Lake George Land Conservancy · Stock Gift Pledge

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Please use this pledge 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

(Optional) Please specify how you'd like to be recognized, if different from above.

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Verify Email

Stock Gift Details

Number of Shares

Name of Security

Anticipated Date of Transfer

(mm/dd/yyyy)

Name and Firm of Transferring Broker

Broker Phone Number

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