DIRECTORS' MATCHING GIFT PROGRAM
CSX Corporation Directors' Matching Gift Program ("Program") reflects CSX's
commitment to the communities in which the Company and its subsidiaries operate.
As part of its program of corporate philanthropy, the Company contributes
through the Program to education, civic, cultural, and health and human service
programs.
FOR CURRENT DIRECTORS OF THE COMPANY
CSX will match Director contributions from a minimum of $25 to an aggregate
maximum of $25,000 annually to civic, cultural, educational, and health and
human services institutions on a two-for-one basis subject to certain
restrictions. The contributions to be matched must be personal gifts from the
Director's own funds, paid in cash or securities. Pledges do not qualify for
matches.
The Program is available to all active Directors of the Company.
Individuals who have retired from service as Directors of the Company may
participate in this program through the sixth anniversary of their retirement.
Gifts by participants may be made jointly with their spouses.
ELIGIBLE ORGANIZATIONS
Gifts are eligible for match only if they fall within the guidelines for
CSX Corporation's charitable contributions.
To be eligible to receive a match, an organization or institution must
qualify as exempt from taxation pursuant to Section 501(c)(3) of the Internal
Revenue Code.
Certain restrictions apply to organizations which qualify for the matching
gifts. The following do not fall within the CSX Corporation guidelines for
charitable contributions:
[X] Gifts to organizations which discriminate in violation of the law in
provision of benefits on the basis of race, religion, national origin,
gender, or physical disability.
[X] Gifts to schools below college level.
[X] Gifts to educational institutions principally for the support of sports and
other non-academic activities.
[X] Gifts to organizations whose principal purpose is sectarian in nature or
whose beneficiaries are determined on sectarian considerations.
[X] Political contributions of any nature.
[X] Activities forbidden by law.
CSX Corporation reserves the right to determine whether gifts to
organizations fall within guidelines for CSX Corporation's charitable
contributions.
PROGRAM ADMINISTRATION
The Program is administered by the CSX Corporation Corporate Secretary and
the Board of Directors of CSX Corporation and may be suspended, revoked,
terminated or amended at any time. Determination of eligibility of any
organization or institution to receive matching funds under this program will be
made by CSX Corporation under authority of the Board of Directors.
Questions as to interpretation, application, administration or other
aspects of the program, including eligibility, should be addressed to:
Corporate Secretary
CSX Corporation
500 Water Street - J160
Jacksonville, FL 32202
(904) 366-4243 (904) 366-4248 fax
INSTRUCTIONS
[X] Part A of the Application in this folder should be completed by the
Director and the entire folder should accompany the Director's gift to an
eligible organization or institution.
[X] The qualifying organization or institution, upon receipt of the gift and
this folder, should complete Part B of the Application and return the
entire original folder to the Administrator of Corporate Contributions at
the address below.
[X] Upon request, the beneficiary organization or institution will provide
evidence of its tax exempt status under Section 501(c)(3) of the Internal
Revenue Code.
[X] All applications for matching gifts received during any calendar year will
be paid when administratively convenient but not less than semi-annually.
[X] Additional Matching Gift forms may be secured from the Administrator of
Corporate Contributions. Requests for information and all correspondence
relating to the Directors' Matching Gift Program should be addressed to:
Administrator of Corporate Contributions
CSX Corporation
500 Water Street - J420
Jacksonville, FL 32202
Part A - Director's Section
(To be completed by Director, who is to send this entire brochure, together with
gift, to educational institution.)
Date______________
Enclosed is my personal donation of $___________ to_________________________________________
Name of Educational Institution
____________________________________________________________________________________________
Address of Educational Institution
I hereby authorize the institution named above to report this gift to the
Administrator-Corporate Contributions of CSX Corporation, for the purpose of qualifying
for a contribution in accordance with the provisions of the Company's Matching Gift Program.
Name __________________________________ Social Security No. _______________________________
Street Address ________________________ City ____________ State __________ Zip ____________
Director's Signature______________________________________
Part B - Beneficiary's Section
(To be completed by an appropriate financial officer of the educational
institution, and returned to Administrator-Corporate Contributions; CSX
Corporation, 500 Water Street - J420, Jacksonville, FL 32202.)
I hereby certify that a donation of $___________ was received on ____________________, 20__.
from ______________________________________________________ in favor of this institution;
Name of Employee Donor
And I further certify that this institution meets all the requirements for
eligibility as set forth in CSX Corporation's Matching Gift Program.
Contributions to the beneficiary institution shown are tax deductible by CSX
Corporation pursuant to Section 501(c)(3) of the Internal Revenue Code, and that
the beneficiary institution will provide evidence of this status upon request.
_____________________________________________ _____________________________________________
Name of Educational Institution Signature
_____________________________________________ _____________________________________________
Address of Educational Institution Name (print or type in full)
_____________________________________________ Title _______________________________________
_____________________________________________ Date ________________________________________
CSX
Corporation
Directors'
Matching Gift
Program