Form Char015 - Annual Bond (For Professional Fund Raisers) 2010 printable pdf download

Annual Bond (for Professional Fund Raisers)

New York State Department of Law (Office of the Attorney General)

CHAR015

Charities Bureau

Open to Public

Form

The Capitol

Inspection

Albany, NY 12224

Article 7-A of the Executive Law

Part A - Identification of Principal and Surety

1. Principal’s Name (exactly as specified in Part A1, Form CHAR013)

Surety (Complete legal name of surety company)

2. Mailing address of Principal (Number and street)

Room/Suite 4. Mailing address of Surety (Number and street)

Room/Suite

City or town, state or country and ZIP + 4

5. Bond number (Must be completed by Surety)

6. Beginning Date of Bond (Must be completed by Surety)

__ __ / __ __ / __ __ __ __

Part B - Certification - Both Signatures Required

WE, the Principal (as specified in Part A1) and the Surety (as specified in Part A3), are held firmly bound to the Attorney General of the State of New York

and any other person who may have a cause of action or claim against the Principal for any malfeasance or misfeasance in the conduct of a solicitation

by the Principal as a Professional Fund Raiser, in the sum of $10,000, to be paid to the Attorney General of the State of New York or to any other person

who may have a cause of action or claim against the Principal for any malfeasance or misfeasance in the conduct of a solicitation by the Principal as a

Professional Fund Raiser, and we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, by this bond.

WHEREAS, the Principal has applied to the Attorney General of the State of New York for registration as a Professional Fund Raiser pursuant to Article

7-A of the Executive Law of the State of New York;

NOW, THEREFORE, the terms of this obligation shall be:

That if the Principal shall register with the Attorney General of the State of New York as a Professional Fund Raiser and if the Principal shall

faithfully and honestly act as such in accordance with the law, and if the Principal shall fully comply with the provisions of Article 7-A of the

Executive Law of the State of New York, and if the Principal shall fully indemnify and save harmless from loss the State of New York and any

person who may have a cause of action or claim against the Principal for any malfeasance or misfeasance in the conduct of solicitation as such

Professional Fund Raiser, then this obligation shall be void; otherwise it shall remain in full force and effect.

In addition, this bond shall not become void upon the first recovery thereon but may be sued upon from time to time until the full amount thereof

shall have been exhausted.

This bond shall cover any cause of action or claim arising on account of the Principal's action as a Professional Fund Raiser for a period

beginning on the date specified in Part A6, which shall be deemed the beginning date of the Principal's annual registration with the Attorney

General, and ending exactly one year from that date, which shall be deemed the expiration date of the Principal's annual registration, pursuant

to §173.1 of Article 7-A of the Executive Law of the State of New York; provided, however, the Principal and the Surety shall be liable, to the

full extent of this bond, for any such cause of action or claim notice of which is presented to the Principal or to the Surety.

We, an authorized representative of the Principal and an authorized representative of the Surety, certify under the penalties for perjury, that we have

reviewed this Annual Bond form, including any and all attachments, and to the best of our knowledge and belief, they are true, correct and complete in

accordance with the laws of the State of New York applicable to this form.

Principal (PFR)

Signature of Authorized Representative

Printed Name

Title

Date

Surety

Signature of Attorney-in-Fact*

Printed Name

Title

Date

* Attach an original Power of Attorney form for the Surety’s Attorney-in-Fact