Form Ag990-Il - Illinois Charitable Organization Annual Report printable pdf download

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ILLINOIS CHARITABLE ORGANIZATION ANNUAL REPORT

Form AG990-IL

PMT #

Revised 3/05

Attorney General LISA MADIGAN State of Illinois

Charitable Trust Bureau, 100 West Randolph

11th Floor, Chicago, Illinois 60601

AMT

Check all items attached:

Report for the Fiscal Period:

Copy of IRS Return

Audited Financial Statements

Make Checks

Beginning

Copy of Form IFC

Payable to

INIT

the Illinois

$15.00 Annual Report Filing Fee

Charity

& Ending

$100.00 Late Report Filing Fee

Bureau Fund

DAY

Federal ID #

DAY

Date Organization was created:

Are contributions to the organization tax deductible?

Yes

Year-end

LEGAL

amounts

NAME

A) ASSETS

A) $

MAIL

ADDRESS

B) LIABILITIES

B) $

CITY, STATE

C) NET ASSETS

C) $

ZIP CODE

I. SUMMARY OF ALL REVENUE ITEMS DURING THE YEAR:

PERCENTAGE

AMOUNT

(GROSS AMTS.)

D) $

D) PUBLIC SUPPORT, CONTRIBUTIONS & PROGRAM SERVICE REV.

E) GOVERNMENT GRANTS & MEMBERSHIP DUES

E) $

F) $

F) OTHER REVENUES

G) TOTAL REVENUE, INCOME AND CONTRIBUTIONS RECEIVED (ADD D,E, & F)

100%

G) $

II. SUMMARY OF ALL EXPENDITURES DURING THE YEAR:

H) $

OPERATING CHARITABLE PROGRAM EXPENSE

I) $

EDUCATION PROGRAM SERVICE EXPENSE

J) $

TOTAL CHARITABLE PROGRAM SERVICE EXPENSE (ADD H & I)

) JOINT COSTS ALLOCATED TO PROGRAM SERVICES (INCLUDED IN J):

K) GRANTS TO OTHER CHARITABLE ORGANIZATIONS

K) $

L) TOTAL CHARITABLE PROGRAM SERVICE EXPENDITURE (ADD J & K)

L) $

M) MANAGEMENT AND GENERAL EXPENSE

M) $

N) FUNDRAISING EXPENSE

N) $

O) TOTAL EXPENDITURES THIS PERIOD (ADD L, M, & N)

100 %

O) $

III. SUMMARY OF ALL PAID FUNDRAISER AND CONSULTANT ACTIVITIES:

(Attach Attorney General Report of Individual Fundraising Campaign- Form IFC. One for each PFR.)

PROFESSIONAL FUNDRAISERS:

100 %

P) $

P) TOTAL AMOUNT RAISED BY PAID PROFESSIONAL FUNDRAISERS

Q) $

Q) TOTAL FUNDRAISERS FEES AND EXPENSES

R) $

R) NET RECEIVED BY THE CHARITY (P MINUS Q=R)

PROFESSIONAL FUNDRAISING CONSULTANTS:

S) $

S) TOTAL AMOUNT PAID TO PROFESSIONAL FUNDRAISING CONSULTANTS

IV. COMPENSATION TO THE (3) HIGHEST PAID PERSONS DURING THE YEAR:

T) $

T) NAME, TITLE:

U) $

U) NAME, TITLE:

V) $

V) NAME, TITLE:

List on back side of instructions

V. CHARITABLE PROGRAM DESCRIPTION:

CODE

CHARITABLE PROGRAM (3 HIGHEST BY $ EXPENDED) CODE CATEGORIES

W) #

W) DESCRIPTION:

X) #

X) DESCRIPTION:

Y) #

Y) DESCRIPTION:

Form Ag990-Il - Illinois Charitable Organization Annual Report

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