C-CAP Stock Donation Confirmation Form
To make a gift of stock, please fill out the below form.
Your gift can be transferred to C-CAP's account, and your broker will need the following information to do so:
Account Name: Careers through Culinary Arts Program
Tax ID #: 13-3662917
Samantha Basile, Registered Client Associate,
If you have any questions, please contact Sara Pattiz, Director of Special Events & Digital Fundraising, at 646-790-4504 or
Thank you for your donation to C-CAP!
Name of Securities Being Transferred
Number of Shares
Intended Date of Transfer
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of CCAP.