The American FoundatiOn oF UTAH

GRANT RECOMMENDATION FORM

Donor (s)			Phone
Family Foundation Account Name
I / We recommend a grant of $ _____________ (minimum $250 and in $50 increments above $250) be made from the above family foundation account to: (Organization Name)
Street Address
City	State			Zip
Contact Person		Phone
Email		Fax
□ Check if you would prefer the grant be made anonymously		EIN
I / We recommend a grant of $ _____________ (minimum $250 and in $50 increments above $250) be made from the above family foundation account to: (Organization Name)
Street Address
City	State			Zip
Contact Person			Phone
Email			Fax
□ Check if you would prefer the grant be made anonymously			EIN

This recommendation does not represent the payment of any personal pledge or other financial obligations.

If any benefits or privileges are offered in connection with this grant, I/we have not and will not accept them.

I/We understand that the American Foundation™ will perform its own review of the charitable organization

that I/we have recommended.  Grant recommendations can be made for 5% of the value of your family
foundation. 

The American Foundation™ generally reviews charitable grant recommendations daily and, upon approval

by the Directors, will seek to make the grant as soon as is possible.  The American Foundation For Charitable

Support, Inc., however, reserves the right to process grants every four to six weeks if necessary.

Signature

Date

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