Impact 100 Cincinnati

You have the option of donating stock to cover your membership contribution or general donation. We sell the shares as soon as possible after transfer to Impact 100 Cincinnati.

For membership payment, the net proceeds must equal or exceed the value of your membership plan ($550-$1650 for Plus (110%) plans and $500-$1500 for Standard plans). This means you will need to cover all sales commissions and expenses in addition to the membership amount in the value of your stock.

By donating stock, you can support Impact 100 Cincinnati while gaining tax benefits by giving appreciated stock. Impact 100 Cincinnati accepts donations of stock in publicly traded companies. If you would like to make a gift of stock, please (1) fill out the form below and (2) complete the Stock Gift Broker Form which will be sent to you in an email confirmation upon submission.

Benefits of Stock Transfer

A donation using appreciated stock can provide tax advantages to you, including:

Allowing you to avoid paying federal (and state, if appropriate) taxes on the capital gain.
Providing an income tax deduction for the full fair market value of your gift, if you itemize deductions on your tax return and have held the assets for one year or longer.
Enabling you to make a larger gift than you could if you simply sold the stock, paid capital gains taxes and donated the net proceeds.

(NOTE: Before you make a gift of appreciated securities, please consult your financial planner or tax advisor to determine how the potential tax advantages described here apply to your specific situation.)

Billing Details

First Name *

Last Name *

Email *

Address *

Address 2

City *

State *

Zip *

Primary Phone *

Secondary Phone

Membership or Donation Type
Stock transfer will be applied toward the following membership type or general donation. *
Choose 1

Please Add Detail if you selected "Other"

Date of Birth

Ethnicity and Race *
Select all that apply

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

Hispanic or Latino

White

Prefer Not to Answer

Agreements

I understand that this form MUST be filled out first to get credit for my membership and/or donation and to be able to take the tax deduction for the appreciated securities. *
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I understand that the Stock Gift Broker Form must be completed in full and all instructions followed to ensure my Stock Transfer is applied to my Impact 100 membership and/or donation.
THIS FORM WILL ALSO BE EMAILED TO YOU UPON SUBMISSION. *
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Stock Transfer Detail

Membership Year
What year should the stock transfer be applied to? Note: all memberships must be paid in full by December 31. * min: 2023

Brokerage Firm who will be sending stock *

Number of Shares * min: 1

Name of Company Stock

Company Match

Company Name

I will submit to my employer for a matching gift.
My company makes matching gifts and I will follow up with necessary paperwork to secure the match.

Yes

My contribution will be matched at the following ratio:
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Company match allocation:
Some companies allow the donor to specify the purpose of the matching gift, while other companies require that the match be unrestricted. If donor allocation is allowed, Impact 100 welcomes contributions towards Endowment, Operating Costs, or the Young Philanthropist (YP) Scholarship; please indicate your choice when requesting the match.
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Additional Information

How did you hear about Impact 100?
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