Form C2 - Charitable Organization Annual Report Form Page 5
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5C2
CHARITABLE ORGANIZATION ANNUAL REPORT FORM
(Continued)
Section C: Board of Directors Signatures and Acknowledgment
The form must be executed pursuant to a resolution of the board of directors, trustees, or managing group and
must be signed by two officers of the organization. See Minn. Stat. § 309.52, subd. 3.
We, the undersigned, state and acknowledge that we are duly constituted officers of this organization,
being the ________________________(Title) and _________________________(Title) respectively, and that
we execute this document on behalf of the organization pursuant to the resolution of the
_____________________________(Board of Directors, Trustees, or Managing Group) adopted on the _____
day of ___________________, 20____, approving the contents of the document, and do hereby certify that the
________________________________(Board of Directors, Trustees or Managing Group) has assumed, and
will continue to assume, responsibility for determining matters of policy, and have supervised, and will continue
to supervise, the operations and finances of the organization. We further state that the information supplied is
true, correct and complete to the best of our knowledge.
_________________________________________
__________________________________________
Name (Print)
Name (Print)
_________________________________________
__________________________________________
Signature
Signature
_________________________________________
__________________________________________
Title
Title
_________________________________________
__________________________________________
Date
Date
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