STATEMENT OF WISHES – FUND SUCCESSION PLAN

Please complete the form below to let us know how you would like your fund managed after you are no longer able to manage it yourself.

If you would like assistance completing this form, please contact our Fund and Client Services Team on (03) 9412 0412 or email community@communityfoundation.org.au.

1. YOUR DETAILS

Your name *

Email *

Fund name *

In the event of my no longer being able to be actively involved with the above fund, through death, incapacity or for any other reason, I/we wish to provide this statement regarding my/our preference for the future operation of the fund. I/we understand that this statement is designed to provide Australian Communities Foundation with a high-level understanding of the intentions for the future of the fund at this point in time. It is not a binding document and I/we can amend it at any time.

*

2. CONTINUE OR CLOSE?

Please specify if you would like your fund to be continued or closed after you can no longer manage it yourself.

I would like the fund to be continuedI would like the fund to be closed

I/we understand that the fund can only continue as long as it has more than $20,000 in capital. In the event it falls below this level, the fund will be closed and your balance will be granted out in line with your preferences below.

*

Successor advisor *

I/we wish to nominate one or more successor advisor/s to the fund.I/we do not wish to nominate a successor advisor and agree that distributions of at least 4% of the fund will be made once a year by Australian Communities Foundation in line with the fund’s stated areas of interest.

SUCCESSOR ADVISOR

First Name *

Last Name *

Address *

Postcode *

Phone *

Email *

Relationship to Fund Advisor

Add another advisor

SUCCESSOR ADVISOR (2)

First Name *

Last Name *

Address *

Postcode *

Phone *

Email *

Relationship to Fund Advisor

Successor advisor authority *

I/we wish the successor advisor/s to adhere to stated fund areas of interest.I/we agree to successor advisors changing the fund areas of interest in line with community need and in consultation with the Australian Communities Foundation team.

In the event your fund is closed, what would you like to happen with your balance? *

Transferred to the ACF Impact Fund to support national projects working for a fairer and more sustainable Australia.Granted out within a 12-month period to the following listed organisations or in-line with the fund's areas of interest.

When would you like to close the fund? *

As soon as I am/we are no longer able to be actively involved with it.Once it falls below the required amount of $20,000.

On closing the fund, what would you like to happen with your balance? *

Transferred to the ACF Impact Fund to support national projects working for a fairer and more sustainable Australia.Granted out within a 12-month period to the following listed organisations or in line with the fund's areas of interest.

OTHER INFORMATION ABOUT YOUR FUND

Fund areas of interest, or preferred organisations, as at time of this statement

Other relevant wishes in regard to future operation of the fund

3. BEQUEST

Please select whichever is applicable. *

I/we have left a bequest to be added to the fund or the ACF Impact Fund.I/we plan to leave a bequest to be added to the fund or the ACF Impact Fund.I/we do not plan to leave a bequest to be added to the fund or the ACF Impact Fund.

Please provide name and contact details for relevant legal representative and details of the terms of the Bequest (if known). Attach relevant section of Will if available and you are happy to do so.

4. REVIEW OF STATEMENT

Would you like to review this statement annually with the Australian Communities Foundation team? *

Yes, I/we would like to review this statement as part of our annual fund review.No, I/we will contact the team if I/we would like to change this statement.

Name of signatory *

Date *

Signature *

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