COMMERCIAL FUNDRAISER FOR CHARITABLE PURPOSES - VEHICLE DONATION PROGRAM
ANNUAL FINANCIAL REPORT 20____
(California Government Code section 12599)
(11 Cal. Code Regs. section 308)
Page 2
3.
Distribution or net to charitable organization
3.
4.
Less additional expenses relating to operation of vehicle donation program paid by charity
4.
5.
Total amount charity realized from operation of vehicle donation program
5.
6.
(a) Is any director, officer, or employee of the commercial fundraiser for charitable purposes a director, officer, or employee of the
charitable organization listed in this report?
G Yes
G No
If "yes,” complete the following:
Name and address of director, officer or employee
Name and address of
Relationship of director, officer, or
of commercial fundraiser for charitable purposes
charitable organization
employee to charitable organization
(b)
For each affiliation identified in 6(a), attach copy of the contract between the commercial fundraiser for charitable purposes and
the charity.
Under penalties of perjury, I declare that I have examined this report, including accompanying documents, schedules and statements, and
to the best of my knowledge and belief, it is true, correct and complete.
Signature of authorized officer (commercial fundraiser for charitable purposes)
Printed name
Title
Date
This report must be signed by two officers or directors of the charitable organization for verification.
Signature of authorized officer/director (charity)
Printed name
Title
Date
Signature of authorized officer/director (charity)
Printed name
Title
Date
PRINT FORM
RESET FORM
CT-2VCF VEHICLE DONATION FINANCIAL REPORT (3-05)