Berkshire Taconic Community Foundation

Grant Recommendation Form for Donor Advisors

Please Note: This form is for donor advised funds ONLY. To make a grant recommendation online, Berkshire Taconic must have your signed authorization on file. For security reasons, we do not post this form online. If you would like us to send you a form authorizing online recommendations, please contact us at 413.528.8039.

Your Information
Your First Name
Your Last Name
Your E-mail Address
(as on file with Berkshire Taconic)
Fund Name
(name of your donor advised fund)
Grant Information
Recommendation Amount
Name of Organization
Organization Address
City, State Zip
Name(s) of Person(s) Recommending This Grant
Your name(s), indicate:
Fund Name (your address is not given out)
Anonymous
Optional Information
Specific purpose of the grant, if any:
Restrictions: (if none leave blank and the organization will be notified that the grant is unrestricted)
Please note By submitting this form, you attest that (i) no goods, services, or tangible benefits were received by you in conjunction with this grant and (ii) this donation will not be used by you to satisfy the payment of any pledge or other personal financial obligation. Berkshire Taconic's Board of Directors maintains final authority over distribution decisions and is not legally bound to comply with this suggestion.