Stock Gift Form For Second Harvest Food Bank

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Stock Gift Form for Second Harvest Food Bank
Thank you for choosing to make a gift of securities to Second Harvest Food Bank! Please use the following
account information to initiate a stock gift transfer through your broker. You’ll find a stock gift form to send
your broker at
LPL Financial DTC# 0075, Account # 20125332
Second Harvest Food Bank’s contact at LPL is Melanie Biretta at (408) 645-2500
In order for us to acknowledge your gift properly, please complete and email this form to
CChapman@shfb.org:
Name of Donor(s): _________________________________________________________________________
Title of Donor(s): ___________________
Address: _________________________________________________________________________________
Phone: ________________________________
Email: __________________________________________
Name of Security Being Donated ___________________________________ Symbol ___________________
Number of Shares _______________
Estimated Value per Share _____________________
Estimated Date of Transfer ________/_________/_________
Credit this company’s Food & Fund Drive (include team, if any): ____________________________________
Special Gift Designation, if any: ______________________________________________________________
Recognize this gift publicly: YES or NO

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