How to Support the at Give2Asia K

How to Support the
K AOHSIUNG M EDICAL U NIVERSITY F UND
at Give2Asia
This document outlines how donors in the United States and Canada, and overseas donors with U.S. or
Canadian assets, may support Kaohsiung Medical University in Taiwan with tax-deductible contributions
to the KMU Fund at Give2Asia.
Background
Give2Asia is a U.S. 501(c)(3) nonprofit organization, and Canada 149(1)(f) public foundation,
founded by The Asia Foundation to promote charitable giving to Asia. Give2Asia offers donors a
wide range of philanthropic services, allowing them to recommend specific organizations for
funding, and providing expert research and advice on special giving opportunities in a given
country or field of interest. All G2A grants are administered by its parent organization, The Asia
Foundation, which maintains fifteen offices throughout Asia and has been a professional
grantmaker since 1954. For more information, please visit www.give2asia.org.
Give2Asia has formed a partnership with Kaohsiung Medical University (KMU) to provide
administrative support for KMU’s U.S. and Canadian fundraising. Under this agreement,
Give2Asia has established the restricted Kaohsiung Medical University Fund. Contributions made
to the fund are reserved for use on KMU projects and are granted to KMU in Taiwan periodically.
Notable aspects of the KMU Fund include:
Gifts to the KMU Fund are tax deductible. Give2Asia is recognized as a tax exempt
charitable organization in the United States (ID# 94-3373670) and Canada (Business number
85508 7045 RR0001). As such, donations are tax deductible according to U.S. and Canadian
law. Please consult your financial advisor on structuring your giving for maximum tax
benefit.
You will receive a thank you letter and receipt in recognition of your gift. Upon receiving
a gift, Give2Asia will issue a thank you letter and receipt recognizing the receipt of the gift to
the KMU Fund. This letter may be used for tax reporting purposes.
To support Kaohsiung Medical University through Give2Asia please complete the
form on the opposite side.
Give2Asia is honored to partner with Kaohsiung Medical University to provide a cost-effective solution for
connecting with its U.S. supporters.
For questions, please contact:
Give2Asia- North American Headquarters
Michael Rea, Managing Director
465 California Street, 9th Floor
San Francisco, CA 94109
Tel: (415) 743-3336; Fax: (415) 392-8863
mrea@give2asia.org
Kaohsiung Medical University
David C. Yang, M.D.,U.S. Liaison
221 Benedict Road
Staten Island, NJ 10304
Tel: (718) 987-2872; Fax: (718) 667-5367
dcyangmd@netscape.net
GIFT TO THE KAOHSIUNG MEDICAL UNIVERSITY FUND
Mail completed form to:
In the U.S.:
Give2Asia
P.O. Box 193223
San Francisco, CA 94119-3223
(415) 743-3336
In Canada*:
Give2Asia
Suite 1555-15000 W. Georgia Street
Vancouver, British Columbia, V6G 2Z6
I. DONOR INFORMATION
Name ____________________________________________________________________________________________________
Chinese Name
______________________________________________
Date
_____________________________________________________________________
Year of Graduation ______________________________________ School of ________________________________________________________________________
Street Address _____________________________________________________________________________________________
City, State, Zip, Country______________________________________________________________________________________
Day Telephone ___________________________________________ Evening Telephone ______________________________________________________________
Fax _______________________________________________________ Email ____________________________________________________________________________
II. DONATION DESIGNATION
Please choose the project you would like to support
General Fund [Unrestricted]
University Construction Fund
□ The 2nd Teaching & Research Building Fund
□ Other Construction Fund
Medical Research Fund
□ Medical Research Fund
□ Medical Research for Children Cancer Fund
□ Medical Research for Cancer Fund
Library Fund
□ Books & Periodical [periodical name: _______________ ]
□ Library Elevating Fund
Academic Development Fund
□ Academic Forum
□ Development of Excellence in Teaching and Research
□ General Education / Art and Literature Activity
Kaohsiung Medical University Chung-Ho Memorial Hospital Teaching & Research Fund
□ Specific: _______________
□ Hospital General Fund [Unrestricted]
Kaohsiung Municipal Hsiao-kang Hospital Teaching & Research Fund
□ Specific: _______________
□ Hospital General Fund [Unrestricted]
Other (please specify) ______________________________
Agree to contribute the amount of
□ 10% of donation to General Fund
□ 20% of donation to General Fund
III. CONTRIBUTION DESCRIPTION
Check or Money Order
$ ________________________
Please make check payable to Give2Asia and note KMU in the memo section.
Online Credit Card Donation
Please visit http://www.give2asia.org and click on KMU under Giving > Client Funds.
Wire Transfer
$ ________________________
Contact your bank or financial institution with the following information to initiate the wire transfer:
PNC Bank N.A.
43 North Sixth Street, Stroudsburg, PA 18360
ABA # 031000053 (for U.S. wires) or Swift Code: PNCCUS33 (for international wires)
Ref AC # 90-1175-2292
Give2Asia
Please note KMU Fund so that it may be properly applied.
Marketable Securities and/or Mutual Fund Shares
Before transferring gifts of marketable securities, please complete the “Letter of Authorization for
Securities Transfer” located in the Resource Center of www.give2asia.org.
Please provide the following information to your broker to transfer the securities:
Stern, Agee & Leach, clearing company for McKim Capital brokerage
DTC # 0750
Account #: 73274436
Account Name: Give2Asia
For all securities transfers, please indicate stock name and number of shares:
Stock Name/Description
Number of Shares
________________________________________
____________________
________________________________________
____________________
Other: Please contact Give2Asia staff at (415) 743-3336 to discuss contributions of Restricted Stock, or
other assets such as Real Estate.
*Canadian donors wishing to receive a tax deduction should submit their contribution by check
to the Canadian address listed above. Other methods of payment will not qualify for a
Canadian tax deduction.