Instructions for Donations of Stock to
Doctors Without Borders/Médecins San Frontières (MSF)

Step 1: Complete Transfer

• If the shares are held at a securities firm or other brokerage account:
• Instruct institution where securities are held to transfer the shares to the Doctors Without Borders/Médecins Sans Frontières (MSF) account at Smith Barney. DTC and Account Numbers are listed below.

DTC # 0418
Account # 146-06668-1-9-668

• Instruct your broker to enter identifying information (i.e. your name and address, phone number, account number, broker information) into the "Text Comment" field of the DTC screen.
• Your institution may require a written Letter of Authorization (see sample below)
• If you would like to transfer shares of mutual funds, please contact William Donas at (212) 847-3158 or at william.donas@newyork.msf.org to make certain that the shares can be accepted.
• If certificates/shares are in your physical possession:
• You must send us a Letter of Authorization.
• The signature of the person(s) named on the certificate(s) must be either on the back of the certificate(s) or on a Stock Power Form. Should you require a Stock Power Form, contact William Donas at (212) 847-3158 or at william.donas@newyork.msf.org to have one mailed, faxed, or e-mailed to you.
• MSF's Smith Barney account number (#146-06668-1-9-668) should be written on the face of the certificate(s).
• These above named items: Letter of Authorization, Certificate(s), and Stock Power Form (if applicable) should be sent by a tracked mail system for security purposes (i.e. Federal Express, Registered Mail, etc.) to our broker at the following address:

Kristina M. Ackerman
The BlueStone Group, Morgan Stanley Smith Barney
450 Lexington Avenue, 40th Floor
New York, NY 10017
Phone: 800-274-4841 or 212-692-2903
Fax: (917) 591-9378
E-Mail: kristina.m.ackerman@mssb.com

• If you have any questions you may contact our broker, Kristina Ackerman, using the information directly above.

Step 2: Notify MSF of Gift

• Stock donations transfer to MSF's account with no accompanying donor information. In order for MSF to identify your gift and send a tax receipt you will need to provide us with the gift details requested below:

Donor Name(s)_____________________________________ Phone_______________

Address________________________________________________________________

City________________________________ State____________ Zip Code__________

Type of Stock________________________________ Number of Shares____________

Approximate Transfer Date______________ Your Brokerage Firm_________________

• Please notify MSF of your donation in one of the following ways:
  • Tear off this completed form and mail it to: Doctors Without Borders USA, Attn: William Donas, 333 7th Ave Fl 2, New York, NY 10001
  • Fax this completed form to (212) 679-7016 to the attention of William Donas
  • E-Mail these details to william.donas@newyork.msf.org
  • Phone William Donas at (212) 847-3158 to provide this information