Form Fr - Professional Fund Raiser Annual Report
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1
2Secretary of State/Corporation Division
Form
Professional Fund Raiser Annual Report
FR
Name of Professional Fund Raiser_______________________________________________________________________
Organizational Name_________________________________________________________________________________
________________________________________________________________________________
Street Address
City, State, Zip
Organization is a :
Proprietorship
Partnership
Corporation, State of _____________________
Other
If Partnership, list names and addresses of general partners; if corporation, list names and addresses of officers:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Name
Address
City
State
Zip
Title
Charitable organizations solicited for in the preceding 12 months.
Name of organization
Address
City, State, Zip
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Financial Information.
Name of Charitable
Gross
Solicitation/Operating
Net Amount to
Organization
Receipts
Expenses
Charitable Organization
1
$
$
$
2
$
$
$
3
$
$
$
4
$
$
$
5
$
$
$
6
$
$
$
7
$
$
$
8
$
$
$
9
$
$
$
10
$
$
$
(Add additional page if necessary.)
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