Gifts of Stocks or Securities
Stock or securities transfers to Adventist Health White Memorial Charitable Foundation arrive with no accompanying donor information. In order for us to identify and properly acknowledge your gift, please complete the form below. In the event you have already transferred stocks or securities that have not been acknowledged, please complete the form below to alert our team of your gift.
Donor Information
I/we prefer this gift to be anonyous
Donor Name
*
First Name
Last Name
Spouse/Partner Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please designate my gift to
*
Please Select
Area of Greatest Need
Surgical Services Center
Cardiac Catheterization Laboratories
Child Care
Family Practice Residency
Behavioral Health Center/Mental Health Services
Cancer Services
Live Well Senior Program
Hospice
Mother and Baby - Maternity
Mother and Baby - NICU
Rehabilitation Program
Stroke Program
Stocks/Securities Information
Transfer Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Brokerage Name
*
Broker/Financial Office Contact Name
*
Broker/Financial Office Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Stock (Name/Symbol)
*
Number of Shares
*
Estimated Value
*
Submit
Should be Empty: