Application. Contact Information: Mailing Address (Address, City, State, Zip) Activity Details

Transcription

1 Application Please complete application and submit to the Reliv Kalogris Foundation (RKF) for approval. Before considering a Network to Nourish event, remember that no costs or expenses will be reimbursed by the RKF. Events with low out of pocket costs have proven to work the best for Distributors. Contact Information: Distributor Name Distributor RCN Number Mailing Address (Address, City, State, Zip) Telephone Number Address Activity Details Sporting Event Auction/Silent Auction Party Tournament (golf, tennis, etc.) Holiday Celebration Dinner/Dance Other Location of Network to Nourish Event (including City, State) Approximate Date of Network to Nourish Event Brief Description of Network to Nourish Event: Additional Information How many participants do you expect? Benefits provided to participants (entertainment, food, drink, etc.):

2 Will more than one Distributor be participating in hosting the Network to Nourish event? If yes, please provide name(s) and RCN number(s): Promotional Information How will you promote the Network to Nourish event? (opportunity meetings, flyers, radio, TV & newspaper ads, internet/e-blasts, community organizations) Will the RKF DVD be shown at the Network to Nourish event? Whom will you solicit for donations? (potential new Distributors, friends, family, etc.) Approval for your Network to Nourish event will be mailed within one week of receipt of application. The RKF reserves the right to refuse funding from any unapproved event. On behalf of the RKF, thank you for considering the Foundation as the beneficiary of your philanthropic efforts. Should you have any additional questions, feel free to contact our office at Please return application to: Reliv Kalogris Foundation 136 Chesterfield Blvd. Chesterfield, MO Attn: Courtney Colombo facsimile ccolombo@relivinc.com - By submitting this application, you are agreeing to the guidelines as presented by the RKF. In addition, after the Network to Nourish event, you agree to provide feedback regarding the Network to Nourish event and its outcome. For the RKF Use Only Date Approved: Packet Mailed: Approved By: Date Mailed: 2

3 Informational Packet Together we can Nourish Our World.

4 Table of Contents Letter from Scott Montgomery Guidelines Procedure My Budget Worksheet Do s & Don ts...hints & Tips Who Can I Target? Image Policy RKF Fact Sheet Donation Tracking Spreadsheet Event Survey New Reliv Distributor Application Donation Form The RKF DVD with RKF Brochure

5 Letter Dear Reliv Distributor: From its founding, Relìv's core mission has been to Nourish Our World. Through the work of the Relìv Kalogris Foundation (RKF), Reliv International and its Independent Distributors have broadened that mission, bringing health and hope to thousands of people in need worldwide. The RKF works at a grassroots level, providing nutritional support to individuals who have been nominated by Relìv Distributors for assistance. The vast majority of recipients are families right here in the United States in the throes of financial difficulties who need help maintaining good health. A significant portion of the Foundation s donations also goes to support nutrition stations in impoverished areas around the world. As a Reliv Distributor, you are aware that the Fourth Pillar is the Mission and the heart of Reliv. The Foundation is pleased to present Network to Nourish as a tool to assist you in spreading the message of the Mission and the Reliv name. Our hope is to provide you with an avenue to use the passion you feel for the Foundation to make a difference in the world while building your business. Since 1995, the RKF has distributed more than $26 million in nutritional support. With over 270 nutrition programs and providing nutrition to over 42,000 people daily, the RKF serves as a strong testimony to the power of individuals collectively making a difference in lives. With Network to Nourish in place and your help, we can achieve even more! Sincerely, R. Scott Montgomery Chairman Relìv Kalogris Foundation

6 Guidelines Thank you for considering a Network to Nourish event on behalf of the Reliv Kalogris Foundation (RKF). In an effort to support the Four Pillars, the RKF is pleased to provide assistance in making the Mission become more visible in your Reliv business. The RKF is truly grateful for your support and asks that the following guidelines be followed as you plan your Network to Nourish event. These guidelines have been developed to make this process as efficient and straightforward as possible by spelling out both your obligations and those of the RKF. Here are some Network to Nourish event ideas to help you get started: Auction/Silent Auction Holiday Celebration Bake Sale Party Dinner/Dance Sporting Event Garage Sale Tournament (golf, tennis, etc.) NOTE: Due to gaming laws, raffles of any kind are not permitted. The RKF is unable to: Solicit sponsors for your Network to Nourish event. Share mailing lists of donors and vendors. Provide on-site staff or volunteer support at your Network to Nourish event. Provide public liability insurance coverage to volunteer-hosted Network to Nourish events. Network to Nourish Requirements: Applications must be submitted for consideration by the RKF. All costs like rental space and catering must be covered by the Distributors. Checks made payable to The Reliv Kalogris Foundation are the only accepted way for the Foundation to receive donations. Specific questions regarding receipting and/or tax deductions should be addressed by phone or to the RKF. Distributors will receive their donation tax letter at the end of the donation year with a lump sum total of all donations made that year. Non-distributors will receive tax letters immediately following the event from the RKF for donations of $25 or more if all contact information is provided. The RKF and all related entities are not liable for any injuries sustained by volunteers or participants related to an activity benefiting the RKF, and cannot assume any type of liability for your Network to Nourish event. NOTE: Reliv Distributors will not get credit toward their volume for any fundraising donations, but it will count as a tax deduction. Thank you. Reliv Kalogris Foundation

7 Procedure The following is the Reliv Kalogris Foundation s (RKF) internal procedure list on how Network to Nourish inquiries will be handled. The Distributor submits an application to the RKF with details of the planned Network to Nourish event. Once a request is submitted and approval is given by the RKF, the Distributor should download the complete Network to Nourish packet and review the Guidelines. This information is be located under the Network to Nourish tab, Raising Funds for the RKF section of the website ( Following the Network to Nourish Event: Within 10 days after the event takes place, the RKF will be sent the spreadsheet with donations logged, the donations, the End of Event Survey (with photos, if applicable) and any new Distributor forms obtained. NOTE: Please be sure to include RCN numbers on Distributor checks and contact information for non-distributor donations to ensure proper tax receipting (see the Donation Tracking sheet for further instruction).

8 My Budget Worksheet Budget Information Please use the following budget worksheet to assist you in your planning. This is provided as a guide to assure that the Network to Nourish event will be successful for the Reliv Kalogris Foundation (RKF). Note: The RKF will not be responsible for costs for any portion of the planned activity. All costs are the responsibility of the Distributor. Please remember to send all funds to the RKF within 10 days of the conclusion of the event. Please include details of your actual income and expenditures. Projected Revenue Projected Expenses Donations $ Entertainment $ Pledges $ Food and Beverage $ Registration Fees $ Photographer $ Sponsorship $ Printing Materials/ Ticket Sales $ Other supplies $ Other $ Total Projected Total Projected Revenue $ Expenses $ Total Revenue - Total Expenses = Net Donation to RKF NOTE: This worksheet does not need to be turned into the RKF.

9 Do s & Don ts...hints & Tips Please use these tips for your Network to Nourish efforts for the Reliv Kalogris Foundation (RKF). Do s & Don ts for Network to Nourish Events Do be sure that all funds are received in the form of check or money order made payable to the Reliv Kalogris Foundation. Distributor checks should note a RCN number. If a Distributor is writing a check for miscellaneous funds for an individual or from a group, do not include a RCN number. It will then be assumed no donation tax credit will be given unless check amount is allocated for on Donation Tracking Spreadsheet which is turned into the RKF. Don t underestimate or limit a potential donor s contribution. Any amount will make a difference. Do promote and be prepared to answer questions about the RKF and Reliv International during your event. Utilize the Fact Sheet enclosed in this packet or the marketing materials available on the RKF website. Do be passionate about the Mission of the Foundation. It will speak louder than words! Don t be afraid to ask - you never know who will feel your same passion. Hints & Tips for a Successful Network to Nourish Event Events where 100% of the proceeds are donated to the RKF are usually easier to organize and manage. If planning an event that will incur costs set a realistic budget (see My Budget Worksheet). At minimum, 75% of donations should go to the RKF, with costs at 25% or lower. The simpler, the better! All costs like rental space and catering must be covered by the Distributors. If you are selling tickets to an event that includes food, entertainment or other benefits, you must calculate the Fair Market Value and communicate this to your donors. Thank everyone who helped make your event a success the donors, the volunteers and the sponsors. After the event has occurred, keep talking about the RKF!

10 Who Can I Target? You never know unless you ask who will share your same desire and passion about the Reliv Kalogris Foundation (RKF). The key is to share your knowledge and passion about the Foundation with everyone you know. It's easy to think you don t know that many people... but when you really think about it, you do! Some Tips for Spreading the Word Use this as a way to reconnect and network with people that you haven't been in touch with for a while to let them also know about your Reliv business. Start gathering mailing lists such as a holiday card list or a wedding invite list. Say "hello" to your neighbors by sending a letter introducing yourself and asking for assistance with your efforts. Clean out your inbox. Inform contacts about your upcoming Network to Nourish event and how they can assist. Send a message to everyone who has sent you an in the last 30 days. s are much more effective (and less likely to be flagged as spam) if you send them individually rather than one mass to everyone on your list - and it s much more personal. Be sure to inform businesses owners that you frequent. Update your doctor, your dentist, your hairdresser, the manager of the local grocery store, the owners of your favorite restaurant about your upcoming event. Better yet, get them involved by requesting sponsorship. The most important thing to remember is that even if someone doesn't give, most people will be happy to hear about your efforts to help with the RKF and its Mission. You may even find yourself reconnecting with old friends or signing up a Reliv Distributor while you re at it!

11 Image Policy By participating in a Network to Nourish event, you acknowledge and agree that any image, picture, photograph, logo, video, etc. found on the Reliv Kalogris Foundation (RKF) website may be the subject of exclusive license agreements between the RKF and other third parties with no rights of transfer. The RKF strictly prohibits use of these materials unless otherwise approved by the RKF. You agree to indemnify the RKF against any liability for any such improper use of other material not included in the Relìv International Content Library. Any images and/or logos that may be used for marketing a Network to Nourish event can be found under the Doing Business section of the Reliv International website in the Content Library. As with Reliv International, Policy and Terms must be agreed upon before viewing and downloading the images and/or logos. If you have any questions regarding the policy, please contact the Foundation.

12 RKF Fact Sheet In an effort to maintain a consistent message when promoting and talking about the Reliv Kalogris Foundation (RKF), we ask that you use this fact sheet to assist you. Reliv established the Kalogris Foundation in 1995 as a non-profit, 501(c)(3) charitable organization in honor of the late Dr. Theodore Ted Kalogris who created the nutritional formula that would become Reliv Classic, the company s original product. Rather than simply giving money to a single cause, the RKF works at a grassroots level, providing nutritional support to individuals who have been nominated by Relìv Distributors for assistance. Since its founding, the RKF has distributed more than $26 million in nutritional support. The RKF provides full support of more than 270 nutritional programs in nine countries. To date, the RKF nourishes over 42,000 people internationally on a daily basis. In 2010, 92% of donations went directly to support program services - well above the 75% criteria established set by the American Institute of Philanthropy. Recipients are families right here in the United States in the throes of financial difficulties who need help maintaining good health. In addition, a significant portion of the RKF s donations goes to support nutrition stations in impoverished countries.

13 Donation Tracking Spreadsheet The Reliv Kalogris Foundation (RKF) appreciates your assistance with tracking donations for your Network to Nourish event. We would prefer receiving the enclosed Donation Tracking Spreadsheet electronically. If you are able to submit it electronically, you can request it and we will you a copy. Requests can be sent to Courtney Colombo (ccolombo@relivinc.com). Those who are unable to send electronically can mail the information. Although funds received from Distributors for a fundraising event will not be applied to their business volume, all donations are tax deductable. Distributors should reference their RCN number only on donations that entitle them to a tax deduction (i.e. Distributor made the donation). If a Distributor sends more than one check with their name and RCN number, it will be assumed they made more than one donation towards the event. If a Distributor is writing a check for miscellaneous funds for an individual or from a group, do not include a RCN number. It will then be assumed no donation tax credit will be given unless check amount is allocated for on Donation Tracking Spreadsheet which is turned into the RKF. Distributors will receive their donation tax letter at the end of the donation year with a lump sum total of all donations made that year. Non-distributors will receive tax letters immediately following the event from the RKF for donations of $25 or more if all contact information is provided. If you have a question or need clarification, please contact us prior to submitting your spreadsheets and funds to ensure proper tax receipts are sent.

14 Donation Tracking Spreadsheet RCN Number (if none, leave blank) First Name Last Name Street Address City State Zip Code Address Donation Amount Check Cash Please contact for electronic version of spreadsheet.

15 Event Survey We are anxious to hear about your Network to Nourish event. Please return this survey with your spreadsheet and donations in the enclosed envelope to the Reliv Kalogris Foundation (RKF). Please send your completed survey within 10 days of your Network to Nourish event to: Reliv Kalogris Foundation 136 Chesterfield Blvd. Chesterfield, MO Attn: Courtney Colombo facsimile ccolombo@relivinc.com - Distributor Name Distributor RCN Number Type of Event Hosted Location (including City, State) Event Date Approximately, how many participants attended? Will this become an annual event? Did more than one Distributor participate in hosting the event? If yes, please provide name(s) and RCN number(s): How did you promote your Network to Nourish event? Was it effective? What additional support would you have liked for your Network to Nourish event?

16 How did you use the Network to Nourish event to promote your Reliv Business? As a result, did anyone sign up to become a new Distributor for Reliv? If yes, please provide name(s) and RCN number(s): What other methods do you use to spread the Mission of the RKF? Do you normally promote your Reliv business using the RKF? Approximately, what was the out of pocket cost of your event? How much was raised for the RKF as a result of your event? Do you foresee participating in another Network to Nourish event? Are there any events that the RKF should consider as part of the approved list? Additional Comments: Thank you for your efforts. Together, we can Nourish Our World. 2

17 US DISTRIBUTOR APPLICATION THE ENTIRE APPLICATION MUST BE COMPLETED, SIGNED, DATED AND SENT IMMEDIATELY UPON COMPLETION TO: RELÌV INC., P.O. BOX 405, CHESTERFIELD, MO PHONE: FAX: , 7:00 a.m. 7:00 p.m. CST, Monday Friday, 8:00 a.m. 2:00 p.m. CST, Saturday APPLICANT INFORMATION This section is for those registering as business using a Federal Tax ID#. Please include the Supplement to Distributor Application with this application. Federal Tax ID # Business Name: Primary Applicant Have you ever been a Relìv Distributor before? Yes No SSN: Last Name First Name MI DOB Gender / / M F Co-Applicant Have you ever been a Relìv Distributor before? Yes No SSN: Last Name First Name MI DOB Gender / / M F Mailing Address Lot/Apt # City State Zip County Residential Outside City Limits? Business Yes No Phone Numbers Home: Work: Fax: Mobile: Shipping Address: (If different than mailing.) Physical address required, no PO Box. Address City State Zip County Residential Outside City Limits? Yes No Business All Fields Required Sponsor Name Sponsor RCN Sponsor Phone DISTRIBUTOR KIT PAYMENT INFORMATION Kit $ Packaging appropriate sales tax = Please send my Distributor kit and charge to credit card chosen below: Visa Card No.: Discover Signature (exactly as it appears on card) M/C X AMEX Cardholder s Billing Address: Exp. Date I have paid for and received my Distributor kit from my Sponsor NOTE: IF DISTRIBUTOR KIT IS NOT PURCHASED APPLICATION WILL NOT BE PROCESSED DISTRIBUTOR AGREEMENT 1. Upon acceptance of the foregoing application by RELÌV, Inc. ( RELÌV ), the undersigned (the Distributor ) shall become an independent Distributor for RELÌV and shall be authorized for the term of this Agreement to purchase RELÌV products and to promote and sell such products. Distributor agrees to utilize Distributor s best efforts to promote and sell RELÌV products in accordance with the terms of this Agreement. Distributor understands and agrees that the principal purpose of being a Distributor for RELÌV is the promotion and sale of RELÌV products. 2. RELÌV agrees that it will utilize its best efforts to supply to Distributor, upon receipt of payment, all of Distributor s requirements of RELÌV products. RELÌV shall have the right to change the prices for its products and at any time by giving notice to Distributor, and any such change shall be effective on the date specified. 3. This Agreement incorporates and is subject to all of the terms set forth in the RELÌV Policies and Procedures. RELÌV reserves the right to amend, modify, add to or delete any provision or term of the RELÌV Policies and Procedures and/or of any RELÌV publication upon written notice to Distributors at any time and such change shall become incorporated in this Agreement. The Distributor acknowledges that he or she has reviewed the RELÌV Policies and Procedures and understands the same and agrees to abide by the terms and conditions set forth therein. If Distributor has not received a Relìv Distributor Kit, then the Distributor acknowledges that the Policies and Procedures are and have been accessible to review either upon request from Relìv and/or can be viewed at Relìv s website. 4. The term of this Agreement shall be for a period of one year from the date of acceptance hereof by RELÌV, subject to the right of RELÌV to terminate this Agreement as provided herein. Distributor may renew this Agreement at the expiration of the initial term or any renewal term for a renewal term of one year by paying to RELÌV the annual renewal fee within the time provided by RELÌV for such renewal. RELÌV may terminate this Agreement and Distributor s status as a RELÌV Distributor, at its sole discretion, without cause, by giving 30 days written notice to Distributor. Distributor may terminate this Agreement and status as a RELÌV Distributor at any time upon notice to RELÌV. RELÌV may terminate this Agreement and Distributor s status as a RELÌV Distributor at any time for cause, as provided in the RELÌV Policies and Procedures. Upon the expiration or termination of this Agreement in accordance with the provisions hereof, all rights and obligations of Distributor and of RELÌV hereunder shall cease and terminate, except rights or obligations provided herein to survive expiration or termination of the Agreement, which rights and obligations shall survive any expiration or termination of the Agreement and shall continue to be binding upon the parties in accordance with their terms. 5. Distributor acknowledges and agrees that all information concerning RELÌV Distributors including, without limitation, names, addresses, telephone numbers, genealogies and other information relating to RELÌV Distributors, whether compiled or stated individually, (hereinafter Confidential Information ) was obtained by RELÌV at great effort and expense, is of great value to RELÌV and is maintained by RELÌV as confidential and trade secret information. Distributor further acknowledges and agrees that any Confidential Information received or obtained by Distributor, whether in the form of lists prepared by RELÌV or otherwise, is received by Distributor in confidence and on the condition and agreement that Distributor shall maintain such information as confidential. Distributor agrees that Distributor shall not disclose any Confidential Information to any person except as may be expressly authorized by RELÌV in writing and shall not use any Confidential Information for any purpose other than the performance of Distributor s functions and duties as a RELÌV Distributor. Distributor further agrees, that during the term and any renewal term of this Agreement, and for a period of 18 months from and after expiration or termination hereof, he or she shall not, directly or indirectly,(i) solicit, recommend, suggest or induce any RELÌV Distributor to become a Distributor for, or otherwise become associated with any person or entity other than RELÌV engaged in the business of marketing or selling any product or service by means of any direct sales, network marketing or multi-level marketing method or organization or (ii) solicit for the sale, or sell, any product or service to any RELÌV Distributor other than products or services sold by RELÌV. Distributor acknowledges and agrees that the foregoing provisions are reasonable and necessary for the protection of the interest of RELÌV and its valuable business relationships. All rights and obligations of this paragraph shall survive any expiration or termination of this Agreement. 6. The Agreement, which incorporates the Policies and Procedures shall be governed by and construed in accordance with the laws of the State of Delaware, unless the law of the state where the Distributor resides provides otherwise. Any and all disputes arising out of or relating to this Agreement and the Policies and Procedures shall be resolved and determined by arbitration in accordance with the then existing rules and regulations of the American Arbitration Association, except where state law provides otherwise. The exclusive location for such arbitration shall be Chicago, Illinois. The decision of the arbitrator(s) shall be final and binding on the parties hereto. All demands for arbitration by the Distributor shall be filed by the Distributor within 6 months of the occurrence of the event or action which is the subject of the dispute. Failure to make a demand for arbitration within such time period shall result in the waiver and loss of all claims by the Distributor with respect to such dispute. Notwithstanding the above, RELÌV shall have the right to bring suit in a court of competent jurisdiction to seek an injunction, temporary or permanent, or other equitable relief, to prevent or enjoin a breach of Distributor s obligations hereunder and shall be entitled to include in such action any and all claims it may have. 7. Distributor, by signing below, verifies that the information above is correct and that he or she understands the Policies and Procedures which are incorporated herein and Distributor accepts these documents. This Agreement constitutes the entire agreement among the parties. Louisiana Residents: THIS CONTRACT CONTAINS A BINDING ARBITRATION PROVISION WHICH MAY BE ENFORCED BY THE PARTIES. THIS AGREEMENT MAY BE CANCELLED BY DISTRIBUTOR AT ANY TIME. PRIMARY APPLICANT S SIGNATURE Date CO-APPLICANT S SIGNATURE Date /10

18 Donation Form Distributor Name Distributor RCN Number (Area Code) Telephone Number Address Thank you for choosing to support the Reliv Kalogris Foundation. All donations are calculated on the number of PV (Point Volume) you choose. You simply fill in the number of points you would like to donate (1 point = $1.00). Net donation is calculated by applying your profit level to the PV donation. Example: 35% profit level and 100 PV donation = 100 PV x (1-35%) = $65 net donation. All points are applied toward your monthly volume and all donations are tax deductible. What TYPE of donation would you like to make? One Time Donation One Time Amount: PV: Net $ Check Credit Card Payment Recurring Monthly Donation You can choose any quantity you wish and your credit card will be charged this amount on a monthly basis, effective the date you sign up. Total points are applied toward your monthly volume. Recurring Amount: PV: Net $ PVQ Monthly Donation Donation is billed automatically on the first of each month for current month s PVQ. CREDIT CARD PAYMENT Amount: PV: Net $ Visa MasterCard Discover American Express I hereby authorize Relìv, Inc. to process a charge to my Visa, MasterCard, Discover or American Express card: One Time Charge Recurring Monthly Donation every month, effective the date of sign-up. PVQ Monthly Donation on the 1 st of every month. Card Number: EXP. Date MO. / YR. Cardholder Signature Date Cardholder s Billing Address 01/2011