Form Ct-2tcf - Thrift Store Annual Financial Report - 2005 Page 2

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COMMERCIAL FUNDRAISER FOR CHARITABLE PURPOSES - THRIFT STORE OPERATIONS
ANNUAL FINANCIAL REPORT FOR 20____
(California Government Code section 12599)
(11 Cal. Code Regs. section 308)
Page 2
8.
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 of
Name and address of
Relationship of director, officer, or
commercial fundraiser for charitable purposes
charitable organization
employee to charitable organization
(b) For each affiliation identified in 8(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-2TCF THRIFT STORE ANNUAL FINANCIAL REPORT (3-05)

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