Stock Transfer Form

Thank you for your interest in making a contribution in the form of a stock transfer.

WASART relies on gifts such as these to continue to help our animal community. As a small organization, we are able to make the most of what we are given because of our low overhead and because we have no paid staff and are 100% volunteer led. Speaking of 100%, all of your donation goes to support our goals. If you have questions about our fiscal and service vision, you may be interested in our Annual Report, which is on our website. You can also direct questions to treasurer@wasart.org.

Safety in securities donations

Please note that you must initiate all securities donations with your broker and consult your broker to ensure that the stock is eligible for electronic delivery over the Deposit Trust Company (DTC) system. This is the fastest, most secure and cost effective method of donating securities.

You will receive further instructions for transmitting your gift to our account after you have submitted the completed Stock Transfer Form. Your information will not be shared or sold to anyone or any company outside of WASART.

The donation should be made to: Washington State Animal Response Team a/k/a WASART (EIN #26-0295234). Acknowledgement will be made in compliance with IRS regulations.

Stock Transfer Form

Donor Name(Required)

First Last

Donor Address(Required)

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

Donor Phone(Required)

Donor Email(Required)

Brokerage Information

Don't forget you'll need to initiate any transfer with your broker. WASART will not contact you to ask for your account number, passwords, PIN, or other safeguards.

Brokerage Firm Name(Required)

Brokerage Firm Address(Required)

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

Broker/Account Representative Name(Required)

Broker/Account Representative Phone(Required)

Broker/Account Representative Email(Required)

Securities Information

When your stock is transferred to our account, we do not receive any information that identifies you as the donor. Completing this section helps us accurately align the donor with the donation.

Is your stock eligible for electronic delivery over the Deposit Trust Company (DTC) system?(Required)

Yes

Don't Know

Security Symbol(Required)

Number of Shares(Required)

Anticipated Date of Transfer(Required)

Notes or Comments Regarding the Gift

If this contribution is being made in honor of or in memory of another person, please list their name.

In Memory Of:

In Honor Of:

Name of the person to send acknowledgement of your gift to:

Their address:

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

DONATE

DONATE

Stock Transfer Form

Stock Transfer Form

Brokerage Information

Securities Information