To designate the Los Angeles LGBT Center as a beneficiary of a qualified retirement plan, life insurance policy, or in some other way, please use the following information:
Primary Beneficiary Designation
|Full name (Last, First, Middle Initial)||Relationship||SSN/TIN||Address (Street, City, State, ZIP)||Share %|
|Melanie, Smith, L||Spouse||333-33-3333||123 Main St., Anytown, US 12345||60%|
|John, Doe, J.||Brother||222-22-2222||456 Main St., Anytown, US 12345||20%|
|The Los Angeles LGBT Center||Charity||95-3567895||1625 N. Schrader Boulevard, Los Angeles, CA 90028-6213||20%|
For More Information
If you have any questions, please contact Frank Stasio, Deputy Director of Development, at 323-993-7690 or email@example.com.