Grant Suggestion Form

For Donor Advised Fundholders at Placer Community Foundation

Date

Fund Name

Fund ID

Organization Name

Amount of Grant ($)

I have suggested a grant to this organization in the past.

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

If no, please enter organization's address.

Organization Address

Country/Region

Address

City

Zip / Postal code

Organization Phone (if available)

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

I would like to remain anonymous (Fund name will not appear on the check.)

I have notified the nonprofit that I am making this grant.

Multi choice

Mail Grant Check to the Organization

Mail Grant Check to Placer Community Foundation

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

Where to mail check

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 First Name

Your Last 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.

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