Grant Suggestion Form

For Donor Advised Fundholders at Placer Community Foundation

Date

Fund Name

Fund ID

Organization Name

Amount of Grant ($)

If yes, you have suggested a grant to this organization before, skip to Grant Purpose.

If no, please enter organization's address.

Organization Address

City

State

Zip

Organization Phone (if available)

Grant Purpose (This information will appear on the check.)

Mailing Instructions

Mail Grant Check to the Organization

Mail Grant Check to Placer Community Foundation

Mail Grant Check to the Following Address: (ie, Your Home Address)

Terms of Agreement

To ensure fund activity follows IRS rules, I agree that every penny of this grant will be used for a charitable purpose, and neither I nor anyone I know will receive anything more than a coffee mug or any other incidental benefit in return.

Your Name

Your Email Address

Your Phone

I understand that by submitting this form it constitutes a legal signature confirming that the above information is true and correct and that I am legally authorized to assent to and sign this Grant Suggestion form.

By checking this box, I agree.

Thanks for submitting!

After submitting, it may take a few seconds to process the form. Please only click Submit one time.

You will receive a confirmation email within a few minutes.

If you have any questions or a problem, contact us: 530.885.4920 | info@placercf.org

Grant Suggestion Form

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