Donation of Securities (Stocks) Form

Thank you for supporting the Brennan Center for Justice with your generous, tax-deductible gift of securities. Please fill out the form below and email this to Paulette Hodge, Director, Direct Response and Donor Services at hodgep@brennan.law.nyu.edu. This will help us to properly anticipate and acknowledge your donation.

Please note: The value assigned to your gift(s) is the average of the high and low on the day stocks are transferred to the Brennan Center’s account.

Securities Information

Name and type of securities

Number of shares

Transfer date

Brokerage Information

Broker Name

Broker Company

Broker Telephone

Donor Information

Donor Name

Keep gift anonymous

YesNo

Mailing Address

City

State

Zip Code

Phone

Brennan Center for Justice broker contact information:

If you prefer to mail in this form, please send to the following address and contact:

Please consult with your attorney or financial advisor on the tax implications of making a gift of stock. If you have any issues regarding the form or further questions, please contact Paulette Hodge at hodgep@brennan.law.nyu.edu or call 646.925.8750.

Contact Information