Lake George Land Conservancy

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Please use this form and submit at the time of your stock transfer so that we can accurately identify, allocate, and acknowledge your donation. Thank you!

Contact Helen Barton Benedict at 518-644-9673, or email hbartonbenedict@lglc.org, if you have any questions.

LGLC Brokerage Account

Please contact your broker to electronically transfer your gift to the account below.

Mr. James V. O'Connor
Merrill Lynch Private Client Group
69 State Street, 16th Floor
Albany, NY 12207
Phone: 518-462-8319
LGLC Account Number: XXX-XXH30
DTC Number: 8862

Contact Information

Name

First Name

Last Name

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Stock Gift Details

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Anticipated Date of Transfer *

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Name and Firm of Transferring Broker *

Broker Phone Number *

(Optional) Please provide any additional details or directions you wish to share: