Form 807 - State Of California Page 2

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807
Nonprofit Travel Payments, Advances and Reimbursements
CALIFORNIA
FORm
Donor Disclosure List
Instructions
Form 807 is used by 501(c)(3) or 501(c)(4) nonprofit
organizations that meet each of the following criteria:
Part 1 - Nonprofit Organization Information: Indicate whether
• Regularly organize and host travel that is reasonably
the organization is a 501(c)(3) or a 501(c)(4), identify the name
related to a legislative or governmental purpose, or
of the nonprofit, the address, and the contact information.
to an issue of state, national, or international public
Mark the amendment box if changing information on a
policy, for state and local elected officials
previously filed Form 807.
• Make travel payments, advances, or reimbursements
Part 2 - Donor Information: Identify donors of $1,000 or more
totaling more than $10,000 in a calendar year, or
who accompanied an elected state officer or local elected
totaling more than $5,000 in a calendar year for a
officeholder, either personally or through an agent, employee,
single state or local elected official
or representative, for any portion of the travel specified above.
• Have donors of $1,000 or more who accompanied
Also include the name and position of the elected official(s),
an elected state or local official, either personally or
including the official’s jurisdiction or agency, whom the donor
through an agent, employee, or representative, for
accompanied, the date(s) of travel, and the destination and
any portion of travel
purpose of the travel.
Part 3 - Amendment Description and/or Comments:
An organization “regularly organizes and hosts travel for
elected officials” if the organization’s expenses that relate to
Complete this section if amending a previously filed Form
the following types of activities with regard to elected officials
807 or to provide additional or clarifying information.
were greater than 1/3 of its total expenses reflected on the
organization’s IRS Form 990:
Part 4 - Verification: The organization’s contact person must
date and sign the form under penalty of perjury.
• Travel
• Study tours
• Conferences, conventions, and meetings
When to File
File Form 807 by April 30 of the calendar year following the
year the organization meets the above criteria.
Where to File
Form807@fppc.ca.gov
FPPC Form 807 (June/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

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