Stock Transfer Intention Form

It's simple to make a gift of stock to Catholic Charities of Los Angeles!

We will receive basic information about your intentions, so we can lend any assistance and credit your gift when it arrives.

Steps:

  1. Fill this form out and we will contact you.
  2. Make sure you contact your broker to initiate the actual transfer.

Notes:

  • Our office can help you walk through the possibilities for gift designations.
  • For security reasons, we do not ask for your account number over the Internet.

Bolded items with an asterisk (*) are required fields.

Donor Information

Name*
Address 1*
Address 2
City*
State*
Postal Code
Country
E-Mail*
Home Phone*

Broker/Stock Information

Brokerage/Financial Institution Name*
Broker/Contact Name*
Broker/Contact Phone*
Broker/Contact E-mail
Broker/Contact Fax
Anticipated Transfer Date*
Stock Name*
Number of Shares*

Special Instructions to Broker

Gift Designation Information

I would like to designate my gift to the following:

   


 

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1531 James M. Wood Blvd.
P.O. Box 15095, Los Angeles, CA 90015
(213) 251-3400 | info@CatholicCharitiesLA.org

©2021 All Rights Reserved. Catholic Charities of Los Angeles, Inc.
Catholic Charities of Los Angeles, Inc. is a 501(c)(3) nonprofit, public benefit corporation accredited by the Council on Accreditation.

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