1855 Society Intention Form

1855 Society Intention Form

Share your planned gift details and how you’d like your name recognized.
The 1855 Society is a community of dedicated supporters creating a lasting legacy to strengthen individuals, families and communities across Central Ohio for generations.
I/We would like to create a legacy of opportunity and impact and have included the YMCA of Central Ohio in my/our estate plans. Completion of this form is not legally binding and serves only as a notification of intent. We encourage you to discuss your planned giving decisions with a professional financial advisor.
Donor Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Please indicate the type of planned gift you intend to make:

Other (please specify)
If you choose to share the estimated value of your gift, please provide a copy of gift documentation if available. All information about the specific nature of your gift will be kept confidential and used only for internal planning purposes.
What form will your planned gift take?
Please provide any additional details regarding your planned gift:
What is the purpose of your planned gift?

Specific Purpose (please specify)
Recognition Preferences
Name(s) as you would like them to appear for recognition:
I/we prefer to remain anonymous.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Thank you for your commitment to the YMCA of Central Ohio. If you have questions, please contact our Development Team at development@ymcacolumbus.org or (614) 389-4684.
Young Mens Christian Association of Central Ohio DBA as YMCA of Central Ohio is a tax-exempt nonprofit recognized by section 501(c)(3) of the Internal Revenue Code, EIN 31-4379594. Contributions are deductible as allowed by law.
Should be Empty:

1855 Society Intention Form

Donor Information

Recognition Preferences