I hereby donate the following securities to (nonprofit name):

1. Name of stock: (Security Name), # shares transferred: (Number of Shares)

2. Name of stock: (Security Name), # shares transferred: (Number of Shares)

3. Name of bond: (Security Name), face amount: (Face Amount)

4. Name of bond: (Security Name), face amount: (Face Amount)

5. etc.

Sincerely,

(Donor Name)
(Donor Street)
(Donor City), (Donor State)