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2014 Legacy Award Nomination Form Donor: Individual or Family (Living or Deceased) This Legacy Award for Donors recognizes and honors an individual or family in Gainesville and surrounding areas for their commitment to a deferred or planned gift made in support of one or more non-profit organizations or charitable causes. Special consideration is given to donors who have provided leadership and/or encouragement to others, and to donors who have structured unique and innovative planned gifts that enrich the lives of people in our community. This award may be made in honor either living or deceased donors. Past recipients of this award include Davis and Judi Rembert (2011), Ms. Nancy Perry and the late Chuck Perry (2012), and Dr. and Mrs. Robert Cade (2013). Please tell us about the Nominee(s): Donor’s Name: ____________________________________________________________ ___________________ Contact Information for the donor or a family representative: Name: ____________________________________________________________ ____________________________ Address: ____________________________________________________________ __________________________ City: _______________________________ State: _______________ Zip: ____________________________ The Community Foundation of North Central Florida, in partnership with the North Central Florida Estate Planning Council, initiated the Legacy Awards to recognize the crucial interaction between donor, advisor and charity necessary in creating a charitable planned gift. 3919 W. Newberry Rd Gainesville, FL 32607 P 352.367.0060 F 352.378.1718 [email protected] g
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Page 1: cfncf.org€¦ · Web view2014 Legacy Award Nomination Form Donor: Individual or Family (Living or Deceased) This Legacy Award for Donors recognizes and honors an individual or family

2014 Legacy Award Nomination FormDonor: Individual or Family (Living or Deceased)

This Legacy Award for Donors recognizes and honors an individual or family in Gainesville and surrounding areas for their commitment to a deferred or planned gift made in support of one or more non-profit organizations or charitable causes. Special consideration is given to donors who have provided leadership and/or encouragement to others, and to donors who have structured unique and innovative planned gifts that enrich the lives of people in our community. This award may be made in honor either living or deceased donors. Past recipients of this award include Davis and Judi Rembert (2011), Ms. Nancy Perry and the late Chuck Perry (2012), and Dr. and Mrs. Robert Cade (2013).

Please tell us about the Nominee(s):

Donor’s Name: _______________________________________________________________________________

Contact Information for the donor or a family representative:

Name: ________________________________________________________________________________________

Address: ______________________________________________________________________________________

City: _______________________________ State: _______________ Zip: ____________________________

Phone Number: _____________________________________________________________________________

Email Address: _______________________________________________________________________________

Nature of relationship to donor, if the contact is not the donor or the donor is deceased:

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The Community Foundation of North Central Florida, in partnership with the North Central Florida Estate Planning Council, initiated the Legacy Awards to recognize the crucial interaction between donor, advisor and charity necessary in creating a

charitable planned gift.

3919 W. Newberry RdGainesville, FL 32607

P 352.367.0060F 352.378.1718

[email protected]

Page 2: cfncf.org€¦ · Web view2014 Legacy Award Nomination Form Donor: Individual or Family (Living or Deceased) This Legacy Award for Donors recognizes and honors an individual or family

Please tell us the basic facts about the nature of the donor’s gift and its impact on non-profit organization(s) and the community.

Briefly describe the donor, the gift, the gift assets, when the gift happened (must be a commitment or gift completion within the last 24 months), and the non-profit organizations that have received or will receive the gift(s): _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Tell us about you—the nominator:

Name: ______________________________________________________________________________

Relationship to the donor:

__ Employee of Charitable Organization receiving gift

___ Related to Donor

___ Other (please specify):

Phone Number: _____________________________________________________________________

Email Address: _____________________________________________________________________

Address: ___________________________________________________________________________

City: _____________________________ State: _________________ Zip code: _______________

Other Comments: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The Community Foundation of North Central Florida, in partnership with the North Central Florida Estate Planning Council, initiated the Legacy Awards to recognize the crucial interaction between donor, advisor and charity necessary in creating a

charitable planned gift.

3919 W. Newberry RdGainesville, FL 32607

P 352.367.0060F 352.378.1718

[email protected]

Page 3: cfncf.org€¦ · Web view2014 Legacy Award Nomination Form Donor: Individual or Family (Living or Deceased) This Legacy Award for Donors recognizes and honors an individual or family

__________________________________________________________________________________________

The Community Foundation of North Central Florida, in partnership with the North Central Florida Estate Planning Council, initiated the Legacy Awards to recognize the crucial interaction between donor, advisor and charity necessary in creating a

charitable planned gift.


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