Form 11a - Professional Solicitor'S Annual Financial Report Page 2
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4Form 11A
5.
Books and records used in the preparation of this report are in the care of:
Name:
Address:
City:
State:
Zip Code:
Phone:
Email:
I.
Gross proceeds:
$
This is the total amount of actual money raised, regardless of
who has custody of the funds, for the calendar year period listed
on the first page.
II.
Total expenses:
$
Itemize all expenses below. If the solicitor incurred the expense,
list it in the center column. If the charity incurred the expense,
list it in the column on the right.
A.
Solicitation Fees, Salaries and Commissions
Solicitor
Charity
1. Campaign Management
$
$
2. Payroll
$
$
3. Promotional Fees
$
$
4. Other*
$
$
TOTAL SECTION A
$
$
B.
Merchandise Expenses
Solicitor
Charity
1. Purchase Price
$
$
2. Storage Costs
$
$
3. Distribution Costs
$
$
4. Other*
$
$
TOTAL SECTION B
$
$
C.
Publications Expenses
Solicitor
Charity
1. Design and Layout
$
$
2. Reproduction Costs
$
$
3. Distribution Costs
$
$
4. Other*
$
$
TOTAL SECTION C
$
$
* Itemize additional expenses on a separate sheet(s).
Form 11A
Page 2 of 4
Rev. 07/2007
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