To download the Fund Holder Grant Recommendation form, click the link below.

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Fund Name

As the Advisor to the Community Foundation of Southern Indiana, Inc. for the above-listed Fund, I recommend making from the above-named fund the grant or grants listed below.

I acknowledge and represent as follows:

  • That the grant recommendation or recommendations must receive approval by the Community Foundation of Southern Indiana, Inc. Board of Directors.
  • That in accordance with IRS regulations, this recommendation does not represent the payment of any personal pledge or other financial obligations of the undersigned.
  • That neither any member of my family nor I will receive any goods or services or non-tax deductible benefits in exchange for payment of this grant.

Name Phone

The grantee organization may wish to communicate with you the advisor. Direction from you will help the Foundation respond to these requests. Please check the appropriate box.



Amount Recommended Full Name and Address of Grantee
Organization/Contact Person
Purpose
(if other than for general support)