Maryland Family Assistance Funds
Form B: Deposits
>>> See the Model Deposit Transmittal Form below for sending donations to the MASSB Foundation's Trustee.
Deposit Transmittal Form: Dated _______ __, 20__
Mark Poerio, Trustee
103 Market Street
Annapolis, MD 21401
Re: Deposit for MASSB Foundation
Enclosed for deposit in the MASSB Foundation, in a sub-account for the _______ County Department of Social Services (DSS), are checks payable to the MASSB Foundation (and/or the _________________________) in the total amount of $________. Also enclosed (unless already on file with you) are our certified resolutions approving our sub-account. We understand that you will now –
* invest the enclosed deposits in a short-term checking account, with our account not sharing earnings or banking expenses.
Note: we have checked here [__] in order to request information about establishing a long-term pooled endowment account under which our account would share in allocations of earnings and expenses;
* (if not already done) establish an account within the MASSB Foundation, in the name of our county DSS; and
* distribute funds from our sub-account only upon our written request in accordance with our board-approved resolutions, subject to our obligation to provide you with representations establishing a tax-exempt use for funds being requested.
Please send a receipt for this deposit to our Board using the following email addresses for all who should receive reports: _____________@_____.___; _____________@_____.___ ; and _____________@_____.___.
We understand the trustees of the MASSB Foundation will be sending us regular reports in which you set forth the value of our account, and all account activity.
Printed Name: ______________________