Form Ifc - Report Of Individual Fundraising Campaign printable pdf download

Form Ifc - Report Of Individual Fundraising Campaign

REPORT OF INDIVIDUAL

LISA MADIGAN

Form IFC

ATTORNEY GENERAL

Revised 6/12

FUNDRAISING CAMPAIGN

CHARITY:

Reporting Period Beginning

and Ending

Name

Mailing Address

CO# 01-

Phone #

City, State, Zip Code

'I'itle

Phone #

Contact Person

PROFESSIONAL FUND RAISER (PFR):

PFR #02 -

Name

NATURE OF FUNDRAISING ACTIVITY:

Total Amount Raised

PAID BY:

Charity

PFR

Expenses:

I. Professional Fundraiser Fee

2 Solicitor Compensation

3. Salaries

4. Printing

5. Postage

6. Telephone

7. Rent & Utilties

8. Supplies

9. Travel

10.

11.

12.

13.

13. TOTAL EXPENSES (PFR + Charity)

Total amount received by the charitable organization

(after all expenses are paid)

Percentage of Funds received by charity (Line C divided by line A)

Bank where funds are deposited? _ _ _ _ _ _ _ _ _ _ E.

Who (charity or PFR) has signature control of the account(s) listed above?

If No, attach a schedule explaining in detail, how expenses are

Are the expenses in B above actual expenses for this campaign? Yes

or No

allocated between fundraising campaigns.

We the undersigned, declare and certify under perjury that we have examined this report, including all the schedules, and statements, and the facts therein

stated are true and complete and filed with the Illinois Attorney General for the purpose of having the people of the State ot Illinois rely thereupon.

PFR CAMPAIGN

TITLE

MANAGER

(Print Name)

DATE

SlGNATURE

OFFICER, DIRECTOR

TITLE

OF CHARITY

(Print Name)

DATE

SlGNATURE