Gift of Stock

Transaction Form

Thank you for your interest in making a gift of stock to The Colburn School. So that we may properly credit your record for this generous gift, please complete this form and mail or fax it to the Advancement Department along with a copy of your correspondence with your stockbroker regarding this gift.

Advancement Department

The Colburn School

200 South Grand Avenue

Los Angeles, CA 90012

Fax (213) 626-1624

Instructions to Donate Securities

If securities are currently in an investment account the following information must be included with the transfer. Please provide the following to your investment representative:

Client Name: The Colburn School

Colburn Schwab Account: 6048-0082

DTC Clearing 0164, Code 40

Donor name: Phone number:

Stockbroker name: Phone number:

Name of stock: Transaction Date:

# Shares Approximate Value:

Donor signature: Date:

Please credit my gift to q the Annual Fund or other:

Thank you! We appreciate your generous support.