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Form Nhct-1 - Register Of Charitable Trusts Application For Registration - Office Of The New Hampshire Attorney General Charitable Trust Unit

OFFICE OF THE NEW HAMPSHIRE ATTORNEY GENERAL

CHARITABLE TRUST UNIT

33 CAPITOL STREET CONCORD, N.H. 03301

NHCT-1

Registration Fee: $25.00

Please make check payable to:

“State of New Hampshire”

APPLICATION FOR REGISTRATION

(Please Type or Print)

1. Legal Name of Organization:

Federal Employer I.D. #

____________________

2. Mailing Address and Website address:

Contact Phone Number of Organization: __________________

List Trade Names or d/b/a, if any:

3. OUT OF STATE ORGANIZATIONS ONLY: Address of any office/resident agent in this

state:

4. Form of Organization: (Select A, B, or C)

A. (____) Charitable Corporation

• Provide date of incorporation: ___/___/___

• Attach a copy of Articles of Incorporation and By-Laws/Amendments

• Was corporation created via will or court decree? ( ) Yes

( ) No

B. (____) Other Form of Organization/Association

• Provide date formed: ___/___/___

• Attach copy of Articles of Agreement or other governing document

C. (____) Trust

• Provide date of instrument: ___/___/___

• Provide date of amendments, if any: ___/___/___

• Attach copy of trust instrument/amendments

56414.doc (rev. 8/2009)

Form Nhct-1 - Register Of Charitable Trusts Application For Registration - Office Of The New Hampshire Attorney General Charitable Trust Unit