Form Sc- Registration Statement For Solicitations Page 2
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39.
Names
Street addresses
City
State
Zip
Officers:
Directors:
Trustees:
Employees:
(principal salaried - attach additional pages, if necessary)
10. Person having custody of such organization's financial records:
Name
Street address
City
State
Zip
11. Names of the individuals or officers of the organization who will have responsibility for the custody of contributions:
12. Names of the individuals or officers of the organization who will have responsibility for the distribution of the contributions:
13. Names of the individuals or officers of the organization who will have responsibility for the conduct of solicitation activities:
14. State the general purpose for which the organization intends to solicit contributions:
15. Does the organization intend to solicit contributions directly?
Yes
No
16. Does the organization intend to have such solicitation done on such organization’s behalf by others?
Yes
No
If YES, then name the professional fund raiser(s) the organization intends to use:
17. Is this organization authorized by any other governmental authority to solicit contributions?
Yes
No
18. Is this organization, or has it ever been, enjoined by any court from soliciting contributions?
Yes
No
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