Horizon Society Form

I have included the Oley Foundation in my will.I have named the Oley Foundation as the beneficiary of a life insurance policy.I have arranged an annuity, trust or other residual interest gift for the Oley Foundation.I have arranged Retirement Account Beneficiary Designations for the Oley Foundation.Other
Please list me as indicated below:
Name

First NameLast Name
Address*

Street Address

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CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Signature

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Date

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Date
Spouse's signature (if to be listing in society records)

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For additional information about the Horizon Society please contact Oley at info@oley.org or (518) 262-5079.

The Oley Foundation is a national, independent, 501(c)(3) not-for-profit organization. All donations are tax deductible to the extent allowed by law. A copy of the Foundation’s latest New York State Report is available from the NYS Department of State, Office of Charities Registration, Albany, New York 12231. The Oley Foundation tax identification number is 13-3194182.

Thank you for orchestrating a deeply meaningful gift to the Oley Foundation.
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