CHANGE REQUEST FORM Please contact the Gift Fund for additional information by calling (888) 213-7605 during normal business hours (Monday-Friday, 8:30am-5:00pm ET) or sending an email to
[email protected]. When your form is complete, please review it, sign it, and send it via mail, email, overnight delivery or fax to: Women’s Foundation of Southwest Florida Donor Advised Fund Program c/o BNY Mellon Charitable Gift Fund 201 Washington Street Suite 024-0062 Boston, MA 02108 Email:
[email protected] Fax to (866) 231-7663 Change Requested (Select All That Apply): Address/Contact Account Name (can only be changed by Donor/Primary Adviser or Joint Adviser) Investments (can only be changed by Donor/Primary Adviser or Joint Adviser) 1. DONOR ADVISED FUND ACCOUNT Donor Advised Fund Account Name: Donor Advised Fund Account Number: - 1 - 2. CHANGE OF ADDRESS/CONTACT INFORMATION Name: (First) (Middle) (Last): Home/Legal Street Address (no P.O. Boxes): City, State, Zip Code: Country (if not United States): Mailing Address (if different from above): City, State, Zip Code: Country (if not United States): Home Telephone Number: Business Telephone Number: Email Address: 3. CHANGE OF DONOR ADVISED FUND ACCOUNT NAME The Donor/Primary Adviser and Joint Adviser have the option to change the name of the Account. The Gift Fund will review and must approve the name for an Account. The Gift Fund recommends using “Fund” in the name to signify the separate nature of the Account. To preclude certain legal implications, the words “Foundation,” “Trust,” or “Endowment,” should not be used to designate Accounts.