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Date: Name and Address of Beneficiary: (If any of the below questions do not apply, leave the space blank.) Name of Stock: Number of Shares: Name of Broker Transferring Shares: Phone: Donor Name:
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The name and address of refers to the identification of individuals or entities that are required to provide their names and addresses for legal or regulatory purposes.
Individuals, businesses, or organizations that are subject to certain regulations or reporting requirements must file their name and address.
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The name of the individual or entity, their complete address, and any additional relevant identification information or tax identification numbers.
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