GRANT RECOMMENDATION FORM

Donor(s): ______________________________Phone:  _________________ Date: __________

Foundation Name: _________________________________________________________________

I/We recommend a grant of $ ______________ (minimum $100 and in $50 increments 

above $100) be made from the above donor-advised fund to: 

Organization Name:  ______________________________________________________________

Street Address:  _________________________________________________________________

City:  _________________________________   State:  _____________  Zip:  __________

Contact Person:  _____________________________  Phone:  __________________________

__ Check if you would prefer the grant be made anonymously.    Fax:  _____________

I/We recommend a grant of $ ______________ (minimum $100 and in $50 increments 

above $100) be made from the above donor-advised fund to: 

Organization Name:  ______________________________________________________________

Street Address:  _________________________________________________________________

City:  _____________________________   State:  _____________  Zip:  ______________

Contact Person:  _______________________  Phone:  ________________________________

__ Check if you would prefer the grant be made anonymously.    Fax:  _____________

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 up to the maximum amount 
of 100% of the annual income or growth of your family foundation. If the dollar 
amounts of your grant recommendations exceed 100% of the annual income and growth 
of your family foundation, the American Foundation will notify you so that 
adjustments can be made.

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

Signature:  _____________________________________  Date: _________________________

Signature:  _____________________________________  Date: _________________________