Annual Financial Report Form - South Carolina Secretary Of State
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1
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4SOUTH CAROLINA
SOUTH CAROLINA
SECRETARY OF STATE
SECRETARY OF STATE
PUBLIC CHARITIES DIVISION
PUBLIC CHARITIES DIVISION
ANNUAL FINANCIAL REPORT
ANNUAL FINANCIAL REPORT
Filing Instructions
Organizations who file the IRS 990-N or are not required to file with the IRS should complete this form.
Please contact our office with any questions at 803-734-1790 or email charities@sos.sc.gov.
We do not accept this filing by fax or email; you may upload this report using our online filing system at
or you may mail this form to South Carolina Secretary of State, Attn: Division of Public
Charities, 1205 Pendleton St., Suite 525, Columbia, SC 29201.
Please type or print clearly.
For the ______ calendar year, or tax year beginning _________, 20___, and ending _________, 20___.
Check if applicable:
__ Initial Filing
__ Amended Return
__ Change in Fiscal Year
__ Final Return
EIN: __-__________
Charity ID: ___________________
Organization Name: ________________________________________________________________
DBA: ____________________________________________________________________________
Mailing Address: ___________________________________________________________________
Email Address: _____________________________ Phone Number: __________________________
Briefly describe the organization’s mission:______________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Which of the following activities did the organization use to raise funds? (Check all that apply)
__ Mail solicitation
__ Phone solicitations
__ Door-to-door solicitations
__ Internet/Email solicitations
__ Special fundraising events
__ Bingo/Gaming
__ Commercial co-venturers
__ Other: ________________________________________
Part I— Revenue From Commercial Co-venturers (Attach a separate sheet if necessary)
If the organization had an agreement with a commercial entity to make a donation to the charitable organization
by advertising that the purchase or use of goods, services, or entertainment would benefit the charitable
organization, report the amount received in the following table.
Amount paid to
Name of Commercial Entity
organization
Total
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2
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