Thank you for considering a Stock donation to CRY America. Please complete, sign and submit this Form to confirm your Stock donation and to receive your tax deductible receipt.

As per IRS rules, please note that Stock donations can be received by CRY America only towards donations/ pledges, and not towards ticket sales, event sponsorships, gala chairs/tables, event registrations, auction items or any goods or services. All Stock donations are 501c3 tax deductible.

For Stock held in brokerage accounts, your broker can assist you in making a Stock donation via a direct transfer to CRY America’s Stock Brokerage Account with Merrill Lynch. Your charitable income tax deduction will be equivalent to the cash proceeds received from the sale of the stock. CRY America’s Tax ID# is 02-0659244. Please note the following:

• CRY America’s Brokerage House: Merrill Lynch
• CRY America’s Brokerage House Address: 101 Derby Street, Hingham, MA 02043
• Stock Brokerage Account Owner Name (Account Title): CRY, Child Rights and You America, Inc.
• CRY America’s Stock Account Number: 67V02386
• CRY America’s Stock Financial Advisor: Gary Peirce
• Financial Advisors Telephone Number:781-741-9517
• Merrill Lynch’s DTC Number: 8862

Please complete the information below to notify CRY, Child Rights and You America Inc of your Stock donation and help ensure it is processed accurately.