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Donation and Pledge Form

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Begin Your Giving Now

There is no minimum donation requirement for gifts. An outright gift to the Community Foundation of South Lake, or to one of the charitable funds we hold, is easier than ever and can be managed in a variety of ways based upon your personal preferences.

START with an online pledge

Complete the form information.
Choose the "Print" button to print the information, OR
Choose the "Submit My Pledge" button to print your information AND send your pledge to us. You will receive a confirmation of your pledge at the email address you have provided.

NEXT, mail your donation

Mail the completed form and your check made payable to: Community Foundation of South Lake to the address shown on the donation form.
If you are donating assets other than cash, or wish to establish a new fund, please schedule an appointment with us.

OR, schedule an appointment

Contact Us to schedule an appointment.
We can accept a variety of assets and we will work with you to tailor a giving plan best suited to your circumstances and philanthropic goals.
Our knowledgeable staff will walk you through the documentation required for each type of asset you wish to gift.

Once we are in receipt of your gift, a tax acknowledgement letter will be sent via US mail to the mailing address you have provided on the form.

If you have questions about your transaction, or would like to speak to a member of the Community Foundation staff for assistance, please contact us at (352)394-3818 or by e-mail at: foundationinfo@cfslc.org.

Donation/Pledge Form

ERROR — Your have the following error(s) on your form.

Name and Address of Donor

Prefix	First Name	M I or M Name	Last Name	Suffix

Street

City	State	ZIP Code

Email Address	Telephone

This gift is in memory of someone.

Person being memorialized.

Name of person to be notified of this memorial gift.

Street

City	State	ZIP Code

This gift is in honor of someone.

Honoree Name

Street

City	State	ZIP Code

I would like to make my gift as:

a cash contribution.

a contribution of other assets.

Apply my donation as indicated below:

		I authorize the use of this gift in the manner that will best serve the Community Foundation of South Lake.
		Becky Elswick Education Fund
	Established in 2004 for the purpose of enhancing public education in South Lake County.
		Pig on the Pond Educational Fund
	Supporting organization that organizes the annual "Pig on the Pond" event that enables nonprofit organizations in the South Lake community to raise money for education and scholarships to benefit the residents. Funds raised by Pig on the Pond, Inc. are distributed to the Community Foundation of South Lake for the awarding of scholarships and awards to local teachers. Other forms of education may be beneficiaries of this fund.
		Howard Stockton Memorial Fund
	Howard Stockton was a teacher, administrator, founder, executive director, leader, and outstanding citizen. Mr. Stockton’s life was devoted to contributing to the world around him. A scholarship is awarded in his name to a student from the South Lake County community to continue their education.
		Frank B. Farr Scholarship Fund
	Provides scholarship assistance for residents of the Greater Groveland Historical District in furthering their education.
		Green Isle Children's Ranch Fund
	Established to support the organization’s mission in perpetuity.
		Hospice Patient Care Fund
	Assists in the implementation of Hospice patient programs within Lake and Sumter counties.
		Jay Vander Meer Board of Directors Fund
	Established to receive gifts for education and health and wellness.
		Shaw Buck Athletic Scholarship Fund
	Established in 1993 in recognition of Groveland High School coaching legend Shaw Buck, the Shaw Buck Athletic Scholarship awards $1,000 each year to a graduating South Lake High School athlete. Recipients must meet the scholarship’s academic criteria and hold a letter in one sport.
		Cooper Memorial Library Association Endowment
	Established by the Cooper Memorial Library Association, Inc. to purchase books for the Cooper Memorial Library.
		South Lake Junior Women's Club Fund
	Assists in the implementation of the Junior Woman’s Club’s organizational goals and objectives.
		South Lake Chamber of Commerce Scholarship Fund
	Established in 2004 to provide annual scholarships to south Lake County High School seniors who plan to attend Lake Sumter Community College. Recipients must meet both financial need and academic eligibility requirements.
		Lew Burdette Fund

		Brawley Family Fund
	Established in 2009 to support nonprofits.
		Lucille A. Smith Fund
	Endowment Fund established in 2009 to support Habitat for Humanity Lake–Sumter FL, Inc. initiatives in South Lake County.
		Clermont-Minneola Lions Club Fund
	Established in 1998, the fund is used for Clermont-Minneola Lions Club Hearing and Eyesight initiatives.
		Don Wickham Fund
	Designated for charitable purposes in memory of Donald Wickham.
		Bloder Memorial Fund

		Hunter Jacobson Memorial Fund

		I would like to establish a new fund.

I would like you to contact me to arrange for an appointment to discuss my contribution.

I would like this gift to remain anonymous.

Special Instructions

Attention: All contributions represent an irrevocable contribution to Community Foundation of South Lake and are not refundable. In accordance with Section 170 (f)(8), of the Internal Revenue code of 1986, the Community Foundation is required to state that no goods or services were provided in consideration of this contribution.

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION FOR THE COMMUNITY FOUNDATION OF SOUTH LAKE MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE, 1(800) HELP-FLA. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.

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