Form Ss-6021 - Charitable Organization And Solicitor Complaint - Tennessee Department Of State
Download a blank fillable Form Ss-6021 - Charitable Organization And Solicitor Complaint - Tennessee Department Of State in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ss-6021 - Charitable Organization And Solicitor Complaint - Tennessee Department Of State with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2STATE OF TENNESSEE
Charitable Solicitation and Gaming Division
RESET BUTTON
312 Eighth Avenue North
8th Floor, William Snodgrass Tower
Department of State
615.741-2555 | 615.253-5173 Fax
Riley C. Darnell, Secretary of State
Charitable Organization and Solicitor Complaint Form
The Charitable Law Section will contact you if additional information is needed. The investigation of a charitable
organization in Tennessee is not a matter of public record. Therefore, it may not be possible to share investigative
information with you. This complaint form, and any attached documents submitted with this form, may be considered
public records under Tennessee Law and subject to disclosure. If you are concerned about your identity being revealed,
you may call our office and ask to speak with a compliance auditor to begin a confidential investigation and protect
your anonymity. If you submit this form anonymously, please follow up with a telephone call to a compliance auditor to
allow us to obtain any additional information needed for the investigation.
Complainant Information
Your Name______________________________________ Today’s Date____________________
Last
First
MI
Address________________________________________________________________________
City______________________ State_____ Zip Code________ County_____________________
Home Phone____________ Work Phone____________ email______________________
Organization Information
My Complaint is against___________________________________________________
(Please specify the name of Charitable Organization).
Address_________________________________ City_____________________________
State_____________ Zip Code______________ County___________________________
Phone Number___________________ Registration Number________________________
Please describe in the box below the nature of your complaint. Give as much detail as possible. If your complaint
concerns a solicitation for a donation, Give as much specific information as you can by answering the following
questions.
Professional Solicitor Information (if applicable)
Company _______________________________________________________________
(please specify name of Professional Solicitor if known).
Address_________________________________ City____________________________
State_____________ Zip Code______________ County__________________________
Phone Number___________________ Registration Number_______________________
What type of solicitation did you receive?
Phone
Mail
Door-to-Door
Other ____________________
If Other, Please Describe: ___________________________________________________
Date(s) of contact(s): ____________________
Did you agree or pledge to make a donation/contribution? _______
How much? ___________
Donation/contribution (cash, check, money order, credit card, etc.)? _______________
When did you make your donation/contribution? __________
Did you receive any written solicitation materials, receipts, pledge reminders, etc.? ______
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ss-4244 - Articles Of Termination By The Organizers (limited Liability Company) - Tennessee Department Of State
Legal
Form Dscb:15-412 - Foreign Registration Statement Template - Pennsylvania Department Of State Bureau Of Corporations And Charitable Organizations
Legal
Form Rv-f1303901 - Certificate Of Exemption For Electric Cooperatives And Membership Corporations And Utility Districts - Tennessee Department Of Revenue
Financial
Form In-0581 - Life And Accident And Health Companies - Tennessee Department Of Commerce And Insurance
Legal
Related Categories
Parent category: Legal