THRIVE Peninsula, Inc. · Future for THRIVE Capital Pledge Form

Organization / Business / Church

Name *

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First Name

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I would like my gift to be anonymous *

YES, Please keep my gift anonymous.

NO, Please list my name as I have listed below.

Name as you'd like it to appear on recognition materials: *

(if anonymous, type anonymous)

Total Pledge Amount *

(Please indicate your intended pledge total. Can be broken down in payments as indicated below.)

Pledge will be paid in increments of $__ *

(Please indicate your intended pledge payment. Can be broken down in payments as indicated below.)

Date of Pledge *

Today's Date

Billing to begin (Day/Month/Year) *

Enter Day/Month/Year you intend to initiate your first payment.

Length of pledge (Pledges Paid in full by June 30, 2026) *

One Year

Two Years

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Intended Payment Schedule *

Indicate your intention to pay your pledge either by credit card, check, or invoice. This can be adjusted by request. It is up to you to set up your payments. Information will be sent with your confirmation email.

One-Time

Monthly (12/year)

Quarterly (4/Year)

Bi-Annual (2/year)

Annual (1/Year)

Type of Gift *

I intend to pay my pledge with the following. I understand that I can alter my payment plan/form of payment by contacting development@thrivepeninsula.org at any time. I understand that I need to initiate payment. It will not automatically be set up.

Cash/Check

Credit Card

Stock Transfer

DAF

Contact Information

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Pledge Details

• Matching funds will be applied to the first $150,000 donated. Matching funds only applied to donations received in 2024
• You have the flexibility of adjusting your payment schedule, or accelerating or extending the completion of this pledge should your circumstances change. Our goal is to have the pledges paid in full by 6/30/26.
• We are glad to accommodate your preferred method of payment. You may fulfill your pledge with donations in installments or onetime gifts of cash, check, credit card, or designations from Donor Advised Funds (DAF) or the transfer of stocks and marketable appreciated securities.
• Stock transfers can be cleared through: Raymond James - DTC #: 0725 Account Name: THRIVE Peninsula Inc., Account #: 272R9744
• Find more details or set up your donation online at www.thrivepeninsula.org/future.
• Please make checks payable to THRIVE Peninsula and mail to:

THRIVE Peninsula - 12749 Nettles Drive, Newport News, VA 23606

• Goods and services received as a result of your donations will be clearly stated on your receipts for tax purposes.
• You will receive biannual charitable summary reports if 3 or more monetary donations are received within a calendar year. For tax purposes, our EIN number is 54-1857664.
• Pledge Summary and Reminders: THRIVE Peninsula will provide you a reminder in the month prior to anticipated payment, unless you request a different reminder schedule.
• Your will or trust is a testament to your life and values. Beyond your loved ones, it reflects what truly matters to you. Please consider THRIVE as you plan your lasting impact on our community.

On behalf of THRIVE Peninsula’s staff, Board of Directors, and most importantly the clients we serve, we sincerely thank you for your gift.

Together we THRIVE!

With my initials, I agree to pay this pledge in full by June 30, 2026. *

Donor Initials