Request For Designation As An Exempt Organization Pursuant To Subdivision Form - State Of California Department Of Corporations Page 2
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2California Code of Regulations
Page 2 of 2
D. An opinion of counsel with respect to the tax consequences to the prospective donors of
property. The applicant has duly caused this application to be signed on its behalf by the
undersigned, thereunto duly authorized.
_______________________________________________________________
(Applicant)
By _____________________________________________________________
(Title)
I certify (or declare) under penalty of perjury under the laws of the State of California that I
have read this application and the exhibits thereto and know the contents thereof, and that
the statements therein are true and correct.
Executed at ____________________, on ________________, 20____.
(Place) (Date )
_______________________________________________________________
(Signature)
07/03/13
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