Fund Name:*Fund Number:*Date:*Request to distribute spendable income in the amount of:Recipient Information:Organization Name:Business Phone:Email address:Authorizes Representative (name and title):Address:I (we) certify that the process stipulated in the Endowment Agreement for determining distribution requests has been followed and that this request is the result of that process. I (we) further certify that the purpose for which these funds will be used complies with the purpose of the Endowment Fund as stated in the Endowment Agreement. If you need a copy of the Endowment Agreement prior to certifying to the above, please contact Gina Rhodes, Director of Planned Giving. If this is a scholarship fund, please include information on the recipient(s) on another sheet.Committe Member / Business Manager (if no designated committee)Pastor / Principal
