Community Foundation Vendor/Grantee Info – Coral Gables Community Foundation

ACH Deposit Authorization for CGCF Payee

All fields below must be reviewed and filled or checked.

Name, Email and phone of person who might handle accounts receivable at your organization.

Full Name(Required)

First Middle Last Suffix

TItle

If applicable

Email Address(Required)

Email Address Confirm Email Address

Phone(Required)

Needed only in case there are questions about this agreement or a transaction

Relationship with the foundation(Required)

Filing Status – Individual or Corporation?(Required)

I’ll provide a Social Security Number and receive it personally

I’ll provide an EIN / TIN and my company will receive the grant

Call me please, I’d like to discuss

Tax ID – Employer ID Number (Federal EIN)

Tax ID – Social Security Number (SSN)

Organization Address

Street Address Address Line 2 City State ZIP Code

Grantee BANK NAME

Account Type

Personal Checking

Personal Savings

Business Checking

Other

Grantee ACCOUNT NAME

The name your bank will recognize for your organization

Grantee BANK ACCOUNT NUMBER

Your account number with your bank

Grantee BANK ABA ROUTING NUMBER

W-9 form upload(Required)

Required. A blank version is available here: IRS form W9 rev 2024.pdf

Accepted file types: pdf, png, jpg, doc, docx, pdf-x, Max. file size: 256 MB.

Type your name as your signature(Required)

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