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Make a Grant

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This form will be electronically submitted to:

Carrie Corbin
Office of Trusts & Estates
130 East Seneca Street, Suite 400
Ithaca, NY  14850-4353
1-800-377-2177
607-254-1544
607-254-1204 (Fax)

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This form allows donors who currently have a Cornell Foundation account to make a grant.

Grants must be made to organizations that are tax-exempt under both I.R.C. Section 501 (c)(3) and public charities under Code Section 509 (a)

Donor Information

* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:

Grant Information

* Charity's Official Name:
* Mailing Address:
* City:
* State:
* Zip:
* Phone:
 
 
* Grant Amount
This grant is for:

Timing of Grant

Issue as soon as possible
Issue on a specific future date:
Date:
Issue on a standing/recurring basis:
Time Interval:
Start Date:
End Date:

Please Acknowledge

The individual(s) named on the account
Anonymous
Another individual:
First Name:
Last Name:
City:
State:
Zip: