Stock Transfer Form

Information for Stock Transfer Gifts
in support of
The Kennedy Krieger Foundation
(for the donor/donor's representative)

Company:
Morgan Stanley Smith Barney

Address:
650 South Exeter Street
Suite 1100
Baltimore, Maryland 21202

Account
Use for stock transfers:
Account number 633-151-766
DTC Number 0015

Attention:
Robert deMuth
410-736-5361 (direct line)

Please provide Smith Barney with the donor's name, the purpose of the gift and a description of the securities (stock type and number of shares to be transferred).

Questions concerning these procedures may be directed to:
Orlee Engler Kahn
Director of Planned Giving
Kennedy Krieger Foundation
707 North Broadway
Baltimore, MD 21205
443-923-7309
Kahn@kennedykrieger.org