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KPBS Sustainability Fund Gift Information
If you would like to support
Building on Trust:The Campaign for KPBS’ Sustainability Fund
by including KPBS in your estate plan, please complete this form to the best of your ability, so we can recognize your generosity and better plan for the future.
The Campaign Sustainability Fund will allow KPBS to build a pipeline of future support to help ensure our station can meet the challenges in the years ahead with sustainable funding for new and advancing technologies, the latest programming, new content and knowledgeable staff.
Thank you for your support of this transformational campaign. This form is not legally binding and will be kept confidential.
Alex Kim
Associate General Manager
for Development & Grants
(619) 594-7822
akim@kpbs.org
KPBS Public Media
5200 Campanile Drive
San Diego, CA 92182
Tell us about yourself
Name 1
*
Birthday
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Name 2
Birthday
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YYYY
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Tell us about your gift
PLEASE COMPLETE ALL THAT APPLY
Will
Select
Primary beneficiary
Contingent beneficiary
Description of your gift
Estimated value of your gift today
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*If you are comfortable, please provide us with a copy of your will. You can redact any
information that you wish to keep private.
Trust
Revocable Trust, Charitable Remainder Trust, Charitable Lead Trust
Name of your trust
Date of your trust
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DD
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YYYY
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Primary beneficiary
Contingent beneficiary
Description of your gift
Estimated value of your gift today
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*If you are comfortable, please provide us with copies of: 1. title page of your trust; 2. page on which KPBS is found; 3. signature page. You can redact any information that you wish to keep private.
Beneficiary Designation
Retirement Plan, Financial Account, Annuity, Life Insurance
Financial institution and type of account
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Primary beneficiary
Contingent beneficiary
Percentage
Estimated value of your gift today
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*If you are comfortable, please provide us with a copy of your beneficiary designation.You can redact any information that you wish to keep private.
Other Means
Managing institution
Name of your fund
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Primary beneficiary
Contingent beneficiary
Percentage
Estimated value of your gift today
File Upload
*If you are comfortable, please provide us with a copy of your beneficiary designation.You can redact any information that you wish to keep private.
Donor Advised Fund
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Primary beneficiary
Contingent beneficiary
Description of your gift
Names
PLANNED GIVING LEGACY SOCIETY
May we recognize your philanthropy by including you on our planned giving donor wall at the station?
Select
Yes
No, I/we would like to be anonymous
My/our name(s) should display as written below
Additional Benefits
As a legacy society member, you will be invited to our annual planned giving appreciation event and monthly KPBS events. These invitations will be sent to the contact information that you provided.
Signature
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Date Time
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Signature
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