Grant Recommendation Form

* Fund Name:

*Name of person submitting the grant:

* I recommend a grant in the amount of $

* Charitable Organization:

Phone:

Org Tax ID # :

I understand that this is a recommendation only, and not a direction. I also understand that American Endowment Foundation will perform its own review of the charitable organization I have recommended. This recommendation does not represent the payment of any personal pledge or other financial obligation of mine. If any benefits or privileges are offered in connection with this grant, I have not and will not accept them.

Fund name and/or Donor Advisor's name should NOT appear on grant letter & check

Additional comments for AEF staff concerning the processing of this grant:

Please send completed form toAmerican Endowment Foundation

1521 Georgetown Rd Ste 104Hudson, Ohio 44236

Fax to: 330-656-2063Email to: grants@aefonline.org

We are here to help! Call or email with any questions. Toll free 888-440-4233 or grants@aefonline.org

Address:

*City:

Contact person & title:

Web Address:

Any statement you would like included in the letter accompanying the grant check:

* Indicates required field

Grants are processed within 7 business days, once received, unless noted:Future date (please specify):

Frequency: Monthly Quarterly AnnuallyRecurring: start date:

*Advisor’s (or Spokesperson's) signature and date

If emailing, please provide an email address for confirmation and signature verification:

Fund ID:

Check box(es) if:

*State: Zip:

be made from the above fund to:

SemiAnnual

($250 minimum)