STOCK POWER FORM

The undersigned hereby assigns and transfers to Whitman-Walker Clinic:

Shares of Stock

______ shares of the common stock of _________________
represented by Certificate No.(s) ____________________
inclusive, standing in the name of the undersigned on the books of said Corporation.

OR

Bond

 _______ bond of ______________________________
in the principal amount of $______, Certificate No._______
standing in the name of the undersigned on the books of said
Corporation.

The undersigned does (do) hereby irrevocably constitute and appoint Salomon Smith Barney Attorney to transfer the said stock(s), bond(s), or debenture(s), as the case may be, on the books of said Corporation with full power of substitution in the premises.
                     Signed___________________________Date______________
                          Donor
                     Signed___________________________Date______________
                          Donor (joint-owner)