Designated Fund Application

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This field is for validation purposes and should be left unchanged.
Designated Charitable Organization
A designated fund is for the sole benefit of a 501(c)(3) public charity. All assets in the designated fund may only be granted to the charitable orgnization listed below.
Name of Organization*
Tax ID #*
Name of Contact*
First Last
Title of Contact
Address*
Street Address Address Line 2 City State ZIP Code
Alternative Address
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Name Your Fund:*
The organization has the privilege of naming the fund.
May we list your fund name in our Annual Report?*
- Yes
- No

Designated Charitable Organization