Sos Form 101a 01/13 - Registration Statement Of Charitable Organization - Oklahoma Secretary Of State Page 2

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7.
The purp
poses for whi
ich the contr
ributions sol
licited or acc
cepted are to
o be used:
8.
The n
name and m
mailing addre
ss of each pr
rofessional f
fundraiser or
r professiona
al solicitor th
hat will have
e
custo
ody of the co
ontributions:
:
Nam
me
Address
C
City
State
e
Zip Code
e
9.
Each
person assoc
ciated with a
a professiona
al fundraiser
r, profession
al solicitor o
or charitable
organization
n
that
is directly re
esponsible fo
or the payme
ent and distr
ibution of fu
unds collecte
ed:
Nam
me
Address
C
City
State
e
Zip Code
e
10.
The n
name and m
mailing addre
ess of each
professional
l fundraising
g counsel u
utilized by th
he charitable
e
orga
anization:
Nam
me
Address
C
City
State
e
Zip Code
e
11.
For ch
haritable org
ganizations t
that register
for the first
t time, a stat
tement whet
ther or not th
he charitable
e
orga
anization be
lieved contr
ributions fo
or the first
year of re
gistration w
will exceed
Ten Thous
sand Dollar
s
($10
0,000.00)
Yes
N
No
REQUI
IRED FINA
ANCIAL IN
NFORMATI
ION
12.
The gros
s amount of
f the contribu
utions, gifts,
grants and o
other similar
r amounts re
eceived by th
he charitable
e
orga
anization:
13.
The total
l Program Se
ervice Expen
nses of the ch
haritable org
ganization:
14.
The total
l Managemen
nt and Gene
ral Expense
s of the char
ritable organ
nization:
Page 2 of
4
(SOS F
FORM 101-01
1/13)

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