Grant Recommendation Form

Please complete and submit the form below. Grant requests are permitted to most U.S.-based, IRS-approved, 501(c)(3) non-profit organizations. Other organizations may qualify as well. Contact information is only needed the first time a grant is made to a particular organization. If this is the first request made to an organization, please allow a week for approval. Contact us with any questions or concerns, including whether your Fund balance is sufficient to cover the grant requested and related fee assessments.

This grant recommendation does not represent the payment of a pledge or financial obligation. No goods or services were or will be received in consideration for this grant. I understand final approval resides with the Board of Directors, whose charge it is to see that all distributions are made according to the mission and purposes of Abundance Capital.

An email will be sent to confirm the date when the grant contribution is made.

First Name*

Last Name*

Your Email Address*

Date of Grant Request*

Name of Your Abundance Angel Fund*

GRANTEE INFORMATION

Organization Name (Nonprofit or Other)*

Country *

Address Line 1*

Address Line 2

City*

State*

ZIP Code*

Phone*

Employer Identification Number EIN

Amount Requested*

Designation (if any)

For Grants to Entities Other than Nonprofit Organizations 1) This recommendation is subject to the approval of Abundance Capital and its Board of Directors, as stated in the Abundance Capital Terms and Conditions.

2) Abundance Capital did not officially represent or endorse this grant opportunity, nor solicit on its behalf.

3) For grants to organizations other than a nonprofit 501(c)(3), Abundance Capital must agree to conduct expenditure responsibility in accordance to IRS guidelines. To qualify, grants of this nature must advance our charitable mission. Grant recipients must comply with reporting requirements.

4) Prior to Abundance Capital executing your recommended grant, your account must have sufficient funds to cover the amount recommended, and any fees and minimum balance communicated.

5) If you, a family member, or an entity in which you or a family member maintains ownership, stands to benefit from the recommended grant, you may be disaqualified. Please disclose below any information pertaining to such possible benefit including 1) structure and percent of ownership of the grant recipient by you or your family member, 2) type and amount of compensation you or a family member may receive, and 3) other direct/indirect benefits such as personal gifts, tickets to events, etc. (Abundance Capital will review and let you know if further information is needed to determine if you qualify to recommend this grant)

Disclosure Box - For Grants to Other Entities

Other Comments

Grant Recommendation Form

GRANTEE INFORMATION

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