Grant and Donation Requests

Process

The Requestor should:

Submit email request to the HOYA/PENTAX Grants Committee at grant.request@pentaxmedical.com.
Submit a Letter of Request (LoR) on your letterhead, documenting your address and contact information.
Complete a Grant Request Form (see downloads below).
For educational grants and donations, submit a brochure, agenda, or description of the program.
Include an itemized budget of expenses for the event.
Include a completed W‑9 form and/or IRS letter documenting tax status.

Time to review and respond to a grant request may vary (generally 45 days). To avoid delays, please provide complete and accurate documentation in a timely manner.
All grant requests should be submitted at least 60 days before the program/project begins.
Grants are limited to non-profit organizations, educational institutions, educational program vendors, medical foundations, and professional societies.
Availability of funds and/or equipment will be taken into consideration at the time of the request.

for activities or events that have already occurred,
that lack well-defined objectives or are without scientific merit,
that PENTAX Medical would have undue influence or control over the selection or program content, faculty, educational methods, or materials,
made by an individual Requestor, rather than an entity or organization,
to fund entertainment,
to offset costs that the Requestor would ordinarily be expected to carry,
that, to our knowledge, has previously organized programs that were biased, lacked scientific rigor, or were otherwise substandard,
from anyone or any entity debarred, excluded, disqualified, or otherwise restricted from participating in federal health care programs, and
with missing or incomplete information, such that we are unable to fulfill federal and/or state transparency reporting obligations.

The Requestor will be notified via email of PENTAX Medical’s decision upon completion of its review.
Upon approval of a grant request, PENTAX Medical and the Requestor shall execute a written agreement to formalize the grant arrangement. The grant will not be distributed until the written agreement has been fully executed.