FIELD OF INTEREST FUND GIFT INSTRUMENT

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FIELD OF INTEREST FUND GIFT INSTRUMENT Section One – Individual Donor(s) or Organizational Donor DONOR 1

DONOR 2

Full Name: ____________________________________

Full Name: ____________________________________

DOB or Age: ________________________Gender: ____

DOB or Age: ________________________Gender: ____

Address: ______________________________________

Address: ______________________________________

City: ____________________ State: ____ Zip: ________

City: ____________________ State: ____ Zip: ________

Contact Number(s):

Contact Number(s):

(H) _____________ (C) ____________ (W) __________

(H) _____________ (C) ____________ (W) __________

Email: ________________________________________

Email: ________________________________________

ORGANIZATIONAL DONOR Organization’s Name: ____________________________________________________ Address: ______________________________________________________________ City: ___________________ State: _______________ Zip: ____________________ Contact #1: ___________________________ Phone Number: ________________ Email: ___________________ Contact #2: ___________________________

Phone Number: ________________ 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. Donor(s) and fund names are often listed in our written and electronic publications as well. I/We would like to remain anonymous. I/We would like grants from the above fund to remain anonymous. I/We would like the above fund listed as anonymous in the Foundation’s publications. Section Three – Fund Purpose The Fund shall be (choose one): ______ Initial(s) ○

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

______ Initial(s) ○

Non-Endowed, meaning I would like my fund to be able to make grants from the entire balance

A field of interest fund provides distributions to organizations for certain charitable purposes. Please indicate the interest area(s) (i.e., arts & culture, education, medicine, technology, etc.) and/or a geographic area(s) (i.e., Oahu, Kauai, Maui, Hawaii, etc.) you would like to support. If more space is needed, please use Exhibit “A” attached. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Note that distributions from the Fund are subject to the Foundation’s “Terms and Conditions Applicable to Field of Interest Fund Gift Instruments”.

(03-2018)


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