Stock Gift Form | St. Anthony's

Thank you for choosing to make a gift of securities to St. Anthony’s! Use the following account information to initiate a stock gift transfer through your broker:

St. Anthony Foundation
DTC# 0443, Account # 37C030766
St. Anthony Foundation
Tax ID: 94-1513140
Phone: (415) 241-2600
Email: giving@stanthonysf.org

Agent:
Mr. Willington T. Fong
(650) 825-9058
(650) 825-9001 – Fax
wfong@investmentcapadv.com

Brokerage Firm:
Investment Capital Advisors
345 Lorton Avenue, Suite 302
Burlingame, CA 94010

In order for us to acknowledge your gift properly, please submit this form:

Stock Donation Notification Form

Name of Donor(s)(Required)

Title of Donor(s)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name of Security Being Donated(Required)

Security Symbol

Number of shares donated(Required)

Estimated value per share

Estimated transfer date

Please make this gift anonymous

Yes

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