Business Interest Contribution Form

Please complete and submit the following form to initiate a gift of a business ownership interest to the Foundation. Call the staff identified on the Gifting Instruction page for assistance as you work through the form. Call the staff identified on the Gifting Instruction page for assistance as you work through the form.

Donor street address
Address of controlling person (if donor is an entity)
Shares
Tax status of entity

Will you give
Please provide the following information about any non-written agreement or declaration that in any way governs or restricts the company or shares or purports to impose financial or other obligations on owners of the shares:
Date
MM slash DD slash YYYY
Please identify here any related persons or entities that hold shares or interests in the entity or related entities:
Please identify here any debt that currently encumbers the shares, and debt of the company if it is a partnership:
This field is for validation purposes and should be left unchanged.

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