Fidelity irrevocable stock or bond power

Call Fidelity Charitable at 1-800-262-6039. Non-publicly traded assets including private company stock, hedge fund interests, private equity, etc. Call 1-800-262-6039, option 2. Varies based on asset. Physical stock certificates of publicly traded companies . Download, print and mail: Contribution Form (PDF) Irrevocable Stock or Bond Power Form (PDF)* Irrevocable Stock or Bond Power To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your endorsement on the certificate(s), please complete and sign this stock/bond power, which we will then attach to the certificate(s). Irrevocable Stock or Bond Power 1.738847.111 013200401 Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink.

attorney to transfer the said stock or bond(s), as the case may be, on the books of said Company, with full power of substitution in the premises. IMPORTANT:  Investments you can transfer in kind include: Stocks. Bonds. Most options. them in street name by completing an Irrevocable Stock or Bond Power Form PDF  IRREVOCABLE STOCK OR BOND POWER. For Value Received, the undersigned does (do) hereby sell, assign, and transfer to. |. (social security or taxpayer ID  Irrevocable Stock or Bond Power. 1.738847.111 013200401. Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink.

Irrevocable Stock or Bond Power. 1.738847.111 013200401. Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink.

Irrevocable Stock or Bond Power. 1.738847.111. 013200401. Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your  Please complete and sign this stock/bond power, which we will then attach to the certificate(s). Note: Contributions are irrevocable. For value received, the  Irrevocable Stock or Bond Power. 1.738847.111. 013200401. Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your  Irrevocable Stock or Bond Power. To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your endorsement  

Irrevocable Stock or Bond Power 1.738847.111 013200401 Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink.

Irrevocable Stock or Bond Power To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your endorsement on the certificate(s), please complete and sign this stock/bond power, which we will then attach to the certificate(s).

Irrevocable Stock or Bond Power. To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your endorsement  

Fidelity provides the following forms (PDF) that you may need to complete in order to execute a Stock Option Plan, Stock Purchase Plan, Restricted Stock Award or Restricted Stock Unit transaction. We strongly recommend that you contact one of Fidelity’s specialists in the Control and Restricted Stock Services Group Irrevocable Stock or Bond Power 1.738847.111 013200401 Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink. Stock or Bond Power form’s original terms shall be void, and I shall be bound by the terms of the original form as set forth by Fidelity. I agree that Fidelity Brokerage Services, Inc. may terminate this Stock or Bond Power service in the event that it ha s reasonable grounds to believe the original Stock or Bond Power form has been altered. the Fidelity Charitable Irrevocable Stock or Bond Power form is required to be sent along with this application. Name of Stock* Number of Shares* Name of Stock* Number of Shares* Other Contributions Contribute restricted stock, shares held at the company/transfer agent, private placements, stock from dividend reinvestment plans (DRIPs), or real estate.

The undersigned does (do) hereby irrevocably constitute and appoint TD Ameritrade Clearing, Inc. as attorney to transfer the said stock or bond(s), as the case may be, on the books of said Company, with full power of substitution in the premises. Note: Sign below as name(s) appear(s) on face of certificate.

the Fidelity Charitable Irrevocable Stock or Bond Power form is required to be sent along with this application. Name of Stock* Number of Shares* Name of Stock* Number of Shares* Other Contributions Contribute restricted stock, shares held at the company/transfer agent, private placements, stock from dividend reinvestment plans (DRIPs), or real estate. Irrevocable Stock or Bond Power 1.738847.111 013200401 Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink. Call Fidelity Charitable at 1-800-262-6039. Non-publicly traded assets including private company stock, hedge fund interests, private equity, etc. Call 1-800-262-6039, option 2. Varies based on asset. Physical stock certificates of publicly traded companies . Download, print and mail: Contribution Form (PDF) Irrevocable Stock or Bond Power Form (PDF)* Irrevocable Stock or Bond Power To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your endorsement on the certificate(s), please complete and sign this stock/bond power, which we will then attach to the certificate(s).

Irrevocable Stock or Bond Power. To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your. endorsement   To allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s) in the absence of your endorse- ment on the certificate(s), please  attorney to transfer the said stock or bond(s), as the case may be, on the books of said Company, with full power of substitution in the premises. IMPORTANT:  Investments you can transfer in kind include: Stocks. Bonds. Most options. them in street name by completing an Irrevocable Stock or Bond Power Form PDF  IRREVOCABLE STOCK OR BOND POWER. For Value Received, the undersigned does (do) hereby sell, assign, and transfer to. |. (social security or taxpayer ID  Irrevocable Stock or Bond Power. 1.738847.111 013200401. Use this form to allow Fidelity Brokerage Services LLC to facilitate the processing of your certificate(s). This form takes the place of an original signature on the certificate. Original form must be mailed to Fidelity. Type on screen or fi ll in using CAPITAL letters and blue ink.