welcome to exchange's newest clubs! a ll o n e · 2014-11-12 · exchange’s newest clubs ......
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A Call To Action: Each n
November 7, 2014, Volume 21, Issue 4
Items in this issue … Exchange’s Newest Clubs New Clubs Chartered – 2014/2015 Filing Requirement – 990 Form Triple Crown Teleconference Services Exchange Investigator Award Fall Meetings Held In Detroit/2015 Court of Honor Database – Member Area Black Friday, Small Business Saturday, Cyber Monday …
GIVING TUESDAY! Donate With Clicks, Not Dollars Matching-Gift Programs Exchange University In Sympathy – Richard D. Freeman Calendar Important Reminders National Headquarters Contact Information 2014/2015 Campaign Berkey Fellowship Information
WELCOME TO EXCHANGE'S NEWEST CLUBS!
Florida is "Living Exchange - Investigating the Possibilities!" We are excited to announce the 9th new club of the 2014/2015 administrative year. Please join us in welcoming the Exchange Excel Club of Fort Walton Beach High School, FL. The new club was built by Ron Garriga and Gale Jones and was sponsored by the Exchange Club of Emerald Coast, FL. The club chartered with 32 members on October 8, 2014. Volunteer Field Representative Bill Moomaw conducted the Permanent Organizational Meeting. The new club is part of Region 9 (Regional Vice President Joyce Franklin) and the Florida District (District President Nancy Gollnick).
Our Mission – Exchange, America’s Service Club, working to make our communities better places to live.
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Right: Charter members of the Exchange Excel Club of Walton Beach High School, FL, and members of the Exchange Club of Emerald Coast, FL.
We are also excited to announce the 10th new club of the 2014 - 2015 administrative year, also in the Florida District. Please join us in welcoming the Exchange Excel Club of Cardinal Gibbons High School, Fort Lauderdale, FL. The new club was built by Larry Crismond and was sponsored by the Exchange Club of Pompano Beach, FL. The club chartered with 51 members on November 6, 2014. Past National President W. James Brown, Jr., conducted the Permanent Organizational Meeting. The new club is part of Region 9 (Regional Vice President Joyce Franklin) and the Florida District (District President Nancy Gollnick).
Above: Charter members of the Exchange Excel Club of Cardinal Gibbons High School, Fort Lauderdale, FL, W. James Brown, Jr., and Larry Crismond.
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Right: Executive Vice President Tracey Edwards and Jim Addis, Director of Club/Member Development and Events, raise the Florida flag at Exchange's National Headquarters. To all the new members ... welcome to Exchange!
TELECONFERENCE SERVICES Teleconference meetings provide a very reliable, cost-effective way to bring district members together and keep the lines of communication open. Your National Headquarters will be happy to assist you in setting up a call. Let us know the date and time for your meeting; we will provide you with a toll-free dial-in number and passcode each person will use to access the call. Calls are invoiced at five cents per person per minute. To schedule a call, please email Executive Manager Gail Weller at: [email protected].
Currents A bulletin for Exchange Club leaders, is published monthly by The National Exchange Club. Address: 3050 Central Avenue, Toledo, Ohio 43606-1700.
419.535.3232 Fax: 419.535.1989
Website: www.nationalexchangeclub.org Email: [email protected]
Editor Publisher Gail Weller Tracey Edwards Executive Manager Executive Vice President
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NEW CLUBS CHARTERED – 2014/2015 No. DATE NAME MBRS SPONSOR DISTRICT BUILDERS
1 8.14.14 Exchange Excel Club of Ernesto Ramos Antonini Fine Arts School, Yauco, Puerto Rico
20 Yauco, PR Puerto Rico Maria Olivieri Nildin Ortiz
2 8.28.14 Exchange Excel Club of Providence School of Jacksonville, Jacksonville, FL
24 Jacksonville, FL Florida Rick Costner Steve Rawlins
3 8.28.14 Exchange Excel Club of University Christian School, Jacksonville, FL
30 Jacksonville, FL Florida David Ledbetter Steve Rawlins
4 9.11.14 Exchange Excel Club of Pine Lake Prep, Mooresville, NC
63 Mooresville/ Lake Norman, NC
North Carolina
Vickie Ketchie Barbara Orr Paul Summerville
5 9.23.14 Exchange Excel Club of Giles County High School, Pulaski, TN
39 Pulaski, TN Tennessee Daniel Haney Paul Manke Joe Young
6 9.30.14 Exchange Excel Club of Richland High School, Pulaski, TN
33 Pulaski, TN Tennessee Daniel Haney Paul Manke Joe Young
7 9.23.14 Exchange Excel Club of Eugenio Maria de Hostos School, Mayaguez, Puerto Rico
50 Sultana-Mayaguez, PR
Puerto Rico Silkia Obregon Maria Olivieri Nildin Ortiz
8 9.30.14 Timpanogos Exchange Club of Orem, UT
20 Utah Valley, UT Rocky Mountain
Deb Jackson
9 10.8.14 Exchange Excel Club of Fort Walton Beach High School, FL
32 Emerald Coast, FL
Florida Ron Garriga Gale Jones
10 11.6.14 Exchange Excel Club of Cardinal Gibbons High School, Fort Lauderdale, FL
51 Pompano Beach, FL
Florida Larry Crismond
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FILING REQUIREMENT – 990 FORM Filing Deadline is November 15th Annual Electronic Filing Requirement for Exchange Clubs and Districts
Exchange Clubs and Districts are required to electronically submit Form 990-N, also known as the e-Postcard, unless they choose to file a complete Form 990 or Form 990-EZ instead. If doing so, please send a scanned copy of the Form 990 or 990-EZ to [email protected]. Any club or district that fails to file required e-Postcards (or information returns – Forms 990 or 990-EZ) for three consecutive years will automatically lose its tax-exempt status. The revocation of the club or district’s tax-exempt status will take place on the filing due date of the third year. The e-Postcard is due on November 15th, the day of the 5th month after the close of Exchange’s tax year on June 30th. Filing the e-postcard is simple. Access the filing site directly by typing the following address into your Internet browser: https://epostcard.form990.org/. When you access the system, you will leave the IRS site and file the e-Postcard with the IRS through its trusted partner, Urban Institute. The form must be completed and filed electronically. There is no paper form. You will need the following items of basic information handy:
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1. Tax Identification Number
2. Tax year 7/1/2013 – 6/30/2014
3. Confirmation of annual gross receipts
4. Legal name and address (typically shown as: The National Exchange Club, DBA The Exchange Club of
[club name])
5. Name and address of primary officer
6. Website, if any
Contact: [email protected].
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Member Recruiter Members Recruited
New Club Building Recruiter Members Recruited
July John Bibeau, Penns Grove, NJ 5
August John Schoen, Irondale, AL 5 Steve Rawlins, Jacksonville, FL (2 clubs)
September Paul Summerville, Mooresville/Lake Norman, NC
24 Larry Crismond, Pompano Beach, FL 16
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National President Tom Karnes' "Living Exchange – Investigating the Possibilities" video can now be found on the homepage of the website and Exchange's YouTube channel. We encourage you to watch, and share, this overview of the 2014-2015 campaign and the great things planned for the year! FALL MEETINGS HELD IN DETROIT 50th NATIONAL LEADERSHIP CONFERENCE – A very successful 50th National Leadership Conference (NLC) was held in Detroit (Romulus), Michigan, with 2015/2016 District Presidents gathered at the Sheraton Detroit Metro Airport Hotel. An information-packed schedule was developed to help guide District Presidents-Elect as they prepare to lead their districts. High-impact training, based on district roles and responsibilities as stated in the Bylaws, was held daily and numerous presentations were offered. The first two days focused on important topics in areas relating to Roles and Leadership, as well as Building and Strengthening Exchange. The final day of training, Saturday, was centered on Leaving A Legacy. Saturday’s schedule included an opportunity for District Presidents-Elect to choose a class theme and spokesperson. The 2015/2016 Class of District Presidents selected South Carolina District President-Elect Angel Flewelling and Florida District President-Elect Ron Garriga as co-class spokespersons and chose “The 104th Lightning Squadron” as the class name. National President-Elect Dan McQueeney had several opportunities to address the class during the NLC and announced his theme for the 2015/2016 administrative year – Exchange Strong. To recognize their commitment and hard work, National President-Elect McQueeney presented each District President-Elect with a certificate of accomplishment and a presidential gavel. He thanked each of them for giving their time, effort and inspiration to lead Exchange in the next year. COURT OF HONOR INDUCTION – Saturday afternoon, attendees had the privilege of honoring five outstanding Exchangites as they were inducted into the Court of Honor. The Honorees were:
Robert Alan Davidson Exchange Clubs of Rincon-East Tucson and Santa Rita, Tucson, Arizona
Robert D. “Buffalo Bob” Harb
Exchange Clubs of Haverhill, Massachusetts, and Plaistow, New Hampshire
S. Kim Hodges Exchange Club of Utah Valley, Utah
Fenton C. Miller, Jr. (posthumously)
Exchange Club of Folly Beach, South Carolina
Lou Molitor Exchange Clubs of Waukegan, Illinois, and Kenosha, Wisconsin
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The ceremony took place in the courtyard at The National Exchange Club Headquarters Building. Attendees at the event included members of the National Board of Directors, NEC Foundation Trustees, Past National Presidents, District Presidents-Elect and many other guests. A special celebratory dinner followed at the Sheraton Detroit Metro Airport Hotel for all attendees. NATIONAL BOARD FALL MEETING – At the Fall Meeting of the National Board of Directors, board members focused on current Exchange issues and heard reports from National Committees. The board took action on the following:
Approved NEC Audited Financial Statements. Approved the 2015 NEC Convention Budget and the NEC’s portion of the 2015 Symposium Budget
($22,150). Tabled further discussion of a proposal to consolidate the NEC and NEC Foundation financial
statements until the Mid-Year Board Meeting in Columbus, Ohio, January 15, 2015. Approved a name change for the Minnesota District to the Lakes and Prairies District. Approved a name change for the Arklahoma District to the Mid-America District. A Merger Committee was appointed by National President Tom Karnes to study a potential merger of
the NEC and NEC Foundation. The committee will be chaired by Past National President Charles Braddock.
Contact: [email protected].
DATABASE – MEMBER AREA Attention Exchange Leaders … Please take a moment to login to the Member Area to verify that all of your personal information is accurate. Your national staff pulls this information whenever necessary, so it is important that it remains up to date. Contact: [email protected]. BLACK FRIDAY, SMALL BUSINESS SATURDAY, CYBER MONDAY … GIVING TUESDAY! We have a day for giving thanks. We have three days for getting deals. Now, we have #Giving Tuesday, a global day dedicated to giving back. The National Exchange Club is proud to be a participant in this year’s Giving Tuesday. On December 2, 2014, after kicking off the holiday season with family and friends, please make a donation to the NEC Foundation. Your support will promote the Programs of Service – Americanism, Community Service and Youth Programs – and the National Project, the prevention of child abuse. To support the NEC Foundation on Giving Tuesday, or anytime throughout the holiday season, please visit the Donate Now page of the NEC Foundation website.
Last year was the first year we participated in #Giving Tuesday. We had a moderate amount of success, but not enough participation. We would love for all the clubs and districts to get behind this initiative this year! More information can be found here: : #GivingTuesdayNEC
Contact: [email protected].
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DONATE WITH CLICKS, NOT DOLLARS With the holiday shopping season heading into full-swing, we found two great ways everyone can donate to The National Exchange Club Foundation without having to spend any additional out-of-pocket money. It doesn’t get any easier than this! When shopping online, there are two different retailers that “give back”. You can choose AmazonSmile and/or iMyne.
The National Exchange Club Foundation is listed with both of these online retailers. If you’re not already registered with these retailers, it’s easy. There are links to both of them below. Be sure to select The National Exchange Club Foundation as your charity of choice.
What is AmazonSmile?
Amazon donates 0.5% of the price of your eligible AmazonSmile purchases to the National Exchange Club Foundation.
AmazonSmile is the same Amazon you know. Same products, same prices, same service. NO cost to you!
Support the National Exchange Club Foundation by shopping at smile.amazon.com
___________________________________________________________________
What is iMyne? Shop. Earn. Donate. All at once.
Most people are missing out on savings when shopping online. For every dollar spent, there is unclaimed cash back left on the table. Many of the retailers you know and love offer money back for online purchases.
iMyne redistributes these savings back to its members and their favorite charitable causes.
Donate without a penny out of pocket.
Get started at imyne.com.
We all want to help change the world, but it often feels like "not the best time" to write that check, right? That's what makes iMyne great: It banks away unclaimed rebate cash as you shop, and automatically sends the donation to The National Exchange Club Foundation!
Contact: [email protected].
MATCHING-GIFT PROGRAMS Does your employer match donations to charitable organizations? Does your employer have money set aside for annual giving? Does your employer participate in end-of-the-year giving? Many businesses participate in programs that encourage employees to support nonprofit organizations. Matching gift programs are among the most popular. Please click on the following link to view a list of numerous organizations that may match gifts to non-profit charitable organizations such as your National Exchange Club Foundation:
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https://www.nationalexchangeclub.org/sites/default/files/attachements/Matching%20Gifts%20Companies%20NECF.pdf National President-Elect Dan McQueeney works with his employer to increase his contributions to the NEC Foundation. “You get double credit, your company is recognized and, above all, the NEC Foundation gets a double contribution.” Please speak with your company’s human resources representative for additional information about your employer’s charitable giving programs. Thank you! Contact: [email protected]. FOLLOW US ON FACEBOOK AND TWITTER …
EXCHANGE UNIVERSITY As a reminder to all Club Officers and District Directors, Exchange University is a valuable online training resource available to all Exchange Club members. Not only is this educational opportunity an important training tool, but it is also a requirement for many national awards, including the:
Distinguished Club President Award Distinguished Club Secretary Award
Distinguished Club Treasurer Award Distinguished District Director Award
For all of these awards, the training must be completed within 30 days of taking office. Exchange University training is accessible anytime and anywhere with an Internet connection. For any questions, or to enroll in Exchange University, please contact: [email protected]. IN SYMPATHY Richard D. Freeman – Richard D. “Dick” Freeman passed away Wednesday evening, November 5, 2014. Funeral arrangements are not available at the time of publishing, but a memorial service celebrating Dick’s life is planned for 1:00 p.m., November 21, at St. Andrews Presbyterian Church, 600 St. Andrews Road, Newport Beach, California. Dick joined the Exchange Club of Newport Harbor in 1995. He served two terms as Californian/Nevada District President in 2001/2002 and 2002/2003. He was a generous contributor to the NEC Foundation and was a Berkey Fellow. Dick is survived by his wife, Jane. Messages of condolences may be sent to: Jane Freeman, 3910 Topside Lane, Corona Del Mar, CA 92625-1628. Please keep the Freeman Family in your thoughts and prayers.
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EXCHANGE LEADERS’ CALENDAR AND IMPORTANT DATES
Attention District Presidents and District Presidents-Elect: Please submit dates for your district’s Fall and Mid-Year Conferences, along with dates for your 2015 District Convention. Information is needed for the following District Conventions:
California/Nevada Connecticut Dakota Territory Northern Indiana Mid-America Mississippi Ohio/West Virginia Wisconsin/Upper Peninsula
A national representative will automatically be assigned to each District Convention. All national rep assignments for 2015 District Conventions will be announced at the Mid-Year Meeting in Columbus, Ohio. Requests for national representatives for any other events must be sent to National Headquarters.
November 8 – New England Fall Educational Conference; Merrimack Valley Golf Club; Methuen, MA. November 12-16 – Annual Ribfest; the Exchange Club of N.E. St. Petersburg, Florida; specific arrival and departure dates to be determined – National President Tom Karnes. Schedule:
Wednesday, November 12 – Dinner with club officers. Thursday, November 13 – 8:00 a.m. – Seminole Business Master’s club meeting Noon – Exchange Club of St. Petersburg club meeting Afternoon – Visit local CAP Center, Parent Aid Center & Outreach Center, Children’s Museum Evening – “Fence-Up” for Ribfest and kick-off dinner Friday, November 14 – Morning – Tour Children’s Hospital Friday through Sunday – Annual Ribfest in Vinoy Park
November 13 – Charter Banquet for the Exchange Excel Club of Pine Lake Prep, Mooresville, NC – National President-Elect Dan McQueeney. November 19 – POM of the new Youth Guidance Exchange Excel Club Pathfinders of Vero Beach, FL – Immediate Past National President Don Wright. December 6 – Lincolnland District Mid-Year Educational Conference; Bloomington, IL. January 15-18, 2015 – Mid-Year Conference for District Presidents, District Presidents-Elect and National Board Members; Hyatt Columbus; Columbus, OH. (Information to be provided regarding specific arrival/departure dates. National Board will arrive Wednesday, January 14, and will meet on Thursday, January 15. District Presidents and District Presidents-Elect will arrive on Thursday, January 15. All departures on Sunday, January 18.) January 30-February 1 – Colonial District Mid-Year Conference; Hampton, VA – Executive Vice President Tracey Edwards. February 6-7 – Tennessee District Mid-Winter Conference; Double Tree; Murfreesboro, TN.
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February 6-8 – Alabama District Mid-Winter Conference. February 7 – Texas/Louisiana Gulf Coast District Mid-Winter Conference – National President-Elect Dan McQueeney. February 20-22 – Western Regional Conference; Riviera Hotel and Casino; Las Vegas, NV. March 6 – 90th Anniversary Celebration for the Exchange Club of Fort Smith, AR – National President Tom Karnes and Executive Vice President Tracey Edwards. Weekend of May 1-3 – New England District Convention; Red Jacket Mountain View; North Conway, NH
Rocky Mountain District Convention; Hotel Elegante; Colorado Springs, CO Weekend of May 15-17 – Bi-District (Mid-Atlantic and New Jersey/New York); Harrisburg, PA
Florida District Convention; Jacksonville Hyatt; Jacksonville Lakes and Prairies District Convention; Pella, IA Northwest District Convention; LaQuinta Inns; Tacoma, WA Sierra Pacific District Convention Texas District Convention; San Antonio area
Weekend of May 29-31 –
Michigan District Convention; Traverse City, MI Weekend of June 5-7 –
Georgia District Convention; Augusta, GA Indiana District Convention South Carolina District Convention Southwest District Convention; Chaparral Suites; Scottsdale, AZ Tennessee District Convention; Sheraton Music City; Nashville
Weekend of June 12-14 –
Colonial District Convention; Hampton, VA Puerto Rico District Convention Texas/Louisiana Gulf Coast District Convention; Baton Rouge, LA
Weekend of June 19-20 –
North Carolina District Convention Weekend of June 26-28 –
Alabama District Convention; Birmingham Lincolnland District Convention; Quincy, IL Yellowstone District Convention; Big Sky Resort; Bozeman, MT, area
June 26 – Exchange Club of Albany, GA; Installation of Officers; Albany, GA – Executive Vice President Tracey Edwards.
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Future National Conventions: July 29-August 1, 2015 – 97th National Convention; Hyatt Columbus; Columbus, OH. July 13-16, 2016 – 98th National Convention; Hyatt Houston; Houston, TX. July 12-15, 2017 – 99th National Convention; Hyatt Jacksonville; Jacksonville, FL. IMPORTANT REMINDERS …
MONTHLY MEMBERSHIP CLOSEOUT DEADLINE … The membership closeout deadline each month is noon, Eastern Time, on the last working day of the month – with the exception of June. Please ensure that new member data is entered by this time. To expedite your new member’s entry date, please enter on the Member Resources section of the database. This ensures that your new member is entered in real time, with no postal delivery delay. If you are using new member certification cards, new members will be entered on the date the card is received at National Headquarters. Note: In June, the deadline is midnight, Eastern Time, on the last working day of the month.
ATTENTION REGIONAL VICE PRESIDENTS, DISTRICT PRESIDENTS AND DISTRICT PRESIDENTS-ELECT …
Reports are due by the 5th of each month for District Presidents and District Presidents-Elect. Monthly reports are due from Regional Vice Presidents by the 7th of each month. The forms can be found on our website at: www.nationalexchangeclub.org. Click on: Member Resources, Forms, and scroll down to District or National. Please take a moment to complete your report each month, as the information gathered is very valuable to your national leaders and staff. Monthly reports should be emailed to:
National President Tom Karnes, [email protected] National President-Elect Dan McQueeney, [email protected] Executive Vice President Tracey Edwards, [email protected] Executive Manager Gail Weller, [email protected] Your National Growth Team, at: [email protected] Any Volunteer Field Representatives (VFRs) in your region/district. Additionally, Regional Vice Presidents should copy his/her District Presidents and District
Presidents-Elect; and, DPs and DPEs should copy his/her Regional Vice President.
ATTENTION NEC FOUNDATION TRUSTEES – Monthly reports are due by the 7th; email to: NEC Foundation Secretary Tracey Edwards, [email protected] NEC Foundation President Dennis Koch, [email protected] And, to: [email protected]
2014/2015 NATIONAL YOUTH OF THE YEAR ESSAY THEME – “INVESTIGATING THE POSSIBILITIES: MAKING THE COMMUNITY A BETTER PLACE TO LIVE!”
IRS MILEAGE REIMBURSEMENT RATE FOR 2014 The IRS has decreased its optional standard mileage rate to $0.56/mile for 2014. The National Exchange Club’s policy is to reimburse board members for Exchange-related travel up to their budget at a rate that is half of that of the IRS, or $0.28/mile.
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NATIONAL HEADQUARTERS CONTACT INFORMATION Below is a list identifying various departments and areas of responsibility at the National Headquarters office. Phone – 800.924.2643 or 419.535.3232. To place or inquire about an Exchange MarketPlace order, please visit: [email protected]. The National Exchange Club Administrative/Executive [email protected] Tracey Edwards, Executive Vice President Gail Weller, Executive Manager
Organizational administration and governance
Bylaw and policy information
National representative assignments; travel authorizations
Monthly Currents newsletter Child Abuse Prevention Services [email protected] Genevieve Stults, Director Zac Shoup, CAP Services Program Specialist
CAP program information; program development
Exchange Club Center services Club/Member Development & Events [email protected] Jim Addis, Director Jonathan Green, Membership Development Manager Louise Kachmarik, Membership Development Manager
National club building
Leadership and member development
Volunteer Field Representatives
Meeting/conference/convention planning Communications [email protected] [email protected] Kristie Lindau, Director Julie Pardee, Communications Manager
Publications and Exchange Today magazine
Public and media relations
NEC website
Biographical information and photo archives
Finance [email protected] Roda Charney, Senior Financial Specialist Jackie Lewis, Financial Specialist
Accounting; accounts payable/receivable processing; IRS issues
Intellectual property management
Insurance
Human resources Member Services [email protected] Dixie Smarszcz, Senior Member Service Specialist Sally Akers, Member Service Specialist Sheila Johnson, Member Service Specialist
Database maintenance; officer and address changes; membership and club records
Club and district historical information
Mailing label orders
General member service requests
National awards/Programs of Service
Supply orders and inquiries Physical Operations Jim Baer, Director Christina Pawlaczyk, Physical Operations Specialist
Printing of Exchange publications
District bulletin printing; kit assembly
Building maintenance
Supply and product fulfillment operations
Shipping and receiving The National Exchange Club Foundation [email protected] Debbie Baldwin, Development Manager
Donor development, corporate/foundation support
Fundraising events and planned giving
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Why is becoming a Berkey Fellow important?
“My primary reason for becoming a Berkey Fellow is to build our Endowment so that the interest on that money will ensure that our Programs of Service and our Child Abuse Prevention Project will be funded in the future. Secondly, Kay and I enjoy attending the Berkey Dinner with our Exchange friends at the National Convention.”
Past NEC and NECF President
Jim Brown
What is the Berkey Fellowship? Named in honor of Charles Berkey, the founder of Exchange, the Berkey Fellowship honors outstanding supporters of the ideals of the National Exchange Club. Individuals or clubs can join this elite group of Berkey Fellows with a contribution of $1,000 or more to the National Exchange Club Foundation during the fiscal year (July 1-June 30). Monthly payments are available.
How is Berkey Fellowship money used? Gifts made to the Berkey Fellowship become part of the Endowment Fund - a permanent bank of funds for the NEC Foundation. The Endowment Fund’s principal is permanently invested, and interest earnings from the fund are used to support the programs of Exchange. The Endowment ensures that Exchange’s programs are sustained well into the future.
How can I become a Berkey Fellow? To make your Berkey Fellowship donation easily, electronically, please visit www.exchangeclubfoundation.org/donations.htm and note “Berkey” in the memo area. Or you may use the form below to make your Berkey Fellowship donation. Monthly payments are also available.
Name (Please Print): Address: City, State, Zip: Email: Phone: I would like to renew my Berkey commitment with the enclosed gift of $1,000. (Please write check to NEC Foundation.) I would like to renew my Berkey commitment. Please bill my credit card for a total gift of $1,000. (Please provide credit card
information below.) I would like to make my gift over time. Please draft my bank or credit card account as follows: Monthly Amount: $
15th of the month -or- 30
th of the month
(First charge will be made when form is received by NECF.)
______ Number of Months -OR- _______ Ongoing (until otherwise notified)
Bank Account Information: -OR- Credit Card Information: MasterCard VISA Discover Am Express Account Holder Bank Name Credit Card Number
Account Number Routing Number
I understand that a total donation of $1,000 must be received by June 30 to count toward my Berkey commitment for the fiscal year.
______ Signature Date