40 NW 3 rd Street | Suite 305 | Miami, FL 33128 | Telephone: 305.371.2711 | Facsimile: 305.371.5342 Donor Advised Grant Recommendation Form As the Advisor to the below-referenced Fund, I recommend that the Board of Trustees of The Miami Foundation consider the following grant (one grant request per form). Grant checks are processed on a weekly basis and the deadline to receive requests is Tuesday at noon. If received after the deadline, the request will be processed the following week. 1. Fund Name: ____________________________________________________________________________ 2. Grant Recipient a. Organization’s Official Name: ________________________________________________________ b. Organization’s Tax I.D.: ____________________________________________________________ c. Mailing Address: _________________________________________________________________ d. Contact Name: ___________________________________________________________________ Title: ___________________________________________________________________________ e. Phone: _______________________ E-Mail: _________________________________________ 3. Grant Amount and Purpose a. Grant Amount: ___________________________________________________________________ b. If available, please process grant as an ACH Transfer: c. Purpose (if other than general support): _______________________________________________ d. Program (describe): _______________________________________________________________ 4. Special Instructions: _____________________________________________________________________ ________________________________________________________________________________ 5. Certification I understand that this recommendation is advisory only and that the final authority over all distributions made by the Foundation rests with the Board of Trustees, whose charge it is to ensure that all grants are made for charitable purposes consistent with Internal Revenue Service Guidelines and within the mission of The Miami Foundation. I certify that this grant recommendation adheres to the Grant Restrictions on the reverse of this page. I acknowledge that language due to this effect may be added to the grant transmittal letter. Advisor Name (please print):_____________________________ Date: _______________________ Advisor Signature: _________________________________________________________________