Charitable Stock Donation Form

Charitable Stock Donation Form

This form will notify Rebuild Upstate of your intent to donate a gift of stock. Please contact your brokerage to initiate the actual transfer using the information included below.
Donor Name
Donor Stock Broker Name
Brokerage Firm
Name of Stock to be Donated
Number of Shares to be Donated
Estimated Value of Donation

Charity Recipient Information

Rebuild Upstate

Attn: Dayle Stewart

PO Box 8693,

Greenville, SC 29604

864-603-2708, ext. 704

dayle@rebuildupstate.org

Charity Brokerage Information

Fidelity Investments

ATTN: TOA Receives

PO Box 770001, Cincinnati, OH 45277-0036

DTC#: 0226

G-Number: 30594402

Acct. Number: Z40299527