Amplified Stock Transfer Form

Amplified Stock Transfer Instructions and Form
Thank you for your interest in donating to Amplified Impact Partners.

An investment in Amplified Impact Partners super charges our community. Your support will make it possible for Amplified to advance the effectiveness and efficiency of those organizations improving our community every day. That way every dollar that they receive goes farther.

Below are the details you need to finalize a stock transfer:
- Bank: Charles Schwab
- Account Registration at Charles Schwab:
  Amplified Impact Partners - Erica Halpern, Authorized Agent
- Account Number: 7902-0409
- DTC Number: 0164
To ensure our team has the information to process your stock transfer and properly account for it, please complete the questions below.

Please contact Erica Halpern with any questions.
Your Name*

First NameLast Name
Email*
example@example.com
Symbol/Name of Stock
Quantity
Market Value at Date of Transfer
Date of Stock Transfer

MonthDayYear
Date
Should be Empty: