Charitable Gift Annuity Agreement*Charitable Gift Annuity Agreement • March 10th, 2017
In order to help strengthen American Baptist Ministry and Mission, I / We would like to arrange a gift of: Cash $ Check payable to:The American Baptist Foundation Securities (listed below) Type of Gift Annuity: Payment Frequency: One-Life Annuity Monthly Joint or Two-Life Annuity Quarterly Deferred Annuity Semi-AnnuallyStarting AnnuallyMinimum Gift is $5,000 Shares of Cost Basis:$ Shares of Cost Basis:$ Other Property (describe): Please complete the following annuitant information:First Annuitant: Name (please print) Birth date: Address City ST Zip Social Security No. - - Tel: ( ) - Second Annuitant: Name (please print) (If applicable) Address Birth date: City ST Zip Social Security No. - - Tel: ( ) - Donor Information: (Please complete if other than annuitant):Donor Information: Name (please print) Birth date: Address City ST Zip Social Security No. - - Tel: ( ) - The final distribution recommendations (atleast 50% must benefit an American Baptist ministry): % % % %