VOLUNTARY EMPLOYEE PAYROLL DEDUCTION AUTHORIZATION

Please return this form to payroll@tandyleather.com 8/26/2019

Since 1919, Tandy Leather has been making an indelible mark, building a community centered around the

celebration of leathercraft. Though far-reaching, this community begins with Tandy’s employees. It is only

through their passion and commitment that Tandy has been able to champion the art of leathercrafting,

year after year, decade after decade. We know that the success of our employees is synonymous with

Tandy’s success, and ultimately the success of our ever-growing community. That’s why we established the

Tandy Leather Employee Foundation. TLEF provides emergency assistance to current Tandy Leather

employees who are experiencing immediate, unforeseen financial hardships. Whether medical challenges,

displacement due to inclement weather, or simply struggling with life challenges, Tandy Leather wants to

be there in support of its employees.

Tandy Leather is committed to continually building an organization that cares, and to developing a positive,

supportive culture, which is why we’re excited to give our employees the opportunity to join us as we grow

this fund and enhance our long-standing tradition of fostering community and giving back in meaningful,

impactful ways. To establish the fund, Tandy Leather has made the initial contribution, and will continue to

grow the fund by pooling donations from the company, suppliers, and you, its employees. Tandy Leather

invites you to invest in yourself and others – make a donation and make your mark.

Tandy Leather has established guidelines for financial assistance. Employees do not have to contribute to

the foundation to be eligible for assistance, but they are encouraged to make a tax-deductible donation via

payroll deduction or one-time donation. If you would like to make a donation via payroll deduction, please

complete the information below.

I, ____________________, hereby authorize Tandy Leather to withhold from my wages the total amount

of $_______________ which shall be withheld at a rate of $__________ per pay period for __________

[specify number] of pay periods for the purpose of Tandy Leather Employee Foundation.

I represent that this authorization is executed voluntarily and has not been made as a condition of my

continued employment.

Employee Signature Date