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2024 Shareholder Designated Charitable Contribution Program
2024 SHAREHOLDER DESIGNATED CONTRIBUTION PROGRAM
I hereby designate the following organization(s) which I believe to be qualified as a charitable organization under Section 501(c)(3) of the U.S. Internal Revenue Code, to receive a charitable contribution from Associated Capital Group, Inc. (the “Company”) as follows:
Number of Shares:
Name of Organization:
Address of Organization:
If you hold more than 8,000 shares, you may designate a second charity to receive a charitable contribution from the Company, as follows:
Number of Shares:
Name of Organization:
Address of Organization:
I also affirm that: (1) the Company’s contribution will not be used to satisfy any part of a charitable pledge or other agreement which I have made with the charity; and (2) I have received no goods or services in connection with the Company’s contribution.
Shareholder Name:
Shareholder Address:
Authorized Representative (if not an individual):
E-Mail address (optional):
Responses must be received by December 6, 2024.
Clear