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Charity Change Request
352-637-4424
Charity Designation Change Request
I would like to request a change in charity designation for the:
Foundation Name:
Foundation Number:
The following change in designated charities:
1.
Add
Remove
Charity Name:
Specific Program (if any):
Address:
Annual percent distribution:
%
2.
Add
Remove
Charity Name:
Specific Program (if any):
Address:
Annual percent distribution:
%
3.
Add
Remove
Charity Name:
Specific Program (if any):
Address:
Annual percent distribution:
%
4.
Add
Remove
Charity Name:
Specific Program (if any):
Address:
Annual percent distribution:
%
5.
Add
Remove
Charity Name:
Specific Program (if any):
Address:
Annual percent distribution:
%
6.
Add
Remove
Charity Name:
Specific Program (if any):
Address:
Annual percent distribution:
%
Percent of annual distribution added must equal percent of annual distribution removed
Donor-Advisor's Name:
Date:
