Registration Statement For Solicitations Form - Kansas Secretary Of State Page 3
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412. Names of the individuals or officers of the organization who will have responsibility for the distribution of the contributions:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
13. Names of the individuals or officers of the organization who will have responsibility for the conduct of solicitation activities:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Yes
No
14. Does the organization intend to solicit contributions directly?
Yes
No
15. Does the organization intend to have such solicitation done on such organization’s behalf by others?
If yes, name the professional fund raiser(s) the organization intends to use:
_______________________________________________________________________________________________________
16. Methods of solicitation used:
Personal contact
Mail
Telephone
Radio
TV
Volunteers
Internet
Vendors
Other
________________________________
Specify
17. Is this organization authorized by any other states or governmental authorities to solicit contributions?
Yes
No
If yes, give state or jurisdiction: ___________________________________________________________________________
Yes
No
18. Is this organization, or has it ever been, enjoined by any court from soliciting contributions?
If yes, explain in detail: __________________________________________________________________________________
__________________________________________________________________________________
19. Report all fund raising costs below. Also report total fund raising costs as a percentage of contributions received.
If this is an initial registration statement, report anticipated costs.
For fiscal year:
List all fund raising costs - describe below:
___________
______ _______
Month
Day
Year
to
___________
______ _______
Total fund raising costs:
Month
Day
Year
%
Total costs as a percent of contributions received:
(
Attach additional pages, if necessary)
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