Form Bco 10 - Charitable Organization Registration Statement (Page 2 of 4) in pdf

9. Has organization been granted IRS tax-exempt status? Yes

(If “yes”, please

submit copy of IRS exemption letter if not previously submitted.) If “yes”, were you required

to file an IRS 990 Return and Schedule A for your immediate preceding fiscal year?

Yes

. (If “no”, attach explanation of why organization is exempt from filing an IRS

990 Return.)

10. Has organization’s tax-exempt status ever been denied, revoked, or modified?

Yes

(If “yes”, attach copy of denial, revocation, or modification.)

11. Purposes and programs for which contributions are, or will be, used:

______________________________________________________________________________

12. Manner in which contributions are solicited (eg. direct mail, telephone, etc.):

13. Is organization registered to solicit contributions in any other state or municipality?

Yes

(If “yes”, list all states and municipalities. Attach separate sheet if necessary.)

______________________________________________________________________________

14. Names, addresses, and telephone numbers of all professional solicitors you use or

intend to use to solicit contributions from Pennsylvania residents. For each entry, include

the beginning and ending dates of all contracts and dates Pennsylvania residents were first

solicited, or will be solicited. (Attach separate sheet if necessary.)

______________________________________________________________________________

15. Names, addresses, and telephone numbers of all professional fund raising counsels you

use or intend to use to provide services with respect to the solicitation of contributions from

Pennsylvania residents. For each entry, include beginning and ending dates of all contracts

and dates services began, or will begin, with respect to soliciting contributions from

Pennsylvania residents. (Attach separate sheet if necessary.)

______________________________________________________________________________

16. Attach names, addresses, and telephone numbers of any commercial coventurers under

contract with your organization.

Form Bco 10 - Charitable Organization Registration Statement Page 2