Legacy Gift Confirmation For the benefit of future generations, I confirm that I have made the appropriate legal arrangements to support the endowment funds of the organizations indicated below.

Anti-Defamation League's Mountain States JCC Ranch Camp Region JEWISHcolorado Beth Jacob High School of Jewish Family Service of Boulder JCC The Jewish Experience BMH-BJ Congregation Judaism Your Way B’nai Havurah: Denver Jewish Reconstructionist Kavod Senior Life Congregation Maurice B. Shwayder Camp of Temple Congregation Beth Evergreen Emanuel Congregation Bonai Shalom Mizel Arts and Culture Center (MACC) Congregation Har HaShem Ramah in the Rockies Congregation Hebrew Educational Alliance Rocky Mountain Jewish Historical Society and Congregation Nevei Kodesh Beck Archives at the University of Denver Congregation Rodef Shalom Rose Community Foundation DAT Minyan Shalom Park Denver Academy of Staenberg-Loup JCC Denver Community Temple Emanuel Denver Jewish Day School Temple Micah Hillel Academy Temple Sinai Hillel of Colorado Yeshiva Toras Chaim Other ______

To help these organizations plan for their future, I would like to share more information about my legacy gift. The legacy gift(s) is/are through: Donor-advised fund beneficiary designation Bequest in will or trust Gift of real estate Beneficiary of a retirement plan Gift of securities Beneficiary of a life insurance policy Other ______

As a specific sum in the amount of ______or as ______percent of ______. I prefer to keep the details of this commitment confidential. Additional information about gift(s):

______

______

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Donor Information:

Mailing Address: ______Email ______Phone To encourage others to make commitments to the future, I/we permit the above intended beneficiaries and Rose Community Foundation to include my/our name(s) in relevant materials. I understand that while my name may be listed, the type and amount of the gift will remain strictly confidential. My/Our name(s) should appear as: ______

I/We would prefer the organizations list me/us as anonymous in all materials.

Contact information for legal/financial advisor(s): Name: ______Address: ______Phone: ______Email: ______

Attorney CPA Wealth Advisor Other ______

Name: ______Address: ______Phone: ______Email: ______

Attorney CPA Wealth Advisor Other ______

______Print name(s) Date ______Signature Signature

Live On: Build Your Jewish Legacy, an initiative of Rose Community Foundation, and LIFE & LEGACY™, a partnership program of the Harold Grinspoon Foundation, have joined together to strengthen the Greater Denver/Boulder Jewish communities by encouraging endowment building and legacy giving.

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