[Kibbutz Rice Foundation] Donation Application Form
[Name of Corporation]  
General Incorporated Association Kibbutz Yatsugatake

[Purpose of the Fund] 
The funds will be used to acquire new land (33,000 m² in Oizumi-cho, Hokuto-shi, Yamanashi Prefecture) and cover the costs of applying for large-scale development to create a base for sustainable community activities by the Kibbutz Yatsugatake General Incorporated Association.

[Fundraising Plan]
Planned Fundraising Amount: 300 million yen (30,000 shares)
Amount per Fundraising Share: 10,000 yen
Maximum Fundraising Amount: No limit (however, the limit for issuing Community Currency Exchange Certificates, described below, is 5 million yen per person)
Fundraising Period: From June 21, 2024, to June 20, 2025
Submit Fundraising Applications to: Kibbutz Yatsugatake General Incorporated Association
[Notification to Fund Contributors and Fund Payment Period]

Method of Notifying Fund Contributors: Notification during June 2024
Planned Fund Payment Period: June 21, 2024, to June 20, 2025 (Please transfer funds within one week of submitting the fund underwriting application)
[Target Contributors]
Anyone can contribute to the fund, regardless of nationality, age, or whether they are an individual or corporation.

[Place of Transaction for Fund Transfer]
The account will be at the following financial institution designated by Kibbutz Yatsugatake General Incorporated Association. Transfer fees will be borne by the recipient.

Bank Name: THE YAMANASHI CHUO BANK, LTD.
Branch Name: NAGASAKA BRANCH
Bank Address: 2469 NAGASAKA-KAMIJYO NAGASAKACHO HOKUTO YAMANASHI JAPAN
Account Type: ORDINARY DEPOSIT
Account Number: 0648003
Beneficiary: Kibbutz Yatsugatake
Bene's Address: 5618 YATO OIZUMICHO HOKUTO YAMANASHI JAPAN
SWIFT: YCHBJPJT
[Provisions Regarding the Rights of Fund Contributors]
The fund will be treated as a donation.

Regarding Return of Funds:
Contributors cannot request a return of their contributions.

Regarding the issuance of Community Currency Exchange Certificates:
Contributors to the fund will receive Maica Exchange Certificates in proportion to the amount they contributed. However, there is a limit of 5 million yen (500 shares) for Maica Exchange Certificates per person.

Note: Maica is a local currency circulated exclusively within the community operated by Kibbutz Yatsugatake General Incorporated Association, intended for the following uses:

Examples:
- Right to use facilities in the community area (Ending Village, etc.)
- Use of facilities in the community area (hotels, restaurants, various services, etc.)

Scope and Validity Period of the Maica Exchange Certificate:
The Maica exchange certificate obtained from the contributed fund is valid only for the person who contributed to the fund and cannot be transferred or sold. The validity of the Maica exchange certificate is unlimited.

Regarding the Expiry of the Maica Exchange Certificate:
The Maica exchange certificate will expire under the following conditions:

Abandonment of the Maica exchange right:
- Exchange of Maica for rice
- Death of the contributor
- Dissolution of Kibbutz Yatsugatake General Incorporated Association

Regarding Exchange for Maica:
The Maica exchange certificate can be redeemed for Maica at the exchange rate determined by Kibbutz Yatsugatake General Incorporated Association. The use of Maica will be governed by separate regulations issued at the time of Maica issuance.

Regarding Exchange for Rice:
The Maica exchange certificate can be exchanged for rice (new or old) produced by Kibbutz Yatsugatake in emergency situations, such as hyperinflation caused by a global financial crisis, as determined by Kibbutz Yatsugatake General Incorporated Association. However, exchange for rice will only be possible once Kibbutz Yatsugatake’s annual rice production exceeds 30 tons.
1. Please enter your desired donation amount.
Unit: Japanese Yen
*Minimum: 10,000 JPY
2. Issuance of Maica Exchange Certificate
*I would like to receive the full amount
→ The entire amount donated will be exchanged for a Maica exchange certificate (up to 5 million yen).
*I do not wish to receive a Maica exchange certificate
→ The entire amount donated will be treated as a general donation.
*I would like to request a partial issue.
→ A portion of the donated amount will be exchanged for a Maica exchange certificate (enter the desired amount in the next section).
3. If you selected "3. I would like to request a partial issue" please enter the amount of the Maica exchange certificate.
unit: Japanese yen
If you selected "3. I would like to request a partial issue" in the previous section, please enter the amount you would like to exchange for the Maica certificate.

Example: If you donate 3 million yen to the fund and wish to issue 2 million yen as a Maica certificate, with the remaining donation as a general contribution of 1 million yen, please enter 2 million yen.

*The total amount transferred will be 3 million yen (2 million yen for Maica + 1 million yen as a general donation).
Please provide your basic information.
Your Name
Your Postal Address
Company Name
Phone Number
- -
Your Email Address
Maica Usage Survey (Please Choose One Option):
If you selected "other," please provide details in the free-text field below.
Free Text Field
Thank you for supporting the Kibbutz Rice Foundation.

Once you submit your application, you will receive an automatic reply email confirming your submission. The bank account details for the transfer will be provided in this email. If you do not receive the automatic reply email, please check your spam folder. If you still cannot find it, please contact our office.

General Incorporated Association Kibbutz Yatsugatake
5618 Yato, Oizumi-cho, Hokuto-shi, Yamanashi-ken 409-1502
TEL: 070-4115-3925 FAX: 0551-45-9312
Email: info@kibbutz.or.jp
Kibbutz Yatsugatake Homepage: http://kibbutz.or.jp/
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