STATE OF MINNESOTA
OFFICE OF THE ATTORNEY GENERAL
LORI SWANSON
CHARITIES & CIVIL ENFORCEMENT DIVISION
Attorney General
Suite 1200, Bremer Tower
445 Minnesota Street
(651) 757-1414 (Voice)
St. Paul, MN 55101-2130
(651) 296-1410 (TTY)
Upon request, this material can be made available in alternate formats.
CHARITABLE TRUST FINANCIAL REPORT
Minn. Stat. § 501B.38, Subd. 1
Charitable trusts that are not required to file with the IRS a federal tax or information return (i.e., IRS
Form 990, 990-PF, 990-EZ or 1041) are required to file with the Attorney General a statement of
income and expenses and a balance sheet. This form may be used to fulfill that requirement or an
organization may choose to use another format.
INSTRUCTIONS:
PLEASE COMPLETE THIS FORM AND SUBMIT IT TO THE
CHARITIES & CIVIL ENFORCEMENT DIVISION TOGETHER WITH
A $25 FILING FEE PAYABLE TO THE STATE OF MINNESOTA.
NOTE:
All information and documentation provided as part of this registration,
including this form, shall be public record.
Fiscal Year
Federal Employer
Ending___________________________
Identification No._______________________________
NAME ___________________________________________________________________________
ADDRESS ________________________________________________________________________
__________________________________________________________________________________
PHONE ___________________________________________________________________________
(4/10)
(over)