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* 1. Date

Date:

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* 2. Name of Donor

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* 3. What amount are you donating to begin your fund?

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* 4. Will you be encouraging others to donate to your fund?

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* 5. What would you like to name your fund?

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* 7. What type of project(s) would you like to fund? (Check as many as preferred)

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* 8. When would you like to begin publicizing the request for proposal (RFP) for the purposes of soliciting applications for your funds.

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* 9. Do you have additional individuals who are authorized to give advice and make decisions on concerning this fund? Please list no more than three authorized individuals complete with contact phone and email below. The Donor may recommend to The RBCF the revocation of any designation in writing via email.

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* 10. If you have any additional requirements or comments please express them in the essay box below.

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* 11. I am acknowledging distributions from the Fund of the net income or principal or both, shall be made at such times, in such amounts, in such ways, and for such purposes as Rob's Barbershop Community Foundation Board or management (RBCF) shall determine with advice from the Donor or your designee.

The Donor may submit recommendations to RBCF with respect to grant distributions. Recommendations with respect to distributions made by the Donor or his/her designee are solely advisory and RBCF is not bound by any such recommendations. Any and all such designations or revocations made by the Donor shall be made in writing and become effective when received by RBCF. Grant recommendations received from the Donor or his/her designee shall be for awards of $0.00 or more. Recommendations for grant distributions shall be forwarded in writing to the Foundation via email.

The Fund shall be administered under the guidelines set by the Donor and approved by the (including any amendments) RBCF. It is understood that the Fund shall be charged a one time fee of 18% (unless otherwise negotiated) administrative expenses attributable to its creation of the request for proposal, it's marketing, gathering of solicitations, vetting applications and publicizing the results.

It is intended that the Fund be a component part of The Community Foundation and not a separate trust and that nothing in this agreement shall affect the status of Rob's Barbershop Community Foundation as an organization described in Section 501(c)(3) of the Internal Revenue Code. This agreement shall be interpreted to conform to the requirements of the foregoing provisions of the federal tax laws and any regulations issued pursuant thereto. Rob's Barbershop Community Foundation is authorized to amend this Agreement to conform to the provisions of any applicable law or government regulation in order to carry out the purposes of this Fund.

YOU WILL BE CONTACTED WITHIN THE NEXT FIVE BUSINESS DAYS TO COMPLETE THE TRANSACTION TO BEGIN YOUR FUND.

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