Form C2 - Charitable Organization Annual Report Form
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5C2
Minnesota Attorney General’s Office
Charities Division
STATE OF MINNESOTA
Suite 1200, Bremer Tower
445 Minnesota Street
CHARITABLE ORGANIZATION
St. Paul, MN 55101-2130
ANNUAL REPORT FORM
Website Address
(Pursuant to Minn. Stat. ch. 309)
SECTION A: Organization Information
Legal Name of Organization _______________________________________________________________
Federal EIN:______________________________ Fiscal Year-End: ______________________________
mm/dd/yyyy
Did the organization’s fiscal year-end change?
Yes
No
Mailing Address:
Physical Address:
____________________________________________________
_____________________________________________________
Contact Person
Contact Person
____________________________________________________
_____________________________________________________
Street Address
Street Address
____________________________________________________
_____________________________________________________
City, State, and Zip Code
City, State, and Zip Code
____________________________________________________
_____________________________________________________
Phone Number
Phone Number
____________________________________________________
_____________________________________________________
Email Address
Email Address
1. Organization’s website:__________________________________________________________________
2. List all of the organization’s alternate and former names (attach list if more space is needed).
________________________________________________________________
Alternate
Former
________________________________________________________________
Alternate
Former
3. List all names under which the organization solicits contributions (attach list if more space is needed).
_____________________________________________________________________________________
_____________________________________________________________________________________
4. Is the organization incorporated pursuant to Minn. Stat. ch. 317A?
Yes
No
5. Total amount of contributions the organization received from Minnesota donors: $___________________
6. Has the organization’s tax-exempt status with the IRS changed?
Yes
No If yes, attach explanation.
7. Has the organization significantly changed its purpose(s) or program(s)?
Yes
No If yes, attach explanation.
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