Pledge Form LACF Community Builder Pledge Form “Community Builders” further the Los Alamos Community Foundation’s mission to improve the quality of life in our community by inspiring, facilitating and supporting enduring philanthropy and building the capacity and success of our nonprofit organizations. This $1,000 minimum three-year pledge of support is an investment in the Foundation’s future sustainability. It benefits our local community and supports our growth so that together we can continue to connect our community through enduring philanthropy. Name * Email * Phone * Level/Duration of Commitment Please select a pledge amount and duration below. Your commitment and giving level (Silver, Gold, Platinum or Diamond) will be acknowledged when we recognize our donors, including in our annual impact report to the community. Thank you for your pledge of support to assist LACF in meeting the ongoing needs of our nonprofit community in the months and years ahead. Pledge Amount Per Year * $1,000 - Community Builder Silver$3,000 - Community Builder Gold$5,000 - Community Builder Platinum$10,000 - Community Builder DiamondOther Pledge Amount Per Year Pledge Duration * 3 years (minimum)5 yearsOther Pledge Duration Pledge Start Date * Please direct my gift as follows: Unrestricted support of LACF To a specific endowment fund (identified below) Please contact me regarding special instructions If giving to a specific fund, please identify here (click here for fund descriptions): Los Alamos Community Foundation FundEnterprise Bank & Trust Community EndowmentLos Alamos Community Youth Sports EndowmentPajarito Plateau Heritage Preservation EndowmentPaul A. and Susan E. Bombardt K-12 Music Education Endowment for Los Alamos Public SchoolsCommunity Endowment for UNM-Los AlamosEndowment for Duane Smith AuditoriumFamily Strengths Network (FSN) EndowmentLos Alamos Community Foundation Leadership FundLos Alamos Family Council EndowmentLos Alamos Little Theatre EndowmentLos Alamos Retired and Senior Organization EndowmentLos Alamos Retirement Community EndowmentDiane Warther Soran Endowment for Community ProgramsJudy Dudziak Endowment for Community Music OrganizationsRosalie Heller Annual Memorial Lecture Endowment My gift is eligible for an employer match (LANL employees must make their donations through the LANL employee giving (CyberGrants) portal. * No employer match LANL match Other employer match (anticipated match percentage if known):Other employer match (anticipated match percentage if known): I/we wish to remain anonymous * Yes No By typing my/our name(s) below, I/we commit to fulfilling this pledge to the Los Alamos Community Foundation. Signature * Date * Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Join the LAFC Legacy Society Please consider becoming a Legacy Society member by including LACF in your will or estate plan. Bequeathed assets can be contributed to an existing fund or to establish a new fund. Contact us for information on how to leave a lasting legacy of support for the local organizations and causes you care about. Please contact me about the Legacy Society If you are human, leave this field blank. Submit
