Brookstone Schools of Mecklenburg County Notification of Stock Transfer Please Complete the Following Information. Name(s) Address, City, State, Zip Email Daytime Phone Number Number of Shares Name of Security Expected Date of Transfer Name of Brokerage or Bank Broker City Broker State Broker Name Broker Phone This gift is (Choose One) This gift is (Choose One) Fulfilling a pledge For the general operating fund A Partner gift Designated for... (place designation in next box) Designation (if applicable) 14 + 12 = Submit