Certification Form Required By Charitable Organizations That Issue Charitable Gift Annuities printable pdf download

Certification Form Required By Charitable Organizations That Issue Charitable Gift Annuities

CERTIFICATION REQUIRED BY CHARITABLE ORGANIZATIONS

THAT ISSUE CHARITABLE GIFT ANNUITIES

(Must be signed by an officer or director)

If you are a charitable organization that issues charitable gift annuities pursuant to RSA Ch.

403-E, and you have not previously filed a notification with the Director of Charitable Trusts,

please complete the following:

1. I am the _______________________

of the

(title)

________________________________________

(name of organization)

2. I certify that this organization is a charitable organization, and that the annuities issued by

the organization are limited to qualified charitable gift annuities as defined in RSA 403-E:1, V.

Date: ______________________

________________________________________

_______________________________

(Print name):

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

If you are a charitable organization that issues charitable gift annuities pursuant to RSA Ch.

403-E, and you have filed an initial notification with the Director of Charitable Trusts, you must

recertify pursuant to RSA 403-E:3, II(b) by completing the following:

1. I am the _______________________

of the

(title)

________________________________________

(name of organization)

2. I certify that the annuities issued by this organization shall be limited to qualified

charitable gift annuities as defined in RSA 403-E:1, V.

Date: ______________________

________________________________________

_______________________________

(Print name):

125130

Certification Form Required By Charitable Organizations That Issue Charitable Gift Annuities