The Foundation of the First Unitarian Society of Minneapolis
Charitable Gift Donation - Pearson Social Concerns
Letter of Authorization for DTC Transfer

Please use this as your letter of authorization to transfer from my account

Client Name:
Account #:

the following stock position(s) via the Depository Trust Company (DTC)

Stock Name or Ticker:		Share Amount:
Stock Name or Ticker:		Share Amount:
Stock Name or Ticker:		Share Amount:
Stock Name or Ticker:		Share Amount:
Stock Name or Ticker:		Share Amount:

into the following account: PEARSON SOCIAL CONCE

Client Name:	Foundation of the First Unitarian Society	EIN 41-1723689
Receiving Firm:	Charles Schwab	- -
Account #:	9145 - 0104	- -
DTC #:	0164	- -

Please include any other delivery instructions here:

Signed: ______________________________________ Dated: _____________

NOTE: The signatures of all of the account holders will be required to process request.