Form Char500 - Annual Filing For Charitable Organizations - 2007

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Annual Filing for Charitable Organizations
CHAR500
2 0 0 7
Form
New York State Department of Law (Office of the Attorney General)
Charities Bureau - Registration Section
120 Broadway
This form used for
Open to Public
Article 7-A, EPTL and dual filers
New York, NY 10271
(replaces forms CHAR 497,
Inspection
CHAR 010 and CHAR 006)
1. General Information
a. For the fiscal year beginning
/ 2 0 0 7 and ending
(mm/dd/yyyy)
(mm/dd/yyyy)
b. Check if applicable for NYS:
c. N am e of organization
d. Fed. em ployer ID no. (E IN ) (##-#######)
G
Address change
e. N Y S tate registration no. (##-##-##)
G
Name change
G
Initial filing
N um ber and street (or P.O . box if m ail not delivered to street address)
R oom /suite
f.
T elephone num ber
G
Final filing
G
Amended filing
G
C ity or town, state or country and zip + 4
g. E m ail
NY registration pending
2. Certification - Two Signatures Required
We certify under penalties of perjury that we reviewed this report, including all attachments, and to the best of our knowledge and belief, they are true,
correct and complete in accordance with the laws of the State of New York applicable to this report.
a. President or Authorized
S ignature
P rinted N am e
T itle
D ate
b. Chief Financial Officer or
S ignature
P rinted N am e
T itle
D ate
3. Annual Report Exemption Information
a. Article 7-A annual report exemption (Article 7-A registrants and dual registrants)
Check
if total contributions from NY State (including residents, foundations, corporations, government agencies, etc.) did not exceed
$25,000 and the organization did not use the services of a professional fund raiser (PFR) or fund raising counsel (FRC) to solicit
contributions during this fiscal year.
NOTE: An organization may also check the box to claim this exemption if no PFR or FRC was used and either: 1) the
organization received an allocation from a federated fund, United Way or incorporated community appeal and contributions from
all other sources did not exceed $25,000 or 2) it received all or substantially all of its contributions from a single government
agency to which it submitted an annual financial report similar to that required by Article 7-A).
b. EPTL annual report exemption (EPTL registrants and dual registrants)
Check
if total gross receipts for this fiscal year did not exceed $25,000 and the assets (market value) of the organization did not exceed
$25,000 at any time during this fiscal year.
For E P T L or A rticle-7A registrants claim ing the annual report exem ption under the one law under which they are registered and for dual registrants claim ing the annual report
exem ptions under both laws, sim ply com plete part 1 (G eneral Inform ation), part 2 (C ertification) and part 3 (A nnual R eport Exem ption Inform ation) above.
D o not subm it a fee, do not complete the following schedules and do not subm it any attachm ents to this form .
4. Article 7-A Schedules
If you did not check the Article 7-A annual report exemption above, complete the following for this fiscal year:
a. Did the organization use a professional fund raiser, fund raising counsel or commercial co-venturer for fund raising activity in NY State? . . G Yes* G No
* If “Yes”, complete Schedule 4a.
b. Did the organization receive government contributions (grants)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Yes* G No
* If “Yes”, complete Schedule 4b.
5. Fee Submitted: See last page for summary of fee requirements.
Indicate the filing fee(s) you are submitting along with this form:
a. Article 7-A filing fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________
Submit only one check or money order for the
total fee, payable to “NYS Department of Law”
b. EPTL filing fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________
c. Total fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________
6. Attachments: For organizations that are not claiming annual report exemptions under both laws, see last page for required attachments.
– M ail completed form with required schedules, fee and attachm ents to the address at the top of this page –
Form CHAR500 (2007)

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