Humboldt State Athletics

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Humboldt State Athletics Donation Form - Tax ID #94-6077724

2013: Rick Barry

2011: Dwight Clark

29th Annual Celebrity Dinner & Sports Auction Sat., March 29, 2014, at HSU’s Kate Buchanan Room A Benefit for Intercollegiate Athletics Scholarships Featured Guest: TBA; Honoring Don and Carolyn Johnson

Business_____________________________________________________ Contact Name (please print)______________________________________ Donor’s Signature______________________________________________ Address______________________________________________________ 2009: Jim Harbaugh

2005: Misty May

City/State/Zip__________________________________________________ Business Phone________________________________________________ E-mail Address__________________________________________________ Description of Donation__________________________________________ _____________________________________________________________

2001: Joe Frazier

1989: Steve Young

Humboldt State Athletics Auction Historical Look Total Dollars Raised

2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986

$184,383 Rick Barry $224,222 Tom Rathman $208,369 Dwight Clark $200,000 Roger Craig $168,126 Jim Harbaugh $217,099 AC Green $244,741 Paul Hornung $217,549 Todd Christensen $211,325 Misty May $215,350 Jeff Fisher $180,555 Michael Cooper $136,268 Jim Otto $75,150 Joe Frazier $90,521 Terrell Owens $97,104 Dave Casper $113,270 Brent Jones $102,817 Ronnie Lott $112,396 Joe Theissman $94,765 Dan Fouts $107,950 Dusty Baker $125,390 Steve Young $110,615 George Blanda $98,817 George Seifert $97,859 Bill Walsh $86,510 Steve Young $59,805 Jim Plunkett $33,975 Todd Christensen $9,449 Joe Kapp Total: $3.83 million These totals are official estimates.

_____________________________________________________________ Donor Stated Value $

Consult your tax preparer on tax deductibility of in-kind donations.

If you wish this form to serve as a gift certificate, please list restrictions for the gift certificate _______________________________ _________________________________________________________________ _________________________________________________Expires _______ Item needs to be picked up.

Use this form as a gift certificate. Gift Certificate enclosed (provided by donor) Item is being sent under separate cover. Other Return this form to:

Associate Athletic Director Intercollegiate Athletics Humboldt State University Arcata, CA 95521 Humboldt State University is a scholarship, Division II member of the National Collegiate Athletic Association (NCAA).

Contact Information: Phone 707-826-5959; Fax 707-826-5446 Top Two Copies - return to HSU Athletics; Bottom Copy - retain for your records. For HSU use only: Date received University Advancement A Office of President A

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Date entered

Thank you for your generous support of Humboldt State intercollegiate athletics!