Employer matching donations:

GLCA is registered with JP Morgan, Reuters, and Brevity . To check if your company matches donations, please go to to https://causes.benevity.org/ to see if your company is listed.

Dear Donor to “Save the Lake” Fundraising campaign

This form is intended to provide:

1.       donor information and specific requests

2.       delivery instruction (page 2)

3.       confirmation of donation receipt from G.L.C.A., Inc.

Kindly please download the form, complete the donor part, and return it to us either as a printed hard copy document or as a scanned image to  Treasurer@GarnetLake.org   

DONOR INFORMATION:          Contact Information:

Name: ________________________________

Address: _______________________________

Email: _________________________________

  Tel. No.: _______________________________

DONOR SPECIFIC REQUESTS for “Naming the Dam” Contest:

           List my name publicly as: ________________________ or:   ☐anonymous

 Desired Name for the Dam: same as above ☐   or: ________________________

DONATION INFORMATION:

I am donating_______________________________          ___________________

                        (Cash or securities, name, or symbol)          Amount or number    

My donation is one time ☐   or monthly recurring ☐

mailing a check ☐, cash online ☐ or transferring securities ☐from ________________

  (Name of institution)

========================================================================

GLCA, Inc. Donation Receipt acknowledgement form:

Garnet Lake Conservation Association Inc, a 501c (3) corporation, EIN # 22-2523689,

gratefully acknowledges receipt of your donation of:

_____________________        __________________          _________________

Cash amount or                       Denomination or          Date received

number of shares                    name of securities

                                                                            ________________________,________

Signature & title of GLCA officer     

Delivery Instructions:

CASH:

Mail a personal check to: GLCA, Inc., P. O. Box 52, Johnsburg, NY 12843

           or,

Direct your bank to mail a check to GLCA

Online cash donation via Credit Card or PayPal:  

see Personal Donations below

SECURITIES:

Donor Advised Funds: 

If you participate in a Donor Advised Fund with your individual brokerage house, direct them make a grant to  Garnet Lake Conservation Association, EIN# 222523689

see delivery instructions below

Transfer from  Brokerage Account: 

see delivery instructions below

Delivery Instructions:

Instructions for transfers from your brokerage institution or bank to GLCA 's account with Schwab effective August 2026

Warning ! Transfer initiated after December 15 it may take more than 2 weeks!

A stock donation would come from another brokerage firm and be sent to

Schwab

DTC # 0164

Garnet Lake Conservation Association 

Acct # 2809 2012

ACH Transfers sent to

JP Morgan Chase/ Acct of Charles Schwab

211 Main St.,San Francisco, CA 94105

Routing # 071000013

Acct# 59385380028092012

Further credit to Garnet Lake Conservation Association 

Acct# 2809 2012

Wire transfer Instructions send to

Citibank NA

399 Park Ave.,NY NY,  10022

ABA/routing 021000089

Acct name- Charles Schwab Co. Inc

Acct# 4055 3953

Further credit to Garnet Lake Conservation Association 

Acct# 2809 2012

HOW TO  VALUE YOUR CONTRIBUTION