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Form 10 - Registration Statement To Be Filed By Professional Solicitors, Professional Fund-Raising Counsel, And Commercial Co-Venturers

Form 10

OMMONWEALTH OF

ASSACHUSETTS

FFICE OF THE

TTORNEY

ENERAL

-P

ROFIT

RGANIZATIONS

UBLIC

HARITIES

IVISION

SHBURTON

LACE

, M

02108

OSTON

ASSACHUSETTS

Form 10

Registration Statement to be filed by Professional Solicitors, Professional

Fund-Raising Counsel, and Commercial Co-Venturers (M.G.L. c. 68, §§ 18-35)

Please TYPE or CLEARLY PRINT all entries in black ink.

Please complete: Registration for the calendar year ending December 31, 20

Please note: Registration is done on a calendar-year basis and must be renewed annually.

Indicate the type of professional fund-raiser by writing the corresponding code in the box to the right:

Professional Solicitor

Professional Fundraising Counsel

Commercial Co-venturer

1(A)

Full legal name under which the registrant conducts business:

1(B)

Additional names by which the registrant is known or conducts business:

1(C)

Legal principal place of business:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Email address:

Website (URL):

1(D)

Individual to contact, if more information is needed about this form:

Name:

Address:

City:

State:

Zip Code:

Phone:

Fax:

Form 10

Page 1 of 3

Rev. 07/2007

Form 10 - Registration Statement To Be Filed By Professional Solicitors, Professional Fund-Raising Counsel, And Commercial Co-Venturers

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