Planned Giving L E T T E R O F I N T E N T NAME NAME EMAIL ADDRESS ALTERNATE FAMILY CONTACT LIFE INSURANCE POLICY OR ANNUITY APPRECIATED ASSETS (REAL ESTATE, STOCKS) WILL OR TRUST CITY PHONE STATE PHONE BIRTHDATE BIRTHDATE NAME OF TRUST, LIFE INSURANCE, IRA OR PENSION COMPANY (IF APPLICABLE:) OTHER (PLEASE SPECIFY) ZIP BANK ACCOUNTS (SAVINGS, CHECKING, CD) RETIREMENT ACCOUNTS (IRA, 401K, PENSION) If you have made, or intend to make, an estate gift to the Islamic Center of Irvine, please complete this form. LETTER OF INTENT GIFT DETAILS This program was established to secure financial support for ICOI’s long-term goals and recognize individuals who have made provisions for ICOI in their estate plans. Please attach applicable documents (will, trust, life insurance or beneficiary forms). Your generous planned gift will contribute directly to our Endowment Fund, so that it remains a “Sadaqah Jariyah;” a form of giving that extends in perpetuity. Our Endowment Fund supports the Islamic Center of Irvine to foster a functioning mosque and community center and other operational costs. We would be honored to enroll you in IslamicCenter of Irvine's PLanned Giving program for your planned gift. Our Planned giving program is inspired by Sadaqah Jariyah; a form of giving that continues to benefit others beyond our lifetime. May we publish your name in our Annual Fund: office@icoi.net | 949 786-ICOI | Tax ID: 33-0992506 | www.icoi.net SIGNATURE SIGNATURE GIFT DESIGNATION: GIFT RECOGNITION: YES OR DESCRIBE THE ESTATE GIFT AND ITS APPROXIMATE VALUE. NO DATE DATE