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Your donations help us deliver My Stuff Bags to waiting children. Please donate now or call the Foundation at 866.3MY.STUFF.

My Stuff Bag Recipient Information Report

My Stuff Bags Foundation • 5347 Sterling Center Drive • Westlake Village, CA 91361 Phone: 818–865-3860 • Fax: 818-865-3865 • Email:

The My Stuff Bags Foundation requires a Recipient Information Report within two (2) months after an organization has received My Stuff Bags, even though the organization may not have distributed all the bags received. The My Stuff Bags Foundation finds this information important in analyzing the effectiveness of the My Stuff Bags program and essential in acquiring grants to help our organization continue to provide My Stuff Bags to the children you serve.

Please complete the following information and return this form to us at the above address: fax, email ( or submit online. The information below must be completed and signed by a Director or Senior Manager. Completing this form and attaching a letter on your organization letterhead (see below) is a prerequisite for being considered for future My Stuff Bag shipments to your organization.

Name of Organization:

Email Address:





Date of My Stuff Bags Received:

Number of My Stuff Bags Received:

Number of My Stuff Bags Distributed to Date:

Please attach a letter on your letterhead which addresses the following questions:

(Please do not list the questions in your letter)

  • Information and feedback as to the impact and reaction of the children receiving a My Stuff Bag.
  • How does receiving the My Stuff Bags help you to better serve children?
  • Please provide, if possible, a special story or anecdote about a child receiving a My Stuff Bag we can share with our supporters.

Click Browse (Choose File on a Mac) to locate the letter on your computer. Acceptable filetypes include JPG, DOC and PDF.

Please enter the name and title of the Director or Senior Manager and electronically sign this form.



Electronic Signature:

Please enter the code below for SPAM protection:

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