Inform AiG of Your Stock Donation

Because our brokers often do not receive information about the donor or their intentions, it is important that you make us aware of a pending stock donation. We want to be able to thank you and properly apply the donation as you desire. Additionally, we want to provide you with the appropriate donation acknowledgement letter for tax purposes. To help us in that regard, please provide the following information at the time of your donation to Scott Fetzer, our Chief Financial Officer via the form below, fax 859-727-2299, or phone 859-727-2222 x 411 (please feel free to call Scott if you have any questions about the information or process).

If your securities transfer donation is received without the following donor information, your gift will be recorded as an anonymous gift, and will be applied to AiG’s general ministry fund.

Donor Information

First Name *

Last Name: *

Address 1 *

Address 2

City *

State *

Postal Code *

Daytime Telephone *

Email Address

(Confirm) Email Address

Securities Being Transferred

Anticipated Date of Securities Transfer *

Number of Shares *

Designation *

Core Ministry

Ark Encounter

Creation Museum

Other

Brokerage Firm Securities Are Being Transferred From

Firm Name *

Broker’s First Name *

Broker’s Last Name *

Broker’s Telephone *

Other Information

Other Information You Deem Necessary as a Part of Your Gift

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