Black Rock Legacy Society

    Planned Giving Pledge Form

    The Black Rock Mountain Society honors those who have designated a planned gift or bequest to Black Rock Forest as part of their estate planning. Recognition includes listing in Black Rock Mountain Society materials, on our website as well as inclusion in our annual report.

    Planned Giving Intention:
    To demonstrate my/our commitment to support the Black Rock Forest mission of advancing scientific understanding of the natural world through research, education and conservation in perpetuity in my/our estate plans.


    ORGANIZATION INFORMATION

    Organization Legal Name: Black Rock Forest Consortium, Inc. dba Black Rock Forest
    Address: 65 Reservoir Road, Cornwall, NY 12518
    Federal Tax Identification Number: 13-3536463
    Telephone: 845-534-4517 (general email: info@blackrockforest.org)
    Contact: Brienne Cliadakis, Director of Development
    Email: bcliadakis@blackrockforest.org
    Telephone: 845-534-4517, ext. 126

    (Please list names as you wish them to appear in the Black Rock Mountain Society materials/listings.)
    additional names

    I (we) prefer to make this planned gift anonymously.

    Include City, State & Zip
    *Email is required.

    My gift type is:

    Will/Living TrustRetirement Funds/IRAsCharitable Remainder Trust (CRT)Bank, Brokerage, or Other Financial AccountOther:

    I have made Black Rock Forest the beneficiary of my:

    Life Insurance Policy:
    Retirement Funds/ IRAs:
    Other:

    My future gift for Black Rock Forest:

    is a percentage of my estate and is worth approximately:
    is a fixed amount:
    I wish to keep the value of my future gift private at this time.

    My gift is:

    UnrestrictedDesignated for:

    Completion of this form is not intended to be legally binding. This form is notification of intent. Please discuss your planned giving intentions with your professional advisor. Black Rock Forest is a tax-exempt 501(c)(3) nonprofit organization, and contributions are deductible to the extent allowable by law. Unless your planned gift is specifically restricted, Black Rock Forest’s executive leadership and board of directors will determine the best use of your generous contribution including possible use in a match fund, capital campaign or endowment.