The 2022 State Employee Charitable Campaign Application will be available soon, and due on 2022 Date TBA. Typically, a hard copy submission is required, along with a digital copy on a USB drive, but those restrictions have changed in light of the impact of COVID. So, for 2021 only, applicants can submit digitally via the form below, and forgo the hard copy. It is the responsibility of each applicant to confirm our receipt of your application. Please email lwhite@uwgalv.org following your submission to confirm receipt (because sometimes technology can fail) and we will let you know that it has been received. If you have any questions, call (409) 762-4357.

Here are the Application Files

• Application Form
• Instructions
• Attachment E

SECC Applications and attachments must be submitted all at once. Once you have submitted your application, email lwhite@uwgalv.org to confirm receipt of entire SECC Application.

* indicates required field

Agency/Organization Name*

Agency Phone Number*

Agency Website*

Name:*

Email:*

Signed Application*

Acceptable file types: pdf,png,jpg,jpeg.
Maximum file size: 5MB.

Attachment A: Texas Certificate of Authority or Articles of Incorporation*

Submit a letter indicating that applicant organization is organized for charitable purposes under the Texas Non-Profit Corporation Law, as covered by applicable sections of Texas Business Organizations Code, Chs. 1, 20, and 22, and Title I or the certificate of authority issued under that law. Tex. Gov’t Code Ann. Section 659.131(2)(A).

Attachment B: IRS Determination Letter*

Submit a copy of the Internal Revenue Service (IRS) determination letter indicating that applicant organization or affiliate is exempt from taxation under Section 501(a) of the United States Internal Revenue Code as an organization described in Section 501(c)(3) of that Code and to which contributions are deductible for income tax purposes under Section 170 of that Code. Tex. Gov’t Code Ann. Section 659.131(2)(B).

Attachment C: IRS Form 990*

ubmit a signed copy of the IRS Form 990 less than 18 months old. Since private foundations are not eligible for participation in the SECC, Tex. Gov’t Code Ann. Section 659.131(2)(E), the Form 990 PF is not acceptable. If the Form 990 EZ is filed, please fill out the pro forma pages of the standard Form 990 and attach them to the filed form. Tex. Gov’t Code Ann. Section 659.146(a)(2)(A). (See 34 TAC § 329.1). The IRS Form 990 and audit or accountant’s review must cover the same fiscal year. The IRS Form 990 must be no older than 18 months (dated June 30, 2016 or later).

Attachment D: CPA Audit or Review*

If applicant organization’s or affiliate’s annual budget does not exceed $250,000, attach an accountant’s review offering full and open disclosure of the organization’s internal operations, Tex. Gov’t Code Ann. Section 659.146(a)(2)(A), If applicant organization’s or affiliate’s annual budget exceeds $250,000, attach an independent audit of applicant organization completed by a certified public accountant in the immediately preceding year and conducted in accordance with generally accepted auditing standards (GAAS) of the American Institute of Certified Public Accountants, Tex. Gov’t Code Ann. Section 659.146(a)(2)(B). The audit or accountant’s review must cover the same fiscal year as the IRS Form 990.

Attachment E: Fiscal Agent letter*

Submit a letter from from your organization that states that United Way of Galveston serves as the affiliate’s representative and fiscal agent in the state employee charitable campaign. 34 Tex. Admin. Code Section 5.48(h)(2)(B) (Tex. Compt. of Public Accounts).

25-Word Description*

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