> **FICTITIOUS DOCUMENT — FORGE DEMO ONLY · specimen data built for a product demonstration · no real family, firm, fund, bank, or person is depicted** FICTITIOUS DOCUMENT — FORGE DEMO ONLY ---
## THE ELLENCOURT FAMILY FOUNDATION 18 Marden Green · Hartford, Connecticut 06103 A Connecticut nonprofit corporation · 501(c)(3) private foundation · EIN 32-77•••••
--- July 21, 2026 Ms. Naomi Reyes, Executive Director Kettle Hollow Community Health Initiative 92 Founders Way Ashford, Connecticut 06278 **Re: Notice of Grant Award — $250,000** Dear Ms. Reyes: On behalf of the Board of Directors of the Ellencourt Family Foundation, I am pleased to inform you that the Foundation has approved a grant to Kettle Hollow Community Health Initiative (EIN 54-19•••••) in the amount of **two hundred fifty thousand dollars ($250,000)** under the Foundation's 2026 grant cycle. **Purpose.** This grant is awarded as general operating support for your community health clinic serving the Ashford and Kettle Hollow region. Consistent with our conversations, the funds are unrestricted within that program area and may be applied to clinical staffing, patient services, and the ordinary operating costs of keeping the clinic doors open. **Payment.** Payment in the full amount will be made by check or ACH transfer, to be arranged with your finance office upon your countersignature below. Please have your Director of Finance provide deposit instructions to the Foundation office; any wire or routing coordinates will be handled directly between custodians and are recorded internally as [REDACTED — SPECIMEN]. **Reporting.** We ask only for a brief written report on the use of these funds, no longer than two pages, describing patients served and the operating needs the grant helped meet. An interim note ahead of the Foundation's grant-cycle board meeting on **November 5, 2026** would be welcome; a final report is due within twelve (12) months of disbursement. This award reflects the Board's confidence in your work. We are glad to stand behind the clinic for the year ahead. With warm regards,
**Catherine Ellencourt** Chair, Board of Directors The Ellencourt Family Foundation
**Rachel Okoye** Foundation Coordinator Wrenfield Family Office --- *Accepted on behalf of Kettle Hollow Community Health Initiative:* Signature: ______________________________ Date: ____________ Name / Title: ___________________________________________ --- FICTITIOUS DOCUMENT — FORGE DEMO ONLY