About the First Citizens Charitable Foundation, Inc.
Over $6 million has been donated to North Iowa and Minnesota Communities
The First Citizens Charitable Foundation, Inc. is a corporation established under the Iowa Non-Profit Corporation Act under Chapter 504(A) of the Code of Iowa (1995), and commenced existence on December 27, 1995. The Corporation is organized for charitable, religious, educational, and scientific purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501(c)(3) of the Internal Revenue Code of 1954.
Two Options to Fill Out Your Application:
Option 1
1. Click the "Download Your Application (PDF)" button
2. Fill out the form (Depending on your web browser, it may not support the fillable PDF, so you will need to print and fill out. For example, the filling of the form fields is not supported when using Mozilla Firefox as your web browser.)
3. Print the form and sign
4. Scan, fax, mail, or bring your application into the bank (see details below)
(The PDF opens in a default web browser PDF reader, which does not support electronic signatures.)
Option 2
1. Click the "Download Your Application (PDF)" button
2. Download and save to your computer
3. Open the saved PDF
4. Fill out the form
5. Electronically sign
(The PDF will open in a PDF reader that's on your computer, which supports electronic signatures.)
If you do not have a PDF reader on your computer and would like one, click here to download and install Adobe Acrobat Reader DC for free.
Download Your Application (PDF)
PLEASE NOTE: We accept requests only from the counties that First Citizens Bank serves which are: Worth, Mitchell, Howard, Hancock, Cerro Gordo, Floyd, Chickasaw, Wright, Franklin, and Butler in Iowa and Kanabec, Pine, and Isanti in Minnesota.
Inquiries and a copy of your non-profit status 501(c)(3) should be directed to:
Patricia Tomson, Executive Director
First Citizens Charitable Foundation, Inc.
P.O. Box 1708
Mason City, IA 50402-1708
Phone: (641) 423-1600
Fax: (641) 423-4600
Complete your application and send it via email. You can also postal mail or fax it to the address above.
The application deadlines are June 1 and November 15. The board meets to consider requests in June and December.
