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Stock and Securities Donation Form
For stock and securities donations, please fill out this form and give it to your broker. In order for NYOF to confirm the receipt of your stock gift and to thank you, please include your name, address, telephone number, and e-mail address.
LETTER REQUESTING THE TRANSFER OF SECURITIES AS A GIFT TO
NEPALESE YOUTH OPPORTUNITY FOUNDATION
Date: _____________________________________
To: ____________________________________________ (Name of Donor’s Broker)
From: __________________________________________ (Name and Address of Firm)
__________________________________________
Dear __________________________________________ (Name of Donor’s Broker):
I would like to donate the following securities to the Nepalese Youth Opportunity Foundation. Please transfer: (Please describe the securities you wish to donate listing the company, type of stock and number of shares.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
To:
Charles Schwab & Co., Inc. DTC delivery Instructions:
DTC #0164 Code 40
Nepalese Youth Opportunity Foundation
NYOF's account number: ____________________ (please contact us at 415-331-8585 for this)
Please call Cynthia Flannigan at (415) 288-3013 if you have any questions.
Donor Signature_______________________________________________
Joint Donor Signature (If necessary) _______________________________
Please send a copy of this letter to BOTH:
Mt. Eden Investment Advisors
Attn: Cynthia Flannigan
343 Sansome Street, Suite 1600
San Francisco, CA 94104
FAX (415) 288-3039
Nepalese Youth Opportunity Foundation
Attn: Janis Olson
3030 Bridgeway, Suite 123
Sausalito, CA 94965
FAX (415) 331-4027
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