Larry VandenBrink'S Dinner Gala Auction Donation Form

Donor Company/Individual Name*

Contact Name*

First Name

Last Name

Contact Phone Number*

Contact Email Address*

Donor Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Item Being Donated*

Item Description*

Item Restrictions*

Please consider extending the expiration date on gift certificates to at least one year from the event date.

Type of Item*

Tangible Item Gift Certificate

Other:

Fair Market Value*

How will CFF receive the item?*

Solicitor

Additional Comments or Information

The Cystic Fibrosis Foundation, a 501(c)(3) nonprofit organization, has unrestricted financial reserves of about 10 times its 2022 operating budget. These reserves are largely a result of the Foundation's successful venture philanthropy model, through which we have raised and invested hundreds of millions of dollars to help discover and develop breakthrough CF therapies. These funds and any future revenue from our model are reinvested into the CF Foundation's mission to cure cystic fibrosis and to provide all people with CF the opportunity to lead long, fulfilling lives. To obtain a copy of our latest Annual Report, visit https://www.cff.org/About-Us/Reports-and- Financials/, email info@cff.org or call 1-800-FIGHT-CF.