Fund Allocation Thank you for your interest in establishing a Fund at First Candle in memory of a baby. The First Candle Fund will give you and your family a special, meaningful way to remember your loved one year after year and will further critical programs to help all infants survive and thrive. W ays to Establish the Fund Donations can be generated through an annual mailing to your friends, family and colleagues or they can be initiated as part of a special event or memorial service. Memorial funds can also be established simply by a yearly contribution. First Candle will send acknowledgements to you of each donation that we receive for the fund. W hy a Fund with First Candle? We know that you have many options when it comes to determining where you will focus your fundraising and philanthropic efforts. At First Candle, we pledge to remain true stewards of your contributions. Recently ranked as one of the top charities in the nation by the American Institute of Philanthropy, First Candle also meets all guidelines as set forth by the Better Business Bureau and is listed in its Wise Giving Guide. We are proud of our ongoing record of maintaining administrative costs below the industry standard of 25 percent. Upon com pletion, please fax or mail this form to First Candle at 410.653.8709 (fax) or 1314 Bedford Avenue, Suite 210, Baltimore, M D 21208. Your Name The Baby’s Name Street Address City, State Zip Phone Email Address Birth Date Angel Date Event Name, if applicable Event Date, if applicable I am a (check one please): SIDS Family Member Stillbirth Parent Other Infant Death Parent SIDS Grandparent Miscarriage Parent Other Infant Death Family SIDS Parent Miscarriage Grandparent Member Stillbirth Family Member Miscarriage Family Other Infant Death Stillbirth Grandparent Member Grandparent May we acknowledge your fund in our annual report and on our website? ___ Yes ___ No Would you like to establish a Memorial Fund at First Candle in your Baby’s Name? ___ Yes ___ No Directing Your Contribution To focus our efforts and minimize administrative costs, First Candle respectfully requests that families allocate the donated funds to one or more of the categories listed below. The money directed to your fund will be spent each year as allocated below. Education and Fam ily Support Fund. Through this fund we supply comprehensive, up- to-date information on infant health and survival to new and expectant parents and health professionals through 24/7 toll-free help line, public education campaigns, trainings and our website. Our goal is to help parents and other professionals reduce the risk and safe infant _______ lives. In addition, through support groups, conferences, our 24/7, toll-free crisis line as well as training peer contacts, we help bereaved families connect, share experiences and get the help, information and referrals they need to start their journey of healing. M edical Research and Advocacy Fund. Our national research program ensures funding of projects that meet the highest standards of scientific merit and medical significance. Currently, we are funding projects at Boston Children’s Hospital/Harvard University and San Diego Children’s Hospital. Along the same lines, our advocacy efforts are aimed at guiding political action to ensure that Federal programs such as the National Institute for Child Health and Human Development, the Maternal and Child Health Bureau _______ and the Centers for Disease Control & Prevention receive adequate funding to support forward progress in the fight to save infant lives. Please select one: ___ SIDS Research ___ Stillbirth Research Special note: At First Candle, at least 90 cents of every dollar donated to our Medical Research and Advocacy Fund is given directly to support our researchers and their projects. The balance (as determined by our annual audit) is used by First Candle to oversee and administer this Fund. Unrestricted. This category provides critical unrestricted funds that help support critical _______ staff functions including administration, technology and other administrative needs. Without support for these functions, First Candle would be severely hampered in its mission. 100 % TOTAL Signature: _________________________________________ Date: __________________ For more inform ation on First Candle’s M em orial Fund program or to receive bereavem ent m aterials or support, please contact First Candle at 800.221.7437.
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