6 8Green – for POs | Yellow – for UAs | Red – For All | Blue – for PO Office Only
Read second page for instructions

FUNDRAISER REQUEST FORM (FRF)
TO: 18 FSS/FSR
Kadena AB, Japan

312OFFICIAL PO NAME FROM CONSTITUTION (it is not your unit or squadron name) OR UA NAME:

FROM: (NAME | PHONE NUMBERS | EMAIL)

4

DATE:

ADDITIONAL POC (NAME | PHONE NUMBER | EMAIL)

NOTICE: I request authorization to hold fundraising event detailed below. If approved, I further expressly agree to indemnify and hold the United States of Americaharmless from and against any and all claims, loss, and liability, however caused, arising out of, or in any way connected with this event, whether or not caused orcontributed to by any negligence or alleged misconduct on the part of any employee of the United States or member of the United States Armed Forces. I understandshould an incident occur, the individual members of the requesting organization, rather than the Air Force, would be liable.

5If UA – If you are not a PO with KAB, then you are a UA (Unit Commander or POC incharge of funds received from fundraiser) NAME | PHONE NUMBER | EMAIL:(For PO Office use only)

POUA

Q1 Q2 Q3 Q4#1 #2 #3

OTHER

Base-Wide Event: YES

Signature:NO

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6 NAME OF EVENT:YES NO (Check YES or NO)

7 WHEN (dates(s) and time(s)):

1. The requesting organization isprimarily made up of SOFA statusindividuals.

8 WHAT (what are you selling with price(s):2. The location of this event is consideredaway from the workplace.
3. This fundraiser involves conducting
games of chance, lotteries, raﬄes, orother gambling-type activities. (If yes,see instruction 10)
4. This fundraiser involves handlingor preparation food/beverages. (If yes,see instruction 3) (If bake sale, chooseNO)

9 WHERE (location of fundraiser):
10 WHY (what the proﬁts will be going to – BE SPECIFIC):

13 FOR PRIVATE ORGANIZATIONS ONLY:
5. Service members will be oﬀ duty while
performing activities.

understand, have initialed, and agree to instructions on page 2. I agree to not advertise or conduct
11 Ifundraiser
until FRF is approved by 18 FSS and I have received an approved copy:

FOR OFFICE USE ONLY

6. Are your constitution/bylaws current andon ﬁle? (If no, see 18 FSS/FSR PO).
7. Is your insurance coverage or waivercurrent and on ﬁle? (If no, see 18
FSS/FSRPO).

PO MONITOR HAS APPROVED ATTACHED FLYER:

DO NOT SIGNCOORDINATION: POC for each block will digitally sign OR print name, signature, and date. Once completed, email to PO Monitor(Instructions on next page)
Water Use, bldg 3621
16 Fire Prevention, bldg 739

14Event Location (signature)

1518

Public Health, Kadena Clinic

19 Anti-Terrorism, bldg. 705, rm 219 20

Security Forces, bldg. 705

17 Occupational Safety, bldg 908

21 Marketing, bldg. 88 | 634-5078

SKIP TO PAGE 2 (FOR OFFICIAL USE ONLY) Once received by PO Monitor for signatures below, the process may take up to 21 days for approval.
PO Monitor

18 WG/JA

18 FSS/FSR/FSRD

APPROVEDDENIED

INSTRUCTION S Please read before initialing each numbered line
Appropriate coordination and approval are required on all fundraising requests. Please ensure the proper agencies have reviewed your request and this form
is kept on hand during the entire fundraiser.
COORDINATION Routing Instructions (digital signatures are preferred. if routing via email, please send to all email addresses listed for that signature block):a.
EVENT LOCATION: signature of POC for the location you will be conducting fundraiser. DO NOT ENTER THE NAME OF THE EVENT LOCATION. That is already listed inthe WHERE section of the FRF. This is for a signature. If you need contact info for your event location, please see COORDINATION Fundraiser Contacts.
b.
Water Use: signed if conducting a car wash.
Contact info: 634-2600 | 718ces.cean@us.af.mil | dacia.westerland@us.af.mil | emily.creighton.1@us.af.mil
Fire Prevention: signed if grilling, open flames, using oil or deep fryer, or conducting FR inside a building or in a confined space (exclusive of the BX & gyms).
c.
Contact info: 634-4500 | 18CES.KadenaFirePrention@us.af.mil | christopher.spinks@us.af.mil
Occupational Safety: signed if using extension or electrical cords or crock pots.
d.
Contact Info: 634-7233 | 18wg.SegGroundSafety@us.af.mil
e. Public Health: signed if handling food or drinks. BAKE SALES DO NOT NEED TO GO THROUGH PUBLIC HEALTH.
Contact info: 630-1994 | USAF.Kadena.18-MDG.mbx.18-OMRS-public-health@health.mil
f. Anti-Terrorism: sign if 300 + participantsg. Security Forces: sign if 300 + participants and are utilizing road or conducting runs.
Contact info: 634-3213 pj.gordon@us.af.mil | 634-2475 daniel.nwaobi@us.af.mil

1h.

Marketing: signed if a PO is utilizing a ﬂyer or any advertising. PO MONITOR MUST SIGN PRIOR TO ROUTING TO MARKETING.
Contact info: 634-5078 | 18FSS.FSK.Marketing@us.af.mil (please insert “Action- Review Fundraiser Request“ in email subject line)

AFTER ALL SIGNATURES FOR COORDINATION ARE RECEIVED, EMAIL TO PO MONITOR: SHAY.AMBURN@US.AF.MIL
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All fundraising activities on KAB must be coordinated through 18 FSS/DD or delegate. Fundraising is governed by AFI 34-223, OI 34-223-1, AFI 36-3101 andDoD 5500.7-R which should be reviewed in addition to these instructions.

3

Any fundraiser involving the sale or preparation of food/beverages must comply with AFI 48-116, Food Safety Program, and be coordinated with the KAB
Public Health Oﬃce (located at the Kadena Hospital). Hand sanitizer must be available on site during the event.

4Fundraiser requests must be submitted 21 days in advance of the event. PO’s must be compliant in order to conduct a fundraiser. Please verify that meeting
minutes, income and expenses, and bank statements have been submitted through previous quarter. CBLs, officer roster, and insurance or waiver must be current,and revalidation must be in process.

5POs and UAs are limited to a maximum of three (3) fundraisers per calendar quarter.

6The 18 WG/CC determines which areas of KAB are not workplaces. The AFI provides examples of what are considered “workplaces” (oﬃces, hangars, ﬂightline) and what are not considered “workplaces” (base quarters, entrances, lobbies or concourses of buildings, schools, chapels, break rooms).

7POs and UAs must comply with all applicable federal, state, local, and foreign laws governing like civilian activities. It is the responsibility of the PO or UAto obtain proper tax-exempt information and forms through the regional Internal Revenue Service oﬃce and the state taxing authority.

8A fundraiser may not consist of frequent/continuous resale activities and is prohibited from engaging in any conduct that has the eﬀect of advertising for,making referrals to, or encouraging the use of any commercial business, or compete with AAFES, FSS or NAFI activities.

9Only during the CFC time frame are you able to donate to the CFC nationally recognized charities. All other funds wishing to be donated to such charities willcommence at the start of next year’s CFC. Donations given outside of the designated time frame for the CFC are not permitted. The list of all CFC recognized charities
can be found at http://cfcnca.org/charities.s.

10Fundraising raﬄes may be conducted on an Air Force installation by those Private Organizations that are composed primarily of Department of Defense
personnel or their family members (T-1). Such raﬄes provide a means of extending needed services or other assistance to members of the Department of Defense
family, but failure to strictly follow the provisions as provided in AFI 34-223 10.20.1 – 10.20.7 could result in the raﬄes violating JER Section 2-302. If conducting araffle, consult with the legal department for Japanese laws prior to submitting the FRF to the PO Monitor. Unit unoﬃcial activities are not authorized to conduct
raﬄes.

11Oﬃcial communication systems should not be used to advertise PO fundraisers and membership events unless the primary purpose of the communication
is for other than support of the POs eﬀorts, but rather to notify unit Airmen of a local event of possible interest (e.g., lunchtime sale of food in a public area adjacentto the unit’s geographic footprint). (T-2)

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Private organizations will not sell or serve alcoholic beverages on Air Force installations (T-1). EXCEPTION: See AFI 34-223.10.14 – 10.14.1.A

13Flyer must be page 3 of FRF. You must add a digital signature block to your flyer for Marketing’s signature. Advertising may not occur until the fundraiser isapproved by the reviewing commander. A copy of the advertisement must be included in the fundraiser packet for approval prior to dissemination. Advertisement
shall not contain any official names belonging to the AF (such as unit names, oﬃce symbols, and ranks). The facility manager is required to approve any advertisement
prior to posting a ﬂyer in a building on Kadena Air Base. POs must prominently display the following disclaimer on all print and electronic media mentioning the PO’sname conﬁrming that the PO is not part of the DoD: “THIS IS A PRIVATE ORGANIZATION. IT IS NOT A PART OF THE DEPARTMENT OF DEFENSE OR ANY OF ITSCOMPONENTS AND IT HAS NO GOVERNMENTAL STATUS.”

14POs must not do anything that implies Federal endorsement of a fundraising event. All DoD members who participate in this event must understand that they
may only do so in their capacity as individuals. Civilian employees, like military members, are subject to the requirements of AFI 36-3101 and the Joint Ethics Regulation(JER).

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If an Unofficial Activity’s monthly average assets exceed $1,000 over a 3-month period, the activity/organization must become a PO, discontinue on-base
operations, or reduce its current assets below the $1,000 threshold. Unofficial unit activities may temporarily exceed the asset limit ($1,000) for a time period not toexceed six (6)-months if the substantial majority (more than 75%) of assets will be expended on an upcoming large unit event such as a holiday party, military ball,etc. (T-3).