Name *

First Name

Last Name

Knowing that we have $18,000 to $19,000 to donate each quarter, how would you like to allocate our gift? *

Keep it as it is (the primary recipient gets $10,000 from us + 50% match [$5,000 max] from Schulze; runners-up split our remaining quarterly donation).

Give the PRIMARY RECIPIENT the specific $ AMOUNT noted below and split the remainder between the other two. (Primary also stands to get a 50% match [$5,000 max] from Schulze.)

Give the EACH RUNNER UP the specific $ AMOUNT noted below and give the remainder to the primary recipient. (Primary also stands to get a 50% match [$5,000 max] from Schulze.)

Give the PRIMARY RECIPIENT the specific PERCENT (%) of our quarterly donation as noted below and split the remainder between the other two. (Primary also stands to get a 50% match [$5,000 max] from Schulze.)

Other (Please describe in "Comments" below.)