Charitable Organizations Application - 2008
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CHARITABLE ORGANIZATIONS APPLICATION
FILINGS MUST BE SUBMITTED ON
CD-ROM. WE NO LONGER ACCEPT PAPER FILINGS
______ RENEWAL APPLICATION
_______ INITIAL APPLICATION
INCLUDE COPY OF IRS DETERMINATION LETTER
FILING FEE $90.00
EIN #__________________________
CHARITABLE ORGANIZATION’S E-MAIL ADDRESS: __________________________________
A charitable organization having annual gross income of more than five hundred thousand dollars
($500,000) shall file with the Director an audited financial statement prepared by an independent certified
public accountant. Organizations having annual gross income less that $500,000 shall submit a copy of
Form 990 or a compiled financial statement for the immediate preceding fiscal year. The applicant does
not have to submit a financial statement if a written extension request is submitted to the Division in
accordance with 5-53.1-4(i) of the Solicitations by Charitable Organizations Act. Items 18(a) and 19 do
not have to be completed if an extension is requested and such information is later submitted with the
financial information.
Please also note: Charitable organizations must notify the director within 30 days of any material change
in the information provided.
Attach additional sheets if necessary.
A charitable organization is deemed to have met the filing requirements below by submitting a copy or
duplicate original of Form 990; provided, however, that such organization responds to items numbered
1 through 5, 14 through 18, and 20 below:
1. Organization’s name: _________________________________________________________________
2. Organization’s principal address and phone number(s): _____________________________________
_____________________________________________________________________________________
3. Contact person and mailing address:_____________________________________________________
_____________________________________________________________________________________
4. Addresses of any office(s) in this state and all other addresses of the organization:________________
_____________________________________________________________________________________
5. If no RI office, please give name and address of person with custody of financial records: _________
_____________________________________________________________________________________
6. Name or names under which organization intends to solicit contributions:______________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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