ABOUT FAMOUS FACES Pack your bags for an adventure of a lifetime at our 2019 “Around the World in 80 Days” Famous Faces Masquerade Ball to benefit Shepherd’s Hope and its mission of providing free and compassionate healthcare to the uninsured and underinsured in Central Florida.

From the heights of a hot air balloon, guests will explore exotic destinations and encounter new cultures. No Stone will be left unturned as guests will be fascinated by live entertainment, gourmet dining, fine wines and spirits, costume contests, live and silent auctions, dancing and more!

Join Us! Saturday, October 26, 20196:00 p.m. to 11:00 p.m.

Loews Royal Pacific Resort at Universal Orlando™

Famous Faces Audience • Expected attendance of 600 business executives, philanthropists,

healthcare professionals, community leaders and members

• Men and women, averaging 30 to 65 years of age

• Represent high-end, luxury brand consumers

When you invest in Shepherd’s Hope through a Famous Faces Sponsorship, you are changing lives and helping to provide the hope of healing to Shepherd’s Hope patients.

ABOUT SHEPHERD’S HOPE A faith-based organization of volunteers that exists to provide access to healthcare for the uninsured.

Since 1997, Shepherd’s Hope has provided free medical services to the uninsured and underinsured in Central Florida. Today, Shepherd’s Hope has evolved to five free-standing health centers, in Orange and Seminole Counties, that provide primary care and specialty care patient visits to uninsured and underinsured men, women and children across Central Florida. A dedicated group of 2,800 licensed medical and general volunteers, 5 community hospital partners, 100 diagnostic/surgical providers and numerous multi-faith partners worked collaboratively in 2018 to provide 19,033 free patient visits and medical services to the uninsured and underinsured.

FAMOUS FACES 2018 SPONSORS & PARTNERS ABC Fine Wine & Spirits AdventHealthCerner Cigna City Beverages, LLC CNL Financial Group Colorvision Compass Research Florida Cardiology, P.A. Florida State Distributers FreshpointKroger Specialty Pharmacy Loews Royal Pacific Resort

Lucky's SupermarketMateer & Harbert, P.A.Megan's MovingNemours Children's Health System Nephrology Associates of Central Florida Orange AppealOrlando HealthOrlando Health Physician Associates Osteopathic Foundation of East Orlando Production Resource GroupQuest DrapeRae of Sunshine FoundationSand Lake Dermotology Center

SeaWorld Parks & Resorts Orlando ShepardSt. Luke's United Methodist Church SunbeltTD BankThe Collage CompaniesThe Pendas Law Firm, P.A. Universal Orlando Foundation Vaco Orlando, LLCVERWest Orange Healthcare District Westgate Resorts Foundation

IN-KIND DONATION FORM

Loews Royal Pacific Resort logo © 2017 UCF Hotel Venture. All rights reserved. Universal elements and all related indicia © 2017 Universal Studios. All rights reserved. A copy of the official registration for Shepherd's Hope and financial information may be obtained from the Division of Consumer Services by calling toll-free (800-435-7352) within the state. Registration does not imply endorsement, approval, or recommendation by the state. Registration #: CH7855.

DONATION INFORMATION/ITEM(S) (Please include all details (quantity, size, color, etc.):

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Special Restrictions/Conditions (restrictions, expiration date, location, etc.), if applicable :

____________________________________________________________________________________________________________

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Donor’s Estimated Value/ Fair Market Value of your contribution: $ ___________________________________

DELIVERY (must be filled in):

Request picked up by Shepherd’s Hope Staff or Volunteer ______________________________

Donation Delivered by Donor Date Received _______________ Other ____________________________________________________

SIGNATURE OF DONOR: __________________________________________________________ DATE: ________________

Committee/Staff Contact ____________________________________________________________________

For taxation purposes, this serves as a receipt for a non-cash contribution.

_____ No goods for services were provided in consideration of this gift.

_____ The amount deductible as a charitable contribution for federal income tax purposes is limited to the excess of the value of the

contribution over the fair market value of goods and services provided by Shepherd’s Hope in consideration of this gift. The fair market

value of the goods and service provided was $_____________________________.

COMPLETED FORMS OR QUESTIONS DIRECT TO:

Shepherd’s Hope, Attn: Development Department, 455 9th Street, Winter Garden, FL 34787Phone: 407-876-6699 ext. 230, Email: Development@shepherdshope.org, Fax: 407-909-0603

As an in-kind auction donor your company will receive recognition on the events electronic auction bidding site, signage displayed during the ball, and an applicable tax deduction for your contribution*.

DONOR INFORMATION:

Name:_____________________________________________________________________

Company: ________________________________________________Title: _____________________________________________

Address: ____________________________________________________________________________________________________

City:__________________________________________________ State: _______________ Zip: ____________________________

Phone: _________________________ Fax: __________________________ Email: _______________________________________

Development Use Only

Thank you for your consideration of an in-kind donation to our 2019 Famous Faces Masquerade Ball. It means a great deal to all of us, especially the uninsured, men, women and children who wait in line nightly at our five health centers in search of hope and healing.