Fund of The Findlay-Hancock County Community Foundation INSTRUMENT OF TRANSFER

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FUND AGREEMENT FOR SCHOLARSHIP FUND Fund of The Findlay-Hancock County Community Foundation INSTRUMENT OF TRANSFER THIS INSTRUMENT of, 20, is to evidence the transfer and charitable contribution of certain property to the Findlay-Hancock County Community Foundation, an Ohio public benefit corporation referred to as the Foundation, and the terms, conditions, and purposes of the transfer. 1. Contribution. The undersigned Donor(s),, have irrevocably assigned and conveyed the property described in the attached Schedule A to the Foundation for its public charitable and educational purposes and administration in accordance with and subject to its Articles of Incorporation, Code of Regulations, and policies from time to time in effect, including its variance power. 2. Named Fund. The Schedule A property, all additions made as below provided, and all increments, proceeds, investments, and reinvestments of the same shall comprise a separate Fund of the Foundation called:. Any individual or organization may add to the Fund by referring to it expressly in any assignment, conveyance, will, trust instrument, other instrument of transfer covering the addition, or by oral direction. 3. Purposes. The purposes of the Fund shall be to advance education by providing scholarships to as per the attached Operating Procedures. The Foundation shall determine the qualified status of an educational institution. Page 1 of 6

Scholarships shall be awarded at least annually, and the Foundation shall determine the number and amount of scholarships to be awarded in each year in accordance with the spending policies of the Foundation in effect from time to time. 4. Selection Criteria and Committee. All scholarships shall be awarded by the Foundation on an objective and non-discriminatory basis using criteria determined by the Foundation to be reasonably related to the purposes of the Fund. A committee for the selection of the Fund's scholarship recipients shall be comprised of one (1) representative designated by Donor(s) on Schedule B, as it may be modified from time to time in writing signed by Donor(s) and delivered to the Foundation, and two (2) representatives designated by the Foundation ("Scholarship Selection Committee"). 5. Disclosure and Communication. Scholarship awards shall be made in the Fund's name. The Foundation may include the name of the Fund and the name of the Donor(s) in its Annual Report. 6. Distributions. All distributions and expenditures from the Fund shall be made in accordance with the spending and other policies of the Foundation in effect from time to time, and on such other terms and conditions as in the judgment of its Board of Trustees shall be appropriate to accomplish the purposes of the Fund. 7. Management. The Foundation shall have exclusive control over the investment, reinvestment, and management of assets comprising the Fund. 8. No Private Benefit. Donor(s) understand(s) that no distributions from the Fund will be used to discharge or satisfy a legally enforceable pledge or obligation of any person. None of the Donor(s), a Donor Representative on the Scholarship Selection Committee, or a relative of either shall be eligible to receive scholarship awards. Page 2 of 6

9. Fee. The Foundation shall be entitled to an annual fee for the administration of the Fund in accordance with the Foundation's polices in effect from time to time. Executed by the Donor(s) and the Foundation and effective as of the date above indicated. The Foundation acknowledges receipt of the Schedule A property. DONOR(S) THE FINDLAY-HANCOCK COUNTY COMMUNITY FOUNDATION Signature Printed Name Name: Title: Date: Signature Printed Name Page 3 of 6

SCHEDULE A The following described property has been transferred to The Findlay-Hancock County Community Foundation under the foregoing Instrument of Transfer: S:\Development\Fund Forms\Scholarship Fund Start-Up Docs\Scholarship Agreements\Scholarship Agreement Example for Website.doc Revised January 2007 Page 4 of 6

SCHEDULE B Donor Designated Representative for Scholarship Selection Committee The individual identified below shall be the representative designated by the Donor to serve on the Scholarship Selection Committee described in Section 4 of this Instrument as long as he or she is able: Name Mailing Address City State Zip Home Phone Number Other Phone Number If other than a Donor, relationship to Donor(s) Upon the death, resignation, or incapability of the Fund Advisory Committee member identified above, an individual from the will be designated. S:\Development\Fund Forms\Scholarship Fund Start-Up Docs\Scholarship Agreements\Scholarship Agreement Example for Website.doc Revised January 2007 Page 5 of 6

SCHEDULE C OPERATING PROCEDURES S:\Development\Fund Forms\Scholarship Fund Start-Up Docs\Scholarship Agreements\Scholarship Agreement Example for Website.doc Revised January 2007 Page 6 of 6