for my organization

I need to update or add bank information for my organization

Required Documents

Please Upload:

IRS Determination Letter (Click here to see a sample IRS Determination Letter; the tax exemption form will not be accepted)

Completed and signed 2024, 2025, or 2026 Form 990 (first page only)

Completed 2025 or 2026 W9 (first page only)

State Good Standing Certificate/Screenshot of Active Status

Evidence of eligibility to solicit charitable funds in the state (this document can be found here: Check-A-Charity)

If you want a code for multiple groups within your organization, provide a Word, PDF or Excel document with the team names

To upload a file, click Choose File, select a file from you computer, click Open, wait for file name to appear in line below, then select Upload File. The file name should then appear in the Uploaded Files list below. Repeat until all required documents are uploaded.

Upload Documentation

Uploaded Files:

By registering for the Chip-in for Charity program, your organization agrees to receive communications from the tournament team related to your participation. These communications are essential to the administration and success of the program and include, but are not limited to:

Weekly updates on fundraising totals
Program announcements and updates
Important deadlines and logistical information

Participation in Chip-in for Charity requires acceptance of these communications. By completing registration, your organization acknowledges and agrees to this requirement.

Signature

Date

(*) indicates required field

Status:

Date of Decision: