TRINITY PRESBYTERIAN CHURCH
STOCK/SECURITIES GIFT GIVING FORM

1.	God bless you for your donation of stock/securities to Trinity Presbyterian Church (TPC). The following information concerning TPC’s broker and brokerage account number will assist you in this process: 
  
Trinity Presbyterian Brokerage Account Number: 315-04153

Merrill Lynch
3601 C St. 
Penthouse STE West
Anchorage, AK 99503 

Tel: (800) 770-7000
2.	Please fill out the information below. This information will assure that an appropriate receipt is issued in a timely manner and that you, the donor, receive acknowledgment for tax purposes. 

_______________________                 ______________________

 Name and Type of Securities                            Number of Shares 

_______________________                 ______________________

 Giver’s Name                                           Date of Transfer 

_______________________                 ______________________
 Giver’s Address                                         Broker's Name 

_______________________                 ______________________
 Giver’s City, State, Zip Code                            Broker's Company 

_______________________                 ______________________
 Giver’s Phone Number                                  Broker's Phone Number 

_______________________                 ______________________
 Giver’s Email Address                                  Broker's Email Address 

3.	Please mail, fax, or drop off this completed form to: 

Trinity Presbyterian Church
 Attn: Treasurer or Church Administrator
12310 Lorraine St.
Anchorage, AK 99516 

Tel: (907) 345-4823 Fax: (907) 345-4930 Email: trinity@trinityalaska.org

Please note: After TPC receives this form and our broker confirms the donation, the stocks/securities will be sold and TPC  will send you an acknowledgment letter while maintaining all information in strict confidence. Please call the TPC office with any questions.