Fund Name:* Fund Number:* Date:* Request to distribute spendable income in the amount of:* Recipient Information:Organization Name:* Business Phone:* Email address:* Authorize 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* CONTACT INFORMATION: Gina M. Rhodes Director of Planned Giving Diocese of Charlotte 1123 South Church Street, Charlotte, NCĀ 28203 704/370-3364 gmrhodes@rcdoc.orgCAPTCHA Δ
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