Stock Gifts Notification Form - Institute Of Noetic Sciences printable pdf download

Stock Gifts Notification Form - Institute Of Noetic Sciences

Stock Gifts Notification Form

When completed, please FAX this form to each below:

1. Your broker

2. Charles Schwab & Co., Attn: Phoenix Operations Center, 1-888.526.7252

(FAX);

3. IONS Attn: Christie Larson 707.781.7420

(FAX)

________________________________________________________________________

YES! I commit to the shared vision of exploring the frontiers of consciousness to advance

individual, social, and global transformation. It is my wish to contribute to the Institute of

Noetic Sciences.

I pledge $ _______________ by transferring ________________ shares of stock from

(company) _____________________________________________________________.

This gift is made in honor/memorial of _______________________________________

Name__________________________________________________________________

Address________________________________________________________________

City State Zip____________________________________________________________

Telephone________________ Fax ___________________ E-mail__________________

Please transfer to IONS Account Number 4634-3570:

DTC Eligible Securities to Charles Schwab & Co., DTC Clearing #0164, Code 40

I understand that this gift is tax deductible to the extent allowed by Federal Law and

IONS will provide an acknowledgement when the transaction is completed.

Signature ______________________________ Date ______________________

For questions:

Contact Charles Schwab Phoenix Operations Center: 800.472.981, or contact

Christie Larson, Development Data Manager, at 707.779.8215 or

IONS is a 501(c ) (3) nonprofit organization. Our federal ID number is 23-7236986.

1/6/2016

Stock Gifts Notification Form - Institute Of Noetic Sciences