Create a New Donor Advised Fund - San Juan Island Community Foundation

Donor Name*

First Last

Additional Donor Name

First Last

Address*

Mailing Address City State Zip

Home Phone*

Business Phone

Email*

I/we prefer being contacted by

Email
Home Phone
Business Phone
Mail

Fund Name

Every grant made from a fund at the San Juan Island Community Foundation (SJICF) is accompanied by a letter identifying the name of the fund and the name of the donor(s) recommending the grant, unless you request anonymity. Fund names are often listed in Foundation publications as well.

Name Your Fund*

Anonymity Preference

Make both my name and fund name available to grantees & publications
Make only fund name available to grantees & publications
Remain completely anonymous

Spending Policy

All funds and all distributions from funds established at SJICF are subject to The San Juan Island Community Foundation’s variance power as described in the “Fund Terms & Conditions” attached hereto. Donors may, however make non-binding recommendations that the fund be managed as a permanent endowment or paid out from both earnings and principal. Endowed Funds are subject to the SJICF Spending Policy attached hereto. Endowed Funds normally receive an annual distribution of net earnings at a rate based upon the SJICF Spending Policy or at such rate determined to best insure the preservation of principle.

Distribution Recommendations*

Impose no restriction on distribution of principal. (Non-Endowed Option)
Make distributions in a manner that will ensure permanent endowment. (Endowed Option)

Annual Payout Date (Endowed Option)

Endowed funds normally make an annual payout to the selected Non-Profit organizations, projects or Foundation Funds based upon the SJICF Spending Policy. Payouts are made at the end of a calendar quarter. Usually Scholarships are timed to payout at the end of the second calendar quarter to be sent to selected candidates institution before the fall quarter. Endowed Funds must be in place for a minimum of one year before the first payout.

Special Instructions (if any)

Please call our Executive Director to discuss at (360) 378-1001.

Fund Advisor(s)

Donors establishing a Donor Advised Fund may designate individuals who will serve as Advisors to the fund and who may make recommendations to The San Juan Island Community Foundation regarding grant distributions from the fund. Donors may designate themselves as Advisors, or may designate others in addition to or instead of themselves as advisors. All named Advisors have equal rights to recommend grant distributions from the fund, but if two or more Advisors are designated, a fund chairperson must also be identified. Once designated, an Advisor’s status can only be revoked in writing by the donor(s) who established the fund. Unless otherwise stated in the comments area below, all Advisors will receive quarterly fund status reports, grant approval reports and standard mailings from The San Juan Island Community Foundation. Please indicate the Fund Advisors below and identify a Fund Chairperson, attaching additional sheets as necessary.

Please note, SJICF will consider only written or online recommendations provided on the Request for Distribution from Fund form. SJICF will not make any distribution to satisfy a pledge or other legal obligation of a donor or donor advisor. All distributions from Donor Advised Funds must comply with SJICF’s Operating Procedures for Donor Advised Funds. Click here to open Donor Resources page in a new window that contains all distribution and procedural forms mentioned herein.

Will you advise the fund, or will you appoint advisor(s)?*

I/we will be the Advisor(s)
I appoint the following person(s) to be Advisor(s)

Designate Advisors

Advisor 1

This Advisor will serve as chairperson for this Donor Advised Fund.

Advisor 1 Name*

First Last

Advisor 1 Address*

Mailing Address City State Zip

Advisor 1 Home Phone*

Advisor 1 Business Phone*

Advisor 1 Email*

Advisor 1 Relationship to Donor*

Advisor 1 Comments

Advisor 2

Advisor 2 Name

First Last

Advisor 2 Address

Mailing Address City State Zip

Advisor 2 Home Phone

Advisor 2 Business Phone

Advisor 2 Email

Advisor 2 Relationship to Donor

Advisor 2 Comments

Sucessors

Successor Advisor 1

This Advisor will serve as chairperson for the Successor Advisors.

Successor Advisor 1 Name

First Last

This Advisor will serve as chairperson for the Successor Advisors.

Successor Advisor 1 Address

Mailing Address City State Zip

Successor Advisor 1 Home Phone

Successor Advisor 1 Business Phone

Successor Advisor 1 Email

Successor Advisor 1 Relationship to Donor

Successor Advisor 2

Successor Advisor 2 Name

First Last

Successor Advisor 2 Address

Mailing Address City State Zip

Successor Advisor 2 Home Phone

Successor Advisor 2 Business Phone

Successor Advisor 2 Email

Successor Advisor 2 Relationship to Donor

I/we have informed the Successor Advisors of my/our succession plan.
I/we would like the Successor Advisors to received mailing and event invitations from SJICF

Recommend Future Planning

Donors can recommend a future plan for their fund, in the event the initial Advisor(s) & Successor Adviser(s) (if any) to this fund dies, resigns, or is otherwise unable to act in this capacity.

Your future plan preference:*

Transfer the balance of my fund to the General Foundation Operations Fund, which is used solely at the discretion of the Board of Directors and is used primarily to support operational costs of the Foundation, although surpluses may be directed to Board approved grant programs.
Transfer the balance of my fund to the Foundation’s Healthy Community Fund.
Establish a Designated Fund to support a specific nonprofit organization.
Convert to a Legacy Fund to be administered by the Board of Directors according to instructions in my will.
Transfer the balance to a specific Foundation Fund.
Transfer the balance to the SJICF General Endowment Fund.

Healthy Community Fund Distribution

Unrestricted
Specify Areas of Interest

Distribution by Area of Interest

Please specify a percentage for each area of interest desired. Possible options are:
• Arts & Culture
• Basic Needs
• Community Development
• Education
• Environment
• Health & Wellness

Please specify a nonprofit

Click here to open a list of nonprofits in a new window, then close the window to return to this form and enter desired nonprofits name here.

Choose a Foundation Fund

Please specify "Other" PIMC selection.

Professional Advisor

Please provide advisor information, if applicable.

Are you working with a professional advisor?*

Yes
No

What type of financial advisor?*

If other, please specify:

Advisor Name(s)*

Advisor Company Name*

Advisor Address*

Mailing Address City State Zip

Advisor Phone

Advisor Email

I authorize SJICF to share information about my gift and fund with this advisor.

Contribute to the Fund

Donor Advised Funds require a minimum $5,000 donation to the Foundation. If your fund balance falls below $3,000, you may be asked to bring the balance up to $5,000 within 12 months. SJICF staff will contact you to arrange collection of the opening asset/contribution. Please call the Foundation at (360) 378-1001 with questions about asset transfers. Note: Gifts other than cash or publically traded securities must be approved by SJICF and accepted in writing.

Please complete at least one below.

Cash in the amount of

Publicly traded securities (ticket & number of shares)

Privately held securities (specify)

Personal property (describe)

Real estate (describe)

Testamentary gift (describe)

Other (specify)

Planned Gifts
Please select any that apply.
I/we have named SJICF in my/our will
I/we have named SJICF as a beneficiary of our life insurance policy
I/we have named SJICF as a beneficiary of my/our retirement plan
I/we have named SJICF as a beneficiary of my/our charitable remainder trust
SJICF may acknowledge my planned gift in its annual report

Complete the Application

Thank you for your generous support and commitment to the San Juan Island Community Foundation (SJICF). The Foundation is a 501(c) (3) organization. Contributions are tax deductible as allowed by law.

Stipulate any additional terms and conditions.
Must be agreed upon by both Donor and SJICF.

Please check to confirm:*
I agree to the terms and conditions set forth herein. I understand that any contribution, once accepted by SJICF, represents an irrevocable contribution to SJICF and is not refundable to me. I have read the following documents and understand and agree to the provisions therein. Click on each below to read online, they are also available at the Foundation office. I understand that each of these policy documents may change from time to time at the sole discretion of the SJICF Board of Directors without prior notification. I agree that the fund will be automatically governed by the then current SJICF policies.

SJICF Fund Management Policies

SJICF Fund Terms and Conditions

SJICF Fund Administration Fees

SJICF Statement of Investment Policy & Objectives

SJICF Strategic Asset Allocations Policy

SJICF Spending Policy (for endowed funds only)

SJICF Scholarship Guidelines and Procedures (if applicable)

Sign and date below, then click submit. We will contact you as soon as possible to finalize the establishment of your Donor Advised Fund.

Signature*

Date*