Donation of Securities Authorization Form for Charitable Donation of Securities Date: This online form authorizes the transfer of the following securities currently owned by me/us from my/our account at (Financial Institution) for credit to Rare Trait Hope account #1M1C90A0 held with Raymond James Ltd. (FINS# T089 / CUID# MSLT). Number and type of securities: Name of Company: Name of Exchange: Name of our Broker: Name of Delivering Institution: Advisor’s Phone #: Advisor’s email: It is my/our understanding that the above securities will be liquidated by Raymond James Ltd. as soon as the transfer is complete, and the net sale proceeds will be credited to Rare Trait Hope. Donor’s Name (please print): Address: Phone #: Email: Rare Trait Hope Society is a registered Canadian non-profit organization and registered charity (CRA#71150 6071 RR0001). Thank you for your generosity in donating a gift of publicly listed securities to Rare Trait Hope. If you wish: click here to Print the PDF.