Charitable Organizations Investigative Request - State Of Kansas Office Of The Attorney General Page 2

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W
,
,
ERE YOU PROVIDED WITH ANY INFORMATION ABOUT THE CHARITY THAT WAS FALSE
A MISREPRESENTATION
OR IN ANY OTHER WAY
? Y
/ N
(I
,
)
DECEPTIVE
ES
O
F YES
EXPLAIN
W
?
AS YOU DONATION USED FOR A PURPOSE CONSISTENT WITH THE INFORMATION YOU WERE PROVIDED DURING THE SOLICATION
Y
/ N
(I
,
)
ES
O
F NO
EXPLAIN
I
,
,
,
:
F REPRESENTED BY AN ATTORNEY REGARDING THIS MATTER
LIST NAME
ADDRESS
AND TELEPHONE NUMBER
I
C
F
E
/ V
NFORMATION FOR
URRENT OR
ORMER
MPLOYEES
OLUNTEERS
A
W
/
RE YOU STILL EMPLOYED OR VOLUNTEERING FOR THIS
HEN DID YOU BEGIN TO WORK
VOLUNTEER FOR THE CHARITY
C
? Y
/ N
?
HARITABLE ORGANIZATION
ES
O
AND HOW DID YOU HEAR ABOUT THAT OPPORTUNITY
P
LEASE NOTE THAT ANY INFORMATION PROVIDED MAY BE
REVIEWED BY THE CHARITY OR BECOME SUBJECT TO
.
PUBLIC DISCLOSURE
H
C
,
,
AVE
HARITABLE FUNDS OR ASSETS BEEN LOST
WASTED
OR
H
A
AS
CTION BEEN TAKEN WITHIN THE ORGANIZATION OR WITH
DIVERTED FROM THEIR PROPER PURPOSES OR IS THERE A RISK
L
?
AW ENFORCEMENT AGENCIES TO RESOLVE THIS PROBLEM
? I
,
THIS WILL OCCUR
F YES
EXLAIN
I
,
F YES
EXPLAIN
L
,
,
IST NAMES
ADDRESSES
AND TELEPHONE NUMBERS OF ALL PERSONS WHO MAY BE RESPONSIBLE FOR THIS PROBLEM OR HAVE
:
ADDITIONAL INFORMATION

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