DISTRIBUTION RECOMMENDATION FORM
The undersigned hereby recommends a distribution from the following fund of the Garnett Community Foundation (Please use a separate form for each distribution recommended). It is understood that this request for a distribution is only a recommendation with respect to the application of funds and that this recommendation is subject to final approval of the Foundation’s Board Members in accordance with the exempt status and charitable purposes of the Foundation.
Date of request:
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-
Month
-
Day
Year
Date
Fund name:
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Distribution Type
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Charitable Distribution
Amount Requested ($250 minimum):
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Payee Name/Organization:
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Distribution Purpose:
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Payee Address:
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Street Address
Street Address Line 2
City
State
Zip Code
Payee Phone:
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Please enter a valid phone number.
Payee EIN # (if known):
Is this grant to be anonymous?
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Yes
No
Distribution Requested By:
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First Name
Last Name
By signing this form, I certify that I am authorized to make distribution recommendations on behalf of the Fund stated above.
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SUBMIT
SUBMIT
Should be Empty: