Stock Transfer

Charitable Stock Transfer Form

Please complete this form to tell us that you have initiated a stock transfer with your broker as a gift to Fidelco Guide Dog Foundation.

Upon submission, you will receive an email with the information provided to pass on to your broker.

For electronic transfers, transfer to:

Charles Schwab DTC
Clearing #0164, Code 40
FBO: Fidelco Guide Dog Foundation, Inc.
A/C # HT3268-9509

  • Donor Information

  • Broker & Account Information

If you would like to complete the form manually, please select the PDF below and email a copy to or mail a copy to:

Fidelco Guide Dog Foundation
Attn: Diane Lindeland
103 Vision Way
Bloomfield, CT 06002


PDF Charitable Stock Transfer Form

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