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• Stock Transfer

Stock Transfer

This form serves as notification of your intention to make a gift of stock to PBA. It is important that we are notified prior to every stock transfer in order to accurately identify and acknowledge your gift.

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stockform

First Name * Middle Initial Last Name * Suffix Phone * E-Mail * Address City State Zip

Gift Details

Security Name Number of Shares Ticker Symbol Expected Date of Transfer

Broker information:

Name of Brokerage or Bank Broker Name Phone E-Mail