CORPORATE DESIGNATED FUND GIFT INSTRUMENT

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CORPORATE DESIGNATED FUND GIFT INSTRUMENT Section One – Organizational Donor Organization’s Name: _________________________________________________________________________ Mailing Address: _____________________________________________________________________________ City: _________________ State: ______ Zip: _____________ Phone Number: ________________________ PRIMARY CONTACT (Authorized Representative of the Organization)

Name: _____________________________________

Title: ____________________________________

Business Phone (direct): ______________________

Email: ___________________________________

Section Two – Fund Name & Anonymity The name of the Fund shall be: _______________________________________________________________________ Every grant made from a fund at the Foundation is coupled with a letter identifying the name of the fund and the name of the donor(s) recommending the grant, unless you request anonymity. Organizational donor(s) and fund names are often listed in our written and electronic publications as well. ○ The organization would like to remain anonymous. ○ The organization would like grants from the above fund to remain anonymous. ○ The organization would like the above fund listed as anonymous in the Foundation’s publications. Section Three – Fund Purpose You may establish a designated fund that provides distributions from the fund be made to one or more Section 501(c)(3) public charities. Please indicate the qualifying charitable recipient(s) that you would like to receive distributions from the fund. You may designate the Hawaii Community Foundation as a charitable recipient if you desire. The Fund shall be (choose one): ____ Initial(s)

Endowed, meaning the organization would like the fund to be permanent and limit the amount available for grantmaking to the Foundation’s spending policy

____ Initial(s)

Non-Endowed, meaning the organization would like the fund to be able to make grants from the entire balance Name and Address of Organization Percentage Allocation

_______________________________________________________________________

________%

_______________________________________________________________________

________%

_______________________________________________________________________

________%

_______________________________________________________________________

________%

If you wish to specify a purpose or impose restrictions, please describe in the Exhibit “A” attached. Note that distributions from the Fund are subject to the Foundation’s “Terms and Conditions Applicable to Corporate Designated Fund Gift Instruments”.

(03-2018)


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