Form Char500 (2007) - Annual Filing For Charitable Organizations
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4CARC875 07/11/2008
Annual Filing for Charitable Organizations
CHAR500
2 0 0 7
New York State Department of Law (Office of the Attorney General)
Form
Charities Bureau - Registration Section
This form used for
120 Broadway
Open to Public
Article 7-A, EPTL and dual filers
New York, NY 10271
(replaces forms CHAR 497,
Inspection
CHAR 010 and CHAR 006)
1. General Information
3/01/2007
2/29/2008
a. For the fiscal year beginning
and ending
(mm/dd/yyyy)
(mm/dd/yyyy)
d.
Fed. employer ID no. (EIN)
b.
Ck. if applic. for NYS:
c.
Name of organization
(##-#######)
Address change
13-6277875
e.
NY State registration no.
Name change
(##-##-##)
CARCINOID CANCER FOUNDATION
41311
Initial filing
f.
Telephone number
Final filing
Number and street (or P.O. box if mail not delivered to street address)
Room/suite
333 MAMARONECK AVENUE
492
Amended filing
NY registration
City or town, state or country and zip + 4
g.
Email
WHITE PLAINS
NY 10605
pending
2.
Certification - Two Signatures Required
We certify under penalties of perjury that we reviewed this report, including 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 report.
a.
President or Authorized
Signature
Printed Name
Title
Date
b.
Chief Financial Officer or
Signature
Printed Name
Title
Date
3.
Annual Report Exemption Information
a. Article 7-A annual report exemption (Article 7-A registrants and dual registrants)
a
if total contributions from NY State (including residents, foundations, corporations, government agencies, etc.) did not exceed
Check
$25,000 and the organization did not use the services of a professional fund raiser (PFR) or fund raising counsel (FRC) to solicit
contributions during this fiscal year.
An organization may also check the box to claim this exemption if no PFR or FRC was used and either: 1) the
NOTE:
organization received an allocation from a federated fund, United Way or incorporated community appeal and contributions from
all other sources did not exceed $25,000 or 2) it received all or substantially all of its contributions from a single government
agency to which it submitted an annual financial report similar to that required by Article 7-A).
b.
EPTL annual report exemption (EPTL registrants and dual registrants)
a
if total gross receipts for this fiscal year did not exceed $25,000 and the assets (market value) of the organization did not exceed
Check
$25,000 at any time during this fiscal year.
For EPTL or Article-7A registrants claiming the annual report exemption under the one law under which they are registered and for dual registrants claiming the annual report
exemptions under both laws, simply complete part 1 (General Information), part 2 (Certification) and part 3 (Annual Report Exemption Information) above.
Do not
do not
do not
submit a fee,
complete the following schedules and
submit any attachments to this form.
4.
Article 7-A Schedules
If you did not check the Article 7-A annual report exemption above, complete the following for this fiscal year:
Did the organization use a professional fund raiser, fund raising counsel or commercial co-venturer for fund raising activity in NY State?
X
a.
Yes*
No
. . . . . . . . . . . .
* If "Yes", complete Schedule 4a.
X
b.
Did the organization receive government contributions (grants)?
Yes*
No
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
* If "Yes", complete Schedule 4b.
5. Fee Submitted: See last page for summary of fee requirements.
Indicate the filing fee(s) you are submitting along with this form:
Submit only one check or money order for the
10
a.
Article 7-A filing fee
$
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
total fee, payable to "NYS Department of Law"
50
b.
EPTL filing fee
$
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
60
c.
Total fee
$
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
Attachments: For organizations that are not claiming annual report exemptions under both laws, see last page for required attachments.
required schedules, fee and attachments
– Mail completed form with
to the address at the top of this page –
Form CHAR500 (2007)
1022
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