Form 308 - Charitable Organization Annual Report Page 4

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Wisconsin Department of Safety and Professional Services
ADDITIONAL QUESTIONS
YES
NO
60. Did your organization receive contributions over $400,000 during the fiscal year? If so, you must
file an audited financial statement and the opinion of an independent certified public
accountant on the financial statement.
If your organization received over $200,000 in
contributions, a review by an independent certified public accountant is required.
61. Have you attached a list of all officers, directors, trustees and the principal salaried employees?
Include their name, address, title, and the date their term ends. Compensation must be clearly stated.
62. Have you attached all schedules as required on lines 8, 9c, 10, 11c, 12, 14, 15, 16, 34, 42, 46, 48,
49b, 55, and 56?
63. For solicitation in Wisconsin, did your organization use a professional fund-raiser or fund-raising
counsel or did your organization pay a person to solicit contributions, other than a salaried officer or
employee of your organization? If yes, indicate name and address.
64. Has there been a name change of the organization, change of address of the principal office or any
branch office located in Wisconsin, change in the accounting period, change in the names of the
persons within the organization who have final authority for custody or final distribution of
contributions, or change in the articles, by-laws or statement of purpose? If yes, and not already
submitted within 30 days, as required, give changes and attach document. If a corporation, and
the name has changed, you must attach a copy of the name change amendment.
65. Is your organization authorized by any other governmental authority to solicit contributions? If yes,
provide name and address of governmental authority.
66. Has your organization ever had its authority to solicit contributions denied, suspended, revoked or
enjoined by a court or other governmental authority? If yes, attach an explanation.
67. Do you intend to accumulate an increasing surplus in net worth, rather than spend current revenue
on the organization’s stated purpose? If yes, attach an explanation.
68. Did the organization make a grant, award, or contribution to any organization in which any of its
officers or directors hold an interest; or was it a party to any transaction in which any of its directors,
trustees or officers has a material financial interest; or did any officer or director receive anything of
value not reported above as compensation? If yes to any of the above, attach an explanation.
69. Does your organization solicit contributions under any name other than the name listed in the first
blank space on page 1? If yes, list here any additional name(s).
DESCRIBE THE CHARITABLE PURPOSE OR PURPOSES FOR WHICH CONTRIBUTIONS WILL BE USED OR ATTACH
A DOCUMENT WHICH PROVIDES SUCH INFORMATION.
CERTIFICATION - TWO DIFFERENT SIGNATURES ARE REQUIRED BY LAW
We swear and affirm that we have reviewed this report, including the accompanying schedules and statements, and to the best of
our knowledge the information furnished is true, correct and complete.
Date
Title
Signature of President or Authorized Officer
Date
Title
Signature of Chief Fiscal Officer
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