Securities Transfer Form - Friends of the Earth Canada

Donation of Publicly Traded Securities – Transfer Form Charitable Registration Number: 11893 3001 RR0001 We are delighted that you have chosen to make a donation of securities to Friends of the Earth! To initiate the transfer of securities to Friends of the Earth (FOE), please complete this form and send a copy to your broker. It is important that you send a copy to us as well so we can track your donation and issue a receipt for income tax purposes. Please send a copy of this form to FOE, either by email: [email protected], Fax (613) 566-3449 Attention: Friends of the Earth or by mail to the address below. PLEASE NOTE: If you plan to donate securities that are thinly traded, highly volatile, or not easily liquidated, please call Beatrice Olivastri, CEO at 1-888-385-4444 BEFORE initiating a transfer. A. Donor Information First name

Last name

Address City




Postal Code


B. Information about your Broker and Securities C. Broker’s Name

Financial Institution

Broker’s Telephone Securities description CUSIP #

Broker’s Email Market Symbol # of Shares to Transfer Donor’s Account #

Account Name

I, hereby give authority to deliver free the following securities to RBC Direct Investing Inc (FINS T002, DTC 5002, CUID – DOMA; for mutual funds: Dealer # 9190) and to credit the Friends of the Earth Account # 689-79823-1-7. I understand that Friends of the Earth’s policy is to sell the publicly traded securities the same day they are received in the Friends of the Earth’s account. I will receive a charitable receipt for the fair market value of the securities on the date they are received into the Friends of the Earth account. Donor’s signature (Required)


Friends of the Earth | 200-251 Bank Street, Ottawa, ON K2P 1X3 Tel: (613) 241-0085 | Toll Free: 1-888-385-4444 | Fax: (613) 566-3449 [email protected] |


Securities Transfer Form - Friends of the Earth Canada

Donation of Publicly Traded Securities – Transfer Form Charitable Registration Number: 11893 3001 RR0001 We are delighted that you have chosen to make...

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