University of the Pacific School of Dentistry

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					  University of the Pacific Arthur A. Dugoni School of Dentistry
                    Gifts of Stocks, Bonds, Mutual Funds and Other Securities

To make a gift of stock or securities transfer them to the “University of the Pacific Arthur A. School
of Dentistry” (Tax ID# 94-1156266).


I-a.  The simplest way to make your gift is to instruct your broker to electronically transfer the
number of shares you wish to donate to our account listed below. Our broker is instructed to sell all
gifted securities immediately. Our receipt, for your tax records, will be based on the average of the
high and low sales price of your stock on the day the transfer was made.

          Our Broker is:                                Our Account Number is:
          Mr. Larry Watts                               DTC #: 0201
          A.G. Edwards & Sons, Inc.                     Acct#: University of the Pacific,
          Brookside Business Park                              Arthur A. Dugoni School of
          3203 W. March Lane                                   Dentistry/6242-8725
          Stockton, CA 95219
          Voice: 209-957-8100


I-b.      If you have the actual certificates, please call for instructions.



II.        Important: use the “FAX-BACK Information Form” on the reverse
           side to tell us of your gift and provide your instructions for its use.

                                               THANK YOU!




If you have questions about making your stock transfer, please call our broker. For questions about
making a gift to Pacific, contact any one of the following:

          Dr. Berney Neufeld, Director of Development – 415-929-6402; bneufeld@ pacific.edu
          Ms. Ann Cisneros, Planned Giving Officer – 415-929-6432, acisnero@ pacific.edu
          Ms. Mary Flaherty, Senior Gift Officer – 415-929-6606; mflaherty@pacific.edu

                           Berney, Ann or Mary may be reached by fax at: 415-929-6455




Dugoni School of Dentistry – revised 12-06
  University of the Pacific Arthur A. Dugoni School of Dentistry
                    Gifts of Stocks, Bonds, Mutual Funds and Other Securities

                                             FAX-BACK Information Form


FAX To:              Institutional Advancement
                     415-929-6455



I/We have instructed my broker to transfer __________ (number of shares) of
___________________/__________ (name of stock and stock symbol) to
University of the Pacific’s account at A. G. Edwards & Sons, Inc, Stockton
(attn: Mr. Larry Watts).


I/We would like this gift to be used to for:

_________________________________________________________
(e.g. Dean’s Fund for Excellence, unrestricted, Classroom Campaign, scholarships, Named
Endowment, etc).


          Notes:




                     Name_________________________Date__________
                             (please print)

                      Signature___________________________________


                      Phone Number______________________________



Dugoni School of Dentistry – revised 12-06

				
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