FD |
|
|
IRREVOCABLE
STOCK or BOND POWER |
|
|
|
|
|
|
|
|
|
The power of assignment below bearing
the signature for the described security |
|
|
and attached to the named
security bears the security negotiable. |
|
|
|
IRREVOCABLE
STOCK or BOND POWER |
|
|
|
The undersigned does (do) hereby, sell,
assign and/or transfer to |
|
|
|
|
The Foundation of The
University of North Carolina at Charlotte, Inc. |
|
|
|
|
SS # or Tax ID |
|
56-6059417 |
|
|
|
|
|
IF STOCK - COMPLETE THIS
PORTION |
|
|
|
_______ |
shares of the |
__________________________________ |
stock of |
|
|
|
________________________________________________________________ |
|
|
|
represented by
Certificate(s) No(s) |
___________________________________ |
|
|
|
inclusive, standing in
the name of the undersigned on the books of said company. |
|
|
|
|
|
|
IF BONDS - COMPLETE THIS
PORTION |
|
|
|
_______ |
bonds of |
___________________________ |
in the
principal |
|
|
|
amount of $ |
___________________ |
No(s) |
____________________ |
|
|
|
inclusive, standing in
the name of the undersigned on the books of said company. |
|
|
|
The undersigned does (do)
hereby irrevocably constitute and appoint the attorney of |
|
|
|
_____________________________ |
to transfer the said
stock or bond(s), |
|
|
|
as the case may be, on
the books of said Company, with full power in the premises. |
|
|
|
Date: |
_____________________________ |
|
|
|
The signatures(s) of this
Power must correspond with the name(s) as written |
|
|
upon the face of the
certificate(s), or bond(s) in every particular without alteration or |
|
|
enlargement or any change
whatever. |
|
|
|
_______________________________________ |
|
|
Signature |
|
|
|
_______________________________________ |
|
|
Date |
|
|
|
_______________________________________ |
|
|
Madallion Signature
Guarantee |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|