COMMERCIAL FUNDRAISER FOR CHARITABLE PURPOSES
MAIL TO:
Office of the Attorney General
Registry of Charitable Trusts
2000 ANNUAL FINANCIAL REPORT
P.O. Box 903447
(California Government Code Section 12599)
Sacramento, CA 94203-4470
Failure to file annual financial report by January 30 annually for each calendar
STREET ADDRESS:
year of solicitation may result in fines or filing penalties as defined in Government Code
1300 I Street, Room 1130
Section 12586.1 (Recently enacted).
Sacramento, CA 95814
Telephone: (916) 323-5079
An annual financial report must be filed for each event
for each charity solicited for during the previous calendar year.
WEBSITE ADDRESS:
Name and Address of Commercial Fundraiser:
Name and Address of Charitable Organization or Charitable Purposes:
CF Number
CT No.
F.E.I.N. No.
Name of Commercial Fundraiser
Name of Charity
Address of Commercial Fundraiser
Address of Charity
City, State, and ZIP Code of Commercial Fundraiser
City, State, and ZIP Code of Charity
held (on) (from)
, 200
, to
, 200
(Type of Activity)
(Date or dates must be shown)
1.
REVENUE
A. Cash contributions
A .
B.
B. Entertainment sales or admission charges
C. Sales from products
C.
D. Advertisement sales
D.
E. Membership fees
E.
F. Other sources: (Specify)
a.
Fa.
b.
Fb.
c.
Fc.
d.
Fd.
G. TOTAL REVENUE
G.
2.
EXPENSES
A. Fees or commissions
A.
B. Salaries
B.
C. Payroll taxes
C.
D. Employee benefits
D.
E. Cost of merchandise for resale
E.
F. Cost of entertainment
F.
G. Postage
G.
H. Advertising
H.
I. Telephone
I.
J. Rental of equipment
J.
K. Facilities charge
K.
L. Permits
L.
M. Other expenses: (Specify)
a.
Ma.
b.
Mb.
c.
Mc.
d.
Md.
N. TOTAL EXPENSES
N.
3. Distribution or net to charitable organization or charitable purposes
3.
4. (a)
Is any officer, director, partner or owner of the Commercial Fundraiser in any way affiliated with or control, directly or indirectly, the
charitable organization for which the Commercial Fundraiser has contracted to solicit?
[ ] Yes
[ ] No
If “yes,” complete the following:
Name of officer, director, partner or owner of
Name and address of
Relationship of officer, etc.
Commercial Fundraiser
charitable organization
To charitable organization
(b)
For each affiliation identified in 4(a), attach copy of the contract between the commercial fundraiser and the charity.
Under penalties of perjury, I declare that I have examined this report, including accompanying documents, schedules and statements, and to the best
of my knowledge and belief, it is true, correct and complete.
Signature of authorized officer (Commercial Fundraiser)
Printed Name
Title
Date
This report must be signed by two officers of the charitable organization for verifying the distribution.
Signature of authorized officer/director (Charity)
Printed Name
Title
Date
Signature of authorized officer/director (Charity)
Printed Name
Title
Date
ct-2CF (12/2000)
Clear Form