Planned Giving LETTER OF INTENT LETTER OF INTENT If you have made, or intend to make, an estate gift to the Islamic Center of Irvine, please complete this form. NAME BIRTHDATE NAME BIRTHDATE ADDRESS CITY STATE ZIP EMAIL PHONE ALTERNATE FAMILY CONTACT PHONE GIFT DETAILS LIFE INSURANCE POLICY OR RETIREMENT ACCOUNTS (IRA, 401K, ANNUITY PENSION) APPRECIATED ASSETS (REAL ESTATE, BANK ACCOUNTS (SAVINGS, CHECKING, STOCKS) CD) WILL OR TRUST OTHER (PLEASE SPECIFY) NAME OF TRUST, LIFE INSURANCE, IRA OR PENSION COMPANY (IF APPLICABLE:) DESCRIBE THE ESTATE GIFT AND ITS APPROXIMATE VALUE. GIFT DESIGNATION: 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. GIFT RECOGNITION: 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. 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). May we publish your name in our Annual Fund: YES OR NO SIGNATURE DATE SIGNATURE DATE office@icoi.net | 949 786-ICOI | Tax ID: 33-0992506 | www.icoi.net
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