Verification Of Exemption From The Registration Requirements Under Minnesota Statutes Ch. 309 - Minnesota Office Of The Attorney General - 2000 Page 2

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______ 5.
A charitable organization soliciting contributions for any person specified by name at the
time of the solicitation if all of the contributions received are transferred to the person named
with non restrictions on the person’ s expenditure of it and with no deductions whatsoever.
______ 6.
A private foundation, as defined in section 509(a) of the Internal Revenue Code of 1954,
which did not solicit contributions from more than 100 persons during the accounting year
last ended.
Please note that the exemption from registration does not apply to organizations described above in
numbers 1, and 4 if they employ a professional fund-raiser.
If the exemption list in question number 1, above, applies to this organization, please explain briefly the
purposes of the organization and state what contributions will be used for.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
We hereby certify that we are duly constituted officers of the organization and that the information
contained in the verification of exempt status is true and accurate to the best of our knowledge.
Name
Name
Title
Title
Daytime Phone Number
Daytime Phone Number
Date
Date
An organization exempt from registration under M.S. 309.515 may not be exempt under M.S. ch.
501B which is a separate registration with this office. If the organization described in numbers 1, 3, 4, 5
and 6 above are 501(c)(3) nonprofits which have $25,000 or more in assets at any time during the
accounting year or charitable gambling, they must register under M.S. ch. 501B.
05/00
AG: 2204310,v. 01

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