SEP
11-13
2025

Record of Donations over $250

The IRS requires we send a tax letter to any donor who gives $250 or more to a rider. To comply with this requirement, fill out the below form for us to collect the information for you. If you have any questions, contact Jill Libert at 309-566-3506.

Your Information

Participant Name(Required)

First Last

Participant Email(Required)

Select Your Ride City(Required)

Donor Information

Donor Name(Required)

Company Name

Date of Donation(Required)

Donor's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Amount of Donation(Required)

Type of Donation?(Required)

Check

Cash

Online

Check Number(Required)

Donor's Phone

Phone

This field is for validation purposes and should be left unchanged.