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The Jane Salzano Center for Autism
                 Capital Campaign Fund




Branching Out
  Together
a message from the
                                                                President
                                                   Dear Friend,

                                                         oin us as we celebrate our new world-class autism




               Executive Director
                 Ian M. Paregol
                                                   J     services center.

                                                           CSAAC parents, relatives and friends are grateful to
                                                           the State of Maryland and Montgomery County
                                                           government for believing in CSAAC and making our
                                                           dream of this unique and vibrant center a reality. This
       CSAAC BOARD OF DIRECTORS                    facility will enable our staff to continue the good work of
President                Vice President
Carl Salzano                Ray Thomas             helping people with autism lead full, independent lives.
Treasurer                              Secretary
Julio Marius                        Glenda Rose    There is no other center like this in the Mid–Atlantic
                   Founder                         region. It will benefit not only individuals supported by
               Jane Ford Salzano                   CSAAC and the rising demand for services, but will provide
                Directors                          space for much needed industry training for autism
Nivea Cordova Berrios      Scott Johnston
Jodie Bouvery              Roland Ikheloa          professionals.
Carla Calobrisi            Samuel Lattner
Nilda Colgrove           Nwanze Okidegbe
Ellen Dashner                 Vic Pfeiffer         CSAAC parents have already made significant contributions,
Matthew Hurson                 Gary Rock           and more continue to do so every day. Local businesses and
CSAAC FOUNDATION BOARD OF DIRECTORS                corporations are already involved, for which we are grateful.
President                Vice President            However, it is vital to continue the campaign to furnish this
Del. Karen S. Montgomery Edward Lattner            terrific new facility. We need your help now. Won’t you
Treasurer                          Secretary       please consider making a transformational gift?
Debbie Lazovick              Debbie Colliton
Directors
Allen Schepps             Jimmie Reyna, Esq.       Thank you for partnering with us in mission of “enabling
Michael Orleans             John Depenbrock        individuals with autism to achieve their highest potential,”
Steve Paul                  Gale Saler, M.Ed.
                                                   and for making an investment in the future of CSAAC which
       CSAAC’s mission is to enable                will last for decades to come.
   individuals with autism to achieve their
     highest potential and contribute as
        confident individuals to their
                community.
                                                   Sincerely,
           The Jane Salzano
          Center for Autism
       8615 East Village Avenue
     Montgomery Village, MD 20886
         Phone 240-912-2220
          Fax 301-926-9384
            www.csaac.org                          Delegate Karen S. Montgomery
ing
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                          The Jane Salzano Center
                                for Autism
Map on this page
about the Jane Salzano Center
       for autism




             ith the first phase of construction completed in November, 2004, this


W            vibrant and architecturally dynamicg facility has become CSAAC’s new
             home. Just as CSAAC pioneered inclusion in the community for
             individuals with autism, now CSAAC pioneers the creation of a model,
world-class, state-of-the-art center for autism services like none other, anywhere.
Supported substantially by the State of Maryland and the Montgomery County
Government, grateful CSAAC families have rallied to answer the call for completion
funds, and many have chosen to make their gift of gratitude through numerous center-
based naming opportunities. Additional completion funds are sought to provide
furnishings for the interior.

CSAAC opens its doors to the community with the inclusion of an Autism Training Center,
Autism Resource Library, and Multipurpose Community Room – all designed with public
and professional education, and recreation for our individuals in mind. CSAAC endeavors
to meet the rising need for autism services – autism is diagnosed in 1 out of 150 children*
– which also translates to a greater need for professionals in the field.

With the completion of the Center, CSAAC will lead the way towards a brighter future
for children and adults with autism.

*U.S. Centers for Disease Control and Prevention—February, 2007.
donor recognition and
       naming opportunities
             he names of all donors who give $5,000 or more will be listed on a beautiful


    T        recognition plaque to be located in the Main Entrance reception area.
             Donors can honor or memorialize a loved one and choose to name one of the
             areas designated below. For the latest update of available naming
    opportunities, please visit www.csaac.org or call Ayda Sanver, Director of Community
    Development, at 240-912-2256. Monthly or multi-year pledges are welcome.

Opportunity                      Donor                                        Naming or Opportunity
Phase 1 – Administrative Wing    CSAAC Board of Directors                     In Honor of Matthew M. Hurson
Phase 2 – Programmatic Wing      Mr. & Mrs. Bruce & Jeanne Truett             In Honor of Kurt Beyer
Phase 3 – Training Center Wing   OPEN                                         $300,000
Main Reception Area              OPEN                                         $75,000
Training Center Entrance         OPEN                                         $75,000
The Multipurpose Room            OPEN                                         $75,000
Autism Resource Library          John C. & Mary K. McIntire                   In Honor of The Novotny Family
The Terrace                      OPEN                                         $50,000
The Board Room                   Plegded, 2008 CCSAC Board of Directors       $50,000
The Finance Pod                  Mr. & Mrs. Anthony & Karen Kamerick          In honor of The Kamerick Family
The Finance Conference Room      Albert, Edu, & Cynthia Case                  In Honor of John Case
The Executive Pod                Albert, Edu, & Cynthia Case                  In Honor of Kimberly Case
The Human Resources Pod          OPEN                                         $25,000
The Residential Services Pod     Delegate Karen S. & Mr. Harry Montgomery     In Honor of Richard Montgomery
The Support Services Pod         Mrs. Nancy Rogers-Watkins,
                                 Mr. Harry Frampton, & Dr. Donald McRae       In Honor of Alexander McRae
The Psychology and QA Pod        Drs. Richard & Robin McEntire                In Honor of Paul McEntire
The Vocational Services Pod      Mrs. Jane Ford Salzano                       In Honor of Jean D. Scafidi
Training Area Reception          Dr. and Mrs. Josef Yeager                    In Honor of Alexander Yeager
Training Pod- Room 1             Mrs. Beverly Dillencourt (d)                 In Honor of John Dillencourt
Training Pod- Room 2             Mr. and Mrs. Everett Eastman                 In Honor of James Eastman
Training Pod- Room 3             Mrs. Sevim Sanver                            In Honor of Aydin Omer Sanver
Training Pod- Room 4             Mr. and Mrs. Ivan & Jane Cunningham          In Honor of Owen Cunningha
Training Pod- Room 5             Mr. & Mrs. Dolores & Jimmie V. Reyna, Esq.   In Honor of Jimmie Reyna, Jr.
Training Pod- Room 6             OPEN                                         $10,000
Training Pod- Room 7             OPEN                                         $10,000
Training Kitchen & Cafe          Mr. & Mrs. Franklin & Molly Myers            In Honor of Joseph Myers
Small Conference Room            OPEN                                         $10,000
in Hurson Wing
Large Conference Room            OPEN                                         $30,000
in Hurson Wing
donor recognition and naming opportunities, continued
Playground                                           OPEN                                                                    $25,000
Outdoor Recreation Area                              Mr. and Mrs. Mary & John Depenbrock                                     In Honor of Brian Depenbrock
Offices, 30 available                                 $7,500 EACH (inquire for locations)
Benches                                              $1,000 EACH, while they last
Bricks                                               $250 EACH, while they last

Memorial Benches

Donor                                                                                             Message
Amerigroup Community Care                                                                         Amerigroup Community Care
Ivan and Jane Cunningham                                                                          In Honor of Owen Cunningham
Beverly Dillencourt (d)                                                                           John Dillencourt—“Thank You CSAAC”
Beverly Dillencourt (d)                                                                           “Rest and Renew”
Marion Holloway                                                                                   For Xander McRae
Rhoda Lawrence                                                                                    In Honor of Roseanne Lawrence
Roslyn D. Levinson                                                                                In Honor of Sue Beth Levinson
Robin and Richard McEntire                                                                        In Honor of Paul McEntire
Delegate Karen S. Montgomery & Harry Montgomery                                                   In Honor of Richard Montgomery
Luis and Karin Moscoso                                                                            Luis Antonio Moscoso, Jr.
Victor and Patricia Pfeiffer                                                                      In Honor of Nicholas Pfeiffer
Ayda Sanver                                                                                       In Honor of Julide Selin Halker
Hanna and Allen Schepps                                                                           In Honor of David Levitt

Bricks
Cecil and Ruby Adcock                                                                             Candice M. Noonan
Stephen Apostol, III                                                                              Jeanne Novotny (d)
Pierre and Jodie Bouvery                                                                          Ian M. Paregol
Nilda and Gary Colgrove                                                                           Joan Paregol
Aidan Jones                                                                                       Deba Patnaik
Patricia D. Juhrs                                                                                 Robert M. Paul
Anthony J. Kamerick                                                                               Susan and Dan Pereles
Samuel Lattner                                                                                    Vic and Patricia Pfeiffer
Roslyn D. Levinson                                                                                Robert C. Placious
Patrick and Vicki Malone                                                                          Steven Polakoff
Janet L. Mayland                                                                                  Susannah F. Prindle
Donald A. McRae                                                                                   Carl Salzano
Delegate Karen S. and Harry Montgomery                                                            Jane Ford Salzano
Walter F. Morrison                                                                                Hanna and Allen Schepps
Luis and Karin Moscoso                                                                            Nancy Rogers Watkins and Law Watkins
Brian Mund                                                                                        Tsyh-Tyan Yeh
Sheridan and Dana Neimark

                                                    We sincerely apologize for any errors or omissions.
 CSAAC, Inc. and CSAAC Foundation are 501(c) (3) nonprofit organizations and donations are fully tax deductible under the law. A copy of the current financial statements are
available upon request by calling 240-912-2256. Documents and information submitted to the State of Maryland under the Maryland Charitable Solicitations Act are available
from the Office of the Secretary of State for the cost of copies and postage.
A world-class
                 training center
                                                            s a national model provider for


                                              A             autism services, CSAAC regularly
                                                            receives inquiries from state
                                                            governmental units and other local
                                               service providing agencies to conduct autism
                                               training seminars. The Training Wing of the
                                               new center will offer much needed autism
                                               training space that can be used not only for
                                               training individuals served by CSAAC, for
                                               CSAAC staff training, but also for the training
                                               of other industry professionals. With the
                                               demand for autism services on the rise,
                                               CSAAC is taking the lead in the industry to
                                               ensure all individuals with autism receive
                                               proper, state-of-the-art services, whether
                                               served by CSAAC, or elsewhere. Annually,
                                               CSAAC provides approximately 29,000 hours
                                               of staff training in-house each year. “We have
                                               been recognized by the State as a provider of
quality autism services training,” says Ian Paregol, CSAAC Executive Director. “We plan to
market our training to other developmental disabilities service providers who don’t have the
capacity to train their own staff. With the addition of the training center space, we anticipate
a strong response from the developmental disabilities provider community to the opening
of our Training Institute—certainly the need is there.”

Legacy opportunities for the naming of the training center, training rooms, and the
multipurpose room will be used towards furnishings of the Training Center.

To learn more, contact Ayda Sanver, Director of Community Development, at
240.912.2256.
capital campaign pledge form
DONOR INFORMATION (Please type or print)
Last name:                                              First name:                                MI:
Address:
City:                                                   State:                             Zip code:
Home phone:                                             Business phone:
Cell phone:                                             Email:

DESIRED NAMING: I select the following naming opportunity:

DONOR RECOGNITION: (Donors will be recognized in campaign materials, newsletters, annual reports, and public
poster displays unless an anonymous gift is requested.)

Please use the following name(s) in all acknowledgements:

Please use the following name(s) or language on any naming plaques:

        I (we) wish to remain anonymous.

PLEDGE INFORMATION (please check all that apply):
     I (we) hereby contribute cash and/or assets to CSAAC Foundation’s 2007-2008 Capital Campaign.

      I (we) pledge a total of $            which consists of: amount enclosed $           and remainder pledged in
the amount of $              .

        I (we) wish to have this donation (or the remainder) spread over I 1        I2   I3     I4       I 5 years.
        at the rate of $            per month or $               per quarter.

CONTRIBUTION METHOD
       I (we) plan to make my (our) contribution in the form of:
       I cash     I check      I charge      I stock     I property    I other
For stock transfers or property donation, please contact Ayda Sanver, Director of Community Development,
at 240-912-2256, asanver@csaac.org.

Please charge my credit card:          I Visa   I MC     I Amex       I Discover

Credit card number:                                                        Exp. date:

Authorized Credit Card Signature:

My gift will be matched by                              in the amount of $                 .
Company/Foundation/Family

        Matching gift form enclosed.            Matching gift form will be forwarded to CSAAC Foundation.

DONOR SIGNATURE(S)
Signature:                                              Signature:
      I (we) have designated CSAAC Foundation, Inc.in my (our) will/estate planning.
      I (we) would like more information about planned giving to CSAAC Foundation.

Please Make Checks & Corporate Matches Payable To: CSAAC Foundation, Inc. Donations are tax-deductible to the
extent allowed by law.

Mail your pledge to: CSAAC Foundation, Inc., 8615 East Village Avenue, Montgomery Village, MD 20886
Attn: Director of Community Development or fax to 301.926.9384.
Vellum Sheet with
Housing Information

Goes over map
CSAAC At-A-Glance




               ty                                                                   Howard County
            oun
          kC
                                                                               • Theraputic Integration

     deric                                                                       Program




                                                                       Ho
  Fre




                                                                         wa
                                                                           rd
                                                                               Co
                                                                                 un
                                                                                   ty
                                    Montgomery Village
                              • The Jane Salzano Center for Autism
                                • 18 Homes
                                                                                    Brookville
                                                                          • Community School of Maryland
                                                                          • The Center for Autism and PDD
                                                                          • Early Intervention Preschool
                    Gaithersburg
                • 9 Homes
                                      l
                                      270
                                                   Rockville
                                                 • 12 Homes


                                                                           Wheaton/
                                                                          Silver Spring
              Fai                                                     • 11 Homes
                 rfa                                                  • Community School of
                    xC                                                  Maryland at Northwood
                      ou                                                High School
                        nty

                                              l
                                              495



                                                                     Washington, DC


    In addition, individuals served in CSAAC’s Supported Employment program
     work with approximately 50 companies throughout Montgomery Country.
The Jane Salzano Center for Autism
                          8615 East Village Avenue
                          Montgomery Village, MD 20886


                          P: 240.912.2220
                          F: 301.926.9384


                          www.csaac.org




Design: Profit By Design
www.profitbydesign.org                                    First printing, 04/08

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Jane Salzano Center Capital Campaign Fund

  • 1. The Jane Salzano Center for Autism Capital Campaign Fund Branching Out Together
  • 2. a message from the President Dear Friend, oin us as we celebrate our new world-class autism Executive Director Ian M. Paregol J services center. CSAAC parents, relatives and friends are grateful to the State of Maryland and Montgomery County government for believing in CSAAC and making our dream of this unique and vibrant center a reality. This CSAAC BOARD OF DIRECTORS facility will enable our staff to continue the good work of President Vice President Carl Salzano Ray Thomas helping people with autism lead full, independent lives. Treasurer Secretary Julio Marius Glenda Rose There is no other center like this in the Mid–Atlantic Founder region. It will benefit not only individuals supported by Jane Ford Salzano CSAAC and the rising demand for services, but will provide Directors space for much needed industry training for autism Nivea Cordova Berrios Scott Johnston Jodie Bouvery Roland Ikheloa professionals. Carla Calobrisi Samuel Lattner Nilda Colgrove Nwanze Okidegbe Ellen Dashner Vic Pfeiffer CSAAC parents have already made significant contributions, Matthew Hurson Gary Rock and more continue to do so every day. Local businesses and CSAAC FOUNDATION BOARD OF DIRECTORS corporations are already involved, for which we are grateful. President Vice President However, it is vital to continue the campaign to furnish this Del. Karen S. Montgomery Edward Lattner terrific new facility. We need your help now. Won’t you Treasurer Secretary please consider making a transformational gift? Debbie Lazovick Debbie Colliton Directors Allen Schepps Jimmie Reyna, Esq. Thank you for partnering with us in mission of “enabling Michael Orleans John Depenbrock individuals with autism to achieve their highest potential,” Steve Paul Gale Saler, M.Ed. and for making an investment in the future of CSAAC which CSAAC’s mission is to enable will last for decades to come. individuals with autism to achieve their highest potential and contribute as confident individuals to their community. Sincerely, The Jane Salzano Center for Autism 8615 East Village Avenue Montgomery Village, MD 20886 Phone 240-912-2220 Fax 301-926-9384 www.csaac.org Delegate Karen S. Montgomery
  • 3. ing The Kurt Beyer W The ick Matt amer hew The K ily M. H Fam urso In Honor of nW Open ing Kimberly Case In Ho Richard M nor of ontg omer y Open In H o Jean nor D. S of cafi di Op of en onor In H John Case Open Open Op Open Open Ow In H en on en Cu or o nn ing f ha m In Hon In H Alexand or of Jo ame o A I In Dil ast er Mc Paul M nor of lex n Ho hn s Br In Ho len ma J Rae cEn an nor ian H no co n tire de on r o r o ur In Honor of the Mc f De or f E Novotny Family Ra pe of e nbr t Jim nI oc Ope k mi Hono n eR ro eyn f Ay a, In Om di Jr. In Ho er n Al Hon O no Sa pe r o nv ex or Ye and of n f ag er er er In eph Jo Ho M s no ye r o rs f The Jane Salzano Center for Autism
  • 4. Map on this page
  • 5. about the Jane Salzano Center for autism ith the first phase of construction completed in November, 2004, this W vibrant and architecturally dynamicg facility has become CSAAC’s new home. Just as CSAAC pioneered inclusion in the community for individuals with autism, now CSAAC pioneers the creation of a model, world-class, state-of-the-art center for autism services like none other, anywhere. Supported substantially by the State of Maryland and the Montgomery County Government, grateful CSAAC families have rallied to answer the call for completion funds, and many have chosen to make their gift of gratitude through numerous center- based naming opportunities. Additional completion funds are sought to provide furnishings for the interior. CSAAC opens its doors to the community with the inclusion of an Autism Training Center, Autism Resource Library, and Multipurpose Community Room – all designed with public and professional education, and recreation for our individuals in mind. CSAAC endeavors to meet the rising need for autism services – autism is diagnosed in 1 out of 150 children* – which also translates to a greater need for professionals in the field. With the completion of the Center, CSAAC will lead the way towards a brighter future for children and adults with autism. *U.S. Centers for Disease Control and Prevention—February, 2007.
  • 6. donor recognition and naming opportunities he names of all donors who give $5,000 or more will be listed on a beautiful T recognition plaque to be located in the Main Entrance reception area. Donors can honor or memorialize a loved one and choose to name one of the areas designated below. For the latest update of available naming opportunities, please visit www.csaac.org or call Ayda Sanver, Director of Community Development, at 240-912-2256. Monthly or multi-year pledges are welcome. Opportunity Donor Naming or Opportunity Phase 1 – Administrative Wing CSAAC Board of Directors In Honor of Matthew M. Hurson Phase 2 – Programmatic Wing Mr. & Mrs. Bruce & Jeanne Truett In Honor of Kurt Beyer Phase 3 – Training Center Wing OPEN $300,000 Main Reception Area OPEN $75,000 Training Center Entrance OPEN $75,000 The Multipurpose Room OPEN $75,000 Autism Resource Library John C. & Mary K. McIntire In Honor of The Novotny Family The Terrace OPEN $50,000 The Board Room Plegded, 2008 CCSAC Board of Directors $50,000 The Finance Pod Mr. & Mrs. Anthony & Karen Kamerick In honor of The Kamerick Family The Finance Conference Room Albert, Edu, & Cynthia Case In Honor of John Case The Executive Pod Albert, Edu, & Cynthia Case In Honor of Kimberly Case The Human Resources Pod OPEN $25,000 The Residential Services Pod Delegate Karen S. & Mr. Harry Montgomery In Honor of Richard Montgomery The Support Services Pod Mrs. Nancy Rogers-Watkins, Mr. Harry Frampton, & Dr. Donald McRae In Honor of Alexander McRae The Psychology and QA Pod Drs. Richard & Robin McEntire In Honor of Paul McEntire The Vocational Services Pod Mrs. Jane Ford Salzano In Honor of Jean D. Scafidi Training Area Reception Dr. and Mrs. Josef Yeager In Honor of Alexander Yeager Training Pod- Room 1 Mrs. Beverly Dillencourt (d) In Honor of John Dillencourt Training Pod- Room 2 Mr. and Mrs. Everett Eastman In Honor of James Eastman Training Pod- Room 3 Mrs. Sevim Sanver In Honor of Aydin Omer Sanver Training Pod- Room 4 Mr. and Mrs. Ivan & Jane Cunningham In Honor of Owen Cunningha Training Pod- Room 5 Mr. & Mrs. Dolores & Jimmie V. Reyna, Esq. In Honor of Jimmie Reyna, Jr. Training Pod- Room 6 OPEN $10,000 Training Pod- Room 7 OPEN $10,000 Training Kitchen & Cafe Mr. & Mrs. Franklin & Molly Myers In Honor of Joseph Myers Small Conference Room OPEN $10,000 in Hurson Wing Large Conference Room OPEN $30,000 in Hurson Wing
  • 7. donor recognition and naming opportunities, continued Playground OPEN $25,000 Outdoor Recreation Area Mr. and Mrs. Mary & John Depenbrock In Honor of Brian Depenbrock Offices, 30 available $7,500 EACH (inquire for locations) Benches $1,000 EACH, while they last Bricks $250 EACH, while they last Memorial Benches Donor Message Amerigroup Community Care Amerigroup Community Care Ivan and Jane Cunningham In Honor of Owen Cunningham Beverly Dillencourt (d) John Dillencourt—“Thank You CSAAC” Beverly Dillencourt (d) “Rest and Renew” Marion Holloway For Xander McRae Rhoda Lawrence In Honor of Roseanne Lawrence Roslyn D. Levinson In Honor of Sue Beth Levinson Robin and Richard McEntire In Honor of Paul McEntire Delegate Karen S. Montgomery & Harry Montgomery In Honor of Richard Montgomery Luis and Karin Moscoso Luis Antonio Moscoso, Jr. Victor and Patricia Pfeiffer In Honor of Nicholas Pfeiffer Ayda Sanver In Honor of Julide Selin Halker Hanna and Allen Schepps In Honor of David Levitt Bricks Cecil and Ruby Adcock Candice M. Noonan Stephen Apostol, III Jeanne Novotny (d) Pierre and Jodie Bouvery Ian M. Paregol Nilda and Gary Colgrove Joan Paregol Aidan Jones Deba Patnaik Patricia D. Juhrs Robert M. Paul Anthony J. Kamerick Susan and Dan Pereles Samuel Lattner Vic and Patricia Pfeiffer Roslyn D. Levinson Robert C. Placious Patrick and Vicki Malone Steven Polakoff Janet L. Mayland Susannah F. Prindle Donald A. McRae Carl Salzano Delegate Karen S. and Harry Montgomery Jane Ford Salzano Walter F. Morrison Hanna and Allen Schepps Luis and Karin Moscoso Nancy Rogers Watkins and Law Watkins Brian Mund Tsyh-Tyan Yeh Sheridan and Dana Neimark We sincerely apologize for any errors or omissions. CSAAC, Inc. and CSAAC Foundation are 501(c) (3) nonprofit organizations and donations are fully tax deductible under the law. A copy of the current financial statements are available upon request by calling 240-912-2256. Documents and information submitted to the State of Maryland under the Maryland Charitable Solicitations Act are available from the Office of the Secretary of State for the cost of copies and postage.
  • 8. A world-class training center s a national model provider for A autism services, CSAAC regularly receives inquiries from state governmental units and other local service providing agencies to conduct autism training seminars. The Training Wing of the new center will offer much needed autism training space that can be used not only for training individuals served by CSAAC, for CSAAC staff training, but also for the training of other industry professionals. With the demand for autism services on the rise, CSAAC is taking the lead in the industry to ensure all individuals with autism receive proper, state-of-the-art services, whether served by CSAAC, or elsewhere. Annually, CSAAC provides approximately 29,000 hours of staff training in-house each year. “We have been recognized by the State as a provider of quality autism services training,” says Ian Paregol, CSAAC Executive Director. “We plan to market our training to other developmental disabilities service providers who don’t have the capacity to train their own staff. With the addition of the training center space, we anticipate a strong response from the developmental disabilities provider community to the opening of our Training Institute—certainly the need is there.” Legacy opportunities for the naming of the training center, training rooms, and the multipurpose room will be used towards furnishings of the Training Center. To learn more, contact Ayda Sanver, Director of Community Development, at 240.912.2256.
  • 9. capital campaign pledge form DONOR INFORMATION (Please type or print) Last name: First name: MI: Address: City: State: Zip code: Home phone: Business phone: Cell phone: Email: DESIRED NAMING: I select the following naming opportunity: DONOR RECOGNITION: (Donors will be recognized in campaign materials, newsletters, annual reports, and public poster displays unless an anonymous gift is requested.) Please use the following name(s) in all acknowledgements: Please use the following name(s) or language on any naming plaques: I (we) wish to remain anonymous. PLEDGE INFORMATION (please check all that apply): I (we) hereby contribute cash and/or assets to CSAAC Foundation’s 2007-2008 Capital Campaign. I (we) pledge a total of $ which consists of: amount enclosed $ and remainder pledged in the amount of $ . I (we) wish to have this donation (or the remainder) spread over I 1 I2 I3 I4 I 5 years. at the rate of $ per month or $ per quarter. CONTRIBUTION METHOD I (we) plan to make my (our) contribution in the form of: I cash I check I charge I stock I property I other For stock transfers or property donation, please contact Ayda Sanver, Director of Community Development, at 240-912-2256, asanver@csaac.org. Please charge my credit card: I Visa I MC I Amex I Discover Credit card number: Exp. date: Authorized Credit Card Signature: My gift will be matched by in the amount of $ . Company/Foundation/Family Matching gift form enclosed. Matching gift form will be forwarded to CSAAC Foundation. DONOR SIGNATURE(S) Signature: Signature: I (we) have designated CSAAC Foundation, Inc.in my (our) will/estate planning. I (we) would like more information about planned giving to CSAAC Foundation. Please Make Checks & Corporate Matches Payable To: CSAAC Foundation, Inc. Donations are tax-deductible to the extent allowed by law. Mail your pledge to: CSAAC Foundation, Inc., 8615 East Village Avenue, Montgomery Village, MD 20886 Attn: Director of Community Development or fax to 301.926.9384.
  • 10. Vellum Sheet with Housing Information Goes over map
  • 11. CSAAC At-A-Glance ty Howard County oun kC • Theraputic Integration deric Program Ho Fre wa rd Co un ty Montgomery Village • The Jane Salzano Center for Autism • 18 Homes Brookville • Community School of Maryland • The Center for Autism and PDD • Early Intervention Preschool Gaithersburg • 9 Homes l 270 Rockville • 12 Homes Wheaton/ Silver Spring Fai • 11 Homes rfa • Community School of xC Maryland at Northwood ou High School nty l 495 Washington, DC In addition, individuals served in CSAAC’s Supported Employment program work with approximately 50 companies throughout Montgomery Country.
  • 12. The Jane Salzano Center for Autism 8615 East Village Avenue Montgomery Village, MD 20886 P: 240.912.2220 F: 301.926.9384 www.csaac.org Design: Profit By Design www.profitbydesign.org First printing, 04/08