Globe Unified School District #1
460 N. Willow Street Globe, Arizona 85501
Office - (928) 402-6000 Fax - (928) 425-8912
“Capturing Hearts, Empowering Minds”
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EXTRACURRICULAR ACTIVITY TAX CREDIT CONTRIBUTION FORM
Arizona State Law (A.R.S. 43-1089.01) allows taxpayers to donate up to $400 per household ($200 for single taxpayers and head of household; $400 for
a married couple filing a joint return) of their state taxes to public schools to support extracurricular activities. For example, if you owe $1000 in Arizona
state taxes and you donate $400 to GUSD for extracurricular activities*, you may subtract the $400 from your tax bill and pay only $600. You also
reduce the costs of school sponsored activities for students. You do not have to have a student at GUSD or any other public school to take advantage of
this tax break.
Apply my tax credit to the following school(s):
Copper Rim Elementary School
Preschool-4
Amount $_______________________
5-8
Amount $________________________
1600 E. Mesquite, Globe, AZ 85501
School May Designate Program Use
Educational Field Trips
High Desert Middle School
4000 High Desert Drive, Globe, AZ 85501
School may Designate Program Use
Fine Arts: (Circle One): Band, Art, Drama
Athletics: (Circle One): Athletic General Fund, Baseball, Boys Basketball, Football, Girls Basketball, Softball,
Track, Volleyball, Wrestling, Spirit line/Cheer
Educational Field Trips
Globe High School
9-12
Amount $________________________
437 S. High Street, Globe, AZ 85501
School may Designate Program Use
Robotics Program
Fine Arts: (Circle One): Band, Choir/Music, Drama
Vocational Ed Organizations (Circle One): FCCLA, JROTC, Skills USA, FFA/AG,
Service Club - National Honor Society
Athletics: (Circle One): Athletic General Fund, Baseball, Boys Basketball, Boys Soccer, Cross Country,
Football, Girls Basketball, Girls Soccer, Golf, Softball, Track, Volleyball, Wrestling, Spirit line/Cheer
Educational Field Trips
*Extracurricular Activities (as defined in A.R.S. §43-1089.01) are school sponsored activities that requires students to pay a fee in order to participate;
including fees for band uniforms, equipment, class trips, entry fees, uniforms for varsity athletic activities, scientific laboratory materials, and in-state or
out-of-state trips that are solely for competitive events. Tax credit donations may not be used to purchase classroom supplies. Tax credit donations are
non-refundable.
Taxpayer Name____________________________________________________________ Cash or Check #_________
(Circle One)
Mailing Address __________________________________________________________________________________
City ______________________________________
State ____________________
Zip Code__________________
Student Name_____________________________________________________________________________________
Bring this form to the District Office along with your non-refundable contribution or send to:
Globe Unified School District #1
ATTN: Judy McGowan, Business Office
460 N. Willow Street
Globe, AZ 85501
(928) 402-6021
Revised 2-6-17