Stock Donations - Henry Street Settlement

Stock Donation Form

When your stock gift is transferred to our account, we do not receive any information that identifies you as the donor unless you connect with us. To ensure proper crediting and timely receipt of your acknowledgement letter, please contact Henry Street Settlement using the form below and provide the requested donor information. After the form is received, we will follow-up with email instructions to process the donation. Questions? Please contact Merav Stern at mstern@henrystreet.org or 212-766-9200 x2247.

Name *

First

Last

Email *

Name for Publication Listing (list Anonymous if preferred)

Address

Postal Code

City, State/Province

Name of Stock or Ticker Symbol

Anticipated number of sales

Anticipated number of shares

Anticipated dollar amount of stock

Anticipated date of stock transfer (MM/DD/YYYY)