Please print this form from your browser and complete. Click here to return to the Investment Form.
On behalf of _____________________________________ ( Congregation or Affiliate) presently having an account with the Unitarian Universalist Association ("UUA") whereby the UUA holds monies for the UUA General Investment Fund , the undersigned Congregation or Affiliate hereby elects the following quarterly distribution rate to be effective through the quarter ending _________________ ( date, i.e. Sept. 1999, Mar. 2000).
(Select one)
4.5%_________
5.0%_________
5.5% ________
6.0%________
IN WITNESS WHEREOF, the Congregation or affiliate has caused this document to be executed on its behalf and in its name by its officers thereunto duly authorized this
_________________________ day of _______________________ (year)__________
_________________________________ Name of Congregation or Affiliate
By:
___________________________________ Name and Title of Officer
Attest:
________________________________ Clerk of Congregation or Affiliate
( This document must be postmarked 30 days prior to a quarter-end. Send to: Nancy Gladyszak, Endowment Funds Manager, Unitarian Universalist Association, 25 Beacon St, Boston, MA 02108)