Annual Financial Report Form - South Carolina Secretary Of State Page 3
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4Part IV— Revenue From Professional Fundraising Companies (Attach a separate sheet if necessary)
If the organization had an agreement with a person or entity in connection with professional fundraising services,
report receipts, expenses and revenue in the following table. Do not include fundraising services performed by an
officer or employee of the organization if they do so as part of their service to the organization. (Attach a separate
sheet if necessary.)
Amount paid to or
Amount paid to or
Name of Fundraiser
Activity
Gross Receipts
retained by
retained by
fundraiser
organization
Total
Part V— Revenue
Organizations must report their gross receipts from all sources of revenue. Noncash contributions should be
reported using their fair market value (FMV) at the time the donation was received.
1 a Federated campaigns (such as United Way) ......................................................... __________________
b Membership dues.................................................................................................. __________________
c Fundraising events ................................................................................................ __________________
d Related organizations............................................................................................ __________________
e Government grants ............................................................................................... __________________
f All other contributions, gifts, grants (not included above) ................................... __________________
2 Program service revenue ......................................................................................... __________________
3 All other income....................................................................................................... __________________
4 Total revenue. Add lines 1(a-g), 2, and 3.............................................................. __________________
Part VI— Program Service Expenses
Program expenses are costs related to providing the nonprofit organization’s programs or services in accordance
with its charitable purpose. Fundraising expenses should not be reported as program service expenses even though
one of the organization’s purposes is to solicit contributions.
Statement of Program Service Accomplishments
What is the organization’s primary charitable purpose?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Describe the organization’s program service expenses and the amount spent on each
5 ______________________________________________________________________
.................................................................................................................................. __________________
6 ______________________________________________________________________
.................................................................................................................................. __________________
7 ______________________________________________________________________
.................................................................................................................................. __________________
8 Total Program Service Expenses (add lines 5, 6 and 7).................................... $__________________
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