Stock Transfer Form

Electronic transfer of stock through:

Wilmington Trust Brokerage (an affiliate of M&T Bank)
Gift Account A/C# 1046108
DTC# (Participant#) 0990
Agent ID# 26209

Contact:

Christopher Young
Banking Officer
Wilmington Trust, A Division of M&T Bank
Relationship Manager
Retirement & Institutional Custody Services
(P) 716-842-5207 | (F) 716-842-4352
cyoung4@wilmingtontrust.com
wilmingtontrust.com
One Fountain Plaza, 10th Floor
Buffalo, NY14203