KAMALA D. HARRIS
State of California
Attorney General
DEPARTMENT OF JUSTICE
1300 I STREET, SUITE 125
P.O. BOX 903447
SACRAMENTO, CA 94203-4470
Public: (916) 445-2021
Facsimile: (916) 444-3651
COMPLAINT TO ATTORNEY GENERAL ON A NONPROFIT ORGANIZATION
Name of organization:_______________________________________________________________________________
List any other names it uses:__________________________________________________________________________
Address of orga nization: _____________________________________________________________________________
City, State, ZIP: ____________________________________________________________________________________
Telephone number of the organization:__________________________________________________________________
Briefly summarize the main points of your complaint here:
(Attach additional pages for the details of your complaint, if necessary)
Have charitable funds or other assets been lost, wasted or diverted from proper charitable purposes? Or, is there a danger
that such loss will soon occur? Please explain, giving your best estimate of the amount lost or at risk, if you know:
What action has already been taken, either within the organization or with other law enforcement agencies, to try to
resolve this problem:
List the names, addresses and telephone numbers, if known, of all persons you believe may be responsible for this
problem:
List the name, address and telephone number of any other persons who may have additional information concerning the
complaint:
Your name, address and telephone number: ______________________________________________________________
__________________________________________________________________ Date: __________________________
Check here, if you request that your identity be kept confidential.
Mail the completed form and any attachments to: Registry of Charitable Trusts, Office of the Attorney General, P.O. Box
903447, Sacramento, CA 94203-4470.
Form CT-9 (1-99)
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