Planned Gift Confirmation Form

A planned gift is a simple but meaningful way to help North York General Hospital provide exceptional care to our community. Please take a moment to complete this confidential form and return it to us.

I/We confirm the following planned gift to North York General Hospital Foundation:

Bequest in my/our will(s)
Beneficiary of a life insurance policy
Beneficiary % of my RRIF/RRSP proceeds

The above planned gift(s) are in honour/memory of

First

Last

Heritage Circle

North York General Hospital Foundation welcomes you as a member of the Heritage Circle. The Heritage Circle recognizes donors of future bequests and other types of planned gifts, as well as promotes philanthropy within our shared community. As a member of the Heritage Circle, you can choose to become an active participant in North York General Hospital's legacy. Members will be invited to an annual event and, those who confirm a legacy commitment of $10,000+ will be acknowledged by having their names listed on the Inspiration Gallery Donor Wall, within the Heritage Circle Category, located on the first floor of our hospital. You will be part of a special group of individuals who are committed to helping our hospital make a world of difference in your own backyard for generations to come. The amount and purpose of your gift are strictly confidential and will not be disclosed publicly, unless otherwise indicated by you.

Please select all that apply

I/We accept the Foundation's invitation to be a member of the Heritage Circle
I/We wish to accept membership, but remain anonymous
I/We wish to be listed on the Inspiration Gallery

Please provide the following information

First

Last

Name of spouse (if applicable)

Address

Address Line 1

City

State / Province / Region

Postal Code

Date of Birth

Email Address

Phone Number

Spouse Date of Birth (if applicable)

Submission Date

Your Partner In Philanthropic Giving

From tax management to family values, there are many motives involved in charitable giving. Once you are engaged in your client’s philanthropic planning, North York General Foundation is here to help.

Our staff can provide information on making charitable bequests and establishing endowments, as well as gifts of securities, life insurance, RRSP/RRIF funds and real and tangible property. We would be happy to work with you to efficiently plan or process your client’s gift and discuss recognition options.

Sample Wording For:

A Special Will Bequest:

“My estate trustees shall pay the sum of $__ to North York General Hospital Foundation.”

A Residual Bequest

“My estate trustees shall pay and transfer (1) [or more] equal share(s) of the residue of my estate to North York General Hospital Foundation.”

If your client wishes to designate their gift, simply add language to the above samples related to the program they wish to support. For example: “I wish for my donation to support the Breast Cancer Program at NYGH.”

Official Name: North York General Hospital Foundation

Charitable Registration Number: 88875 1245 RR0001

Thursday, June 11, 2026

11AM – 2PM

Donalda Club
12 Bushburry Drive, North York

Registration.

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