TO: - Bullis School
0000BULLIS SCHOOLSTOCK TRANSFER INSTRUCTIONSTO: ____________________________________DATE: ________________(Delivering Bank or Broker Name)SUBJECT: Stock Gift to Bullis School, Inc. (Federal Tax ID #52-0635080)Please use this letter as authorization to transfer via DTC ___________ shares of ____________________ common stock from my account # __________________to the account of Bullis School, Inc., as follows:??? Receiving Bank:? ? ?? ? ? Citibank NA DTC #0164??????????????????????????????????? ?????????? 111 Wall Street??????????????????????????????????? ????????? New York, NY? 10005??????????????????????????????????? ???????????ABA 021-000-089?????????? For Benefit of:???? ??????????? Charles Schwab and Co., Inc.??????????????????????????????????? ??????????? A/C # 4055-3953?????? For further benefit:???????Bullis School Incorporated??????????????????????? ???????????????????????FFC: 1030-0909?? RE: Purpose or designation of gift___________________________________________________________SignatureSignature (if joint account)IMPORTANT: Please notify Joanne Szadkowski, Director of Institutional Advancement at Bullis School, or Kily Tolentino, Director of Annual Giving, when the transfer has been made so that the School can verify receipt of the shares and acknowledge the gift for tax purposes.Joanne Szadkowski Kily Tolentino Bullis SchoolBullis SchoolDirector of Institutional AdvancementDirector of Annual Giving (301) 983-5707(301) 634-3697Email: joanne_szadkowski@Email: kily_tolentino@Fax: (301) 634-3653Fax: (301) 634-3653Updated 5-5-15 ................
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