First Name

Last Name

Affiliation (if applicable)

Would you like your name and/or affiliation to be ANONYMOUS or PUBLIC?

AnonymousPublic

4. How much are you and/or your family currently investing in your for-profit portfolio(s) expecting a positive impact as well as financial return?

5. How much are you or your family currently donating via traditional philanthropy per year?

7. Which financial institutions are the above stated capital managed by? This includes banks, wealth management firms, family offices, impact investment funds, donor advised funds, etc. (This information will be used strictly to evaluate opportunities for collective action to educate financial institutions-- no contact will be made on your behalf without your express consent)

13. Which countries, states (and/or cities) do you and your family have the most significant relationships with?