Charitable Organization Registration Statement Form -Office Of The Attorney General - 2000 Page 3
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413. Check one or more methods of solicitation the organization anticipates using:
Telephone appeals
Grant writing
Direct mail
Other_____________________________
14. State the total contributions the organization received during the last ended accounting year:
$_________________________________
15. Month and day accounting year ends:___________________________________________________
16.
Attach financial statement or IRS Form 990. If neither is available, complete the following for the most
recent twelve-month accounting year.
INCOME
Contributions from the public
$_______________
Government Grants
$_______________
Fees for program service
$_______________
Other revenue
$_______________
$0.00
TOTAL INCOME
$___________
EXPENSES
Amount spent for program or
charitable purposes
$_______________
Management/general expense
$_______________
Fund-raising expense
$_______________
Amounts paid to affiliated organizations
$_______________
$0.00
TOTAL EXPENSES
$___________
EXCESS or Deficit
$___________
TOTAL Assets
$___________
TOTAL Liabilities
$___________
END OF YEAR FUND BALANCE/NET WORTH (Assets minus Liabilities)
$___________
17. Do you intend to use the services of a professional fund-raiser* (outside solicitor or consultant)?
Yes
No
Name and address of Professional Fund-Raiser_____________________________
_________________________________________________________________________________
Attach copies of all contracts with professional fund-raiser(s). If additional contracts are entered
into after filing this registration statement, submit a new contract at that time.
*
Definition: A professional fund raiser is any person (including a corporation or other entity) who,
for compensation or profit, performs any service for a charitable organization by which contributions
are solicited or who plans, manages, advises or consults or prepares materials for, or with respect to,
the solicitation of contributions.
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