HomeMy WebLinkAboutCommunity Foundation of Waterloo-Establishment of a Non-Endowed Fund-06.25.2007 Amite-04
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Donation and Acceptance Form for Establishment of a Non Endowed Fund
Established by an Agency
this instrument is executed thi sv day of T�l.ht_ ,by the City of Waterloo(herein referred to as"Agency")
and the Waterloo Dog Park Committee,with the COMMUNITY FOUNDATION OF WATERLOO/CEDAR
FALLS AND NORTHEAST IOWA(hereinafter,the"Foundation", Tax ID#42-6060414)in order to establish with
such property a component Fund in the Foundation. The type of Fund established herewith is a Designated Fund,
from which donations to the Fund shall be made available exclusively for the Waterloo Dog Park(s). This fund shall
be administered in accordance with the provisions set forth below.
1. Name of the Fund. The name of this Designated Fund(hereinafter,the"Fund")shall be the "Friends of the
Waterloo Dog Park Fund"
2. Distributions and Purpose. The general purpose of grants made from the Fund will be to support the Waterloo
Dog Park(s)and in accord with directions contained in any deed of gift by original donors.
The Foundation will work with the agency and Waterloo Dog Park Committee to establish a distribution process.
The Foundation will notify the agency or its designated contact from the Waterloo Dog Park Committee of the
amount available for distribution from the Fund. In turn,the contact will be asked to declare in writing on forms
provided by the Foundation requests for distributions from the Funds in accordance with the process that is
established.
The Board of the Foundation,however,shall retain the right to make final approval of all distributions from the
Fund,an Internal Revenue Service requirement for component Funds held by a community foundation.
3. Contributions.With this initial gift of$ ,the Waterloo Dog Park Committee hereby establishes a fund for
the charitable purposes outlined above as advised by the Waterloo Dog Park Committee.It is understood that
subsequent contributions may be made by other donors to this Fund at any time.It is understood that subsequent
contributions may be made by other donors to this Fund at any time.
This Agency or its designated contact for the Waterloo Dog Park Committee shall be notified of the names of
Donors to this Fund. Such information also will be published in the Foundation's annual report,unless a Donor
should request anonymity.
4. Acceptance of Property. The Foundation hereby accepts the property donated and affirms that it will hold such
and any additional property given the Fund on the terms and subject to the conditions set forth by this agreement for
Designated Funds. The guidelines and procedures for such Funds are described in the Foundation's governing
instruments,including its Articles of Incorporation and By-Laws,in effect,as amended from time-to-time.
5. Management of the Fund. Control over the investment of such property of the Fund will be exercised
exclusively by the Foundation.
6. Supportive Contribution. The Community Foundation of Waterloo/Cedar Falls and Northeast Iowa shall assess
a supportive contribution fee for administering this Designated Fund. This assessment will be 2%of each donation
received.Costs that may be incurred relative to acceptance of a gift(e.g.real estate gifts)will be separate from the
2%and will be negotiated prior to the acceptance of such a gift. An audit fee of$75.00 per year will be assessed to
the Fund.
7. Services to the Agency Establishing the Fund. The Foundation's services to the `Agency"will include
professional management of funds;annual audits and tax returns(as part of the comprehensive audit and tax
reporting on all component funds);assistance in closing deferred gifts for the Fund;assistance in processing gifts
including issuance of appropriate IRS tax return forms(with appropriate fees charged for any additional expenses
incurred thereby);consultation in public relations related to the Fund;financial statement updates;database of all
donors,who will be listed in the Foundation's annual report,unless the donor asks for anonymity;data base of all
pledges and records of donations,invoicing of pledges on a quarterly basis,receipts and thank you letters to all
donors to the Fund. Payment of bills,upon written request from the agency's designated fund contact,directly to the
vendor. Such distributions will be reflected for audit purposes as a grant to the agency as any grants will be
exclusively for the charitable program of the agency.
8. Fund not a Separate Trust. The assets of the Fund shall be the assets of the Foundation and not a separate trust.
The Fund shall be organized and administered so that the federal income tax status of the Foundation as a public
charitable organization under Section 501(c)(3)of the Internal Revenue Code,as amended,will not be affected
adversely under this arrangement.
This agreement will be interpreted in a manner consistent with the Federal income tax provisions and regulations that
govern the operation of a community foundation,as they may be amended from time-to-time by the Foundation's
Board to conform to such provisions and regulations.
9. No Amendment. The Agency understands and declares that all donations are absolute and irrevocable and that,
after the execution of the instrument,no donor has any right,title,interest,or incidents of ownership in the property
transferred to this Fund. The Agency shall have no right to alter,amend,or terminate this instrument. At the same
time,it is understood that the Foundation is under obligation to respect the purpose for which this Fund was
established and the agency which it is designed to support.
10. Variance. Consistent with the terms and provisions of the Foundation's bylaws,should the
Board of Trustees fmd that it is not possible to utilize the assets of the Fund as restricted,the Community Foundation
shall utilize such income for the educational,benevolent,charitable,or public purposes as the Board deems
appropriate,but only after consultation with the Agency.
IN WITNESS WHEREOF this instrument was executed on the date above first written by the authorized whose
names appear below.
COMMUNITY FOUNDATION
OF WATERLOO/CEDAR FALLS
AND NORTHEAST IOWA
(Rep.for the City of Wat oo Signature) President and CEO
(Committee Contact Signature)
G - as- d7
Date Date
Contact for this fund will be:
Pat Bowlsby
Name(s)(first,last)
1179 Ridgemont Road; Waterloo, Iowa 50701
Preferred Mailing Address(Street,City,State,Zip) Check one: Home Work232-2509)