DONATE A GIFT OF STOCK

DONATE A GIFT OF STOCK

Please provide this information so that we may record the transaction and acknowledge your gift.
Contact Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Stock Information
Please provide information about the stock to be donated, number of shares and any other information you would like us to know:
Stock Details - information about the stock to be donated (e.g., company name, ticker symbol)
Number of Shares
Additional Information (optional)
When do you plan to make the transfer?

MonthDayYear
Date
May we acknowledge your gift in our newsletter and website?
Here is the Depository Trust Company (DTC) information that your broker will need to transfer title to the stock to the Lake County Land Trust account with LPL Financial and managed by Strong Financial Network, LLC in Lakeport:

DTC delivery:

LPL Financial LLC

1055 LPL Way

Fort Mill, SC 29716

DTC Eligible Securities

DTC Clearing #0075
For further credit to LPL Account #6455-1851
For further credit to LPL Account Name: Lake County Land Trust
Lake County Land Trust EIN: 68-0332712
Should be Empty:

Please provide information about the stock to be donated, number of shares and any other information you would like us to know: