Form Chr-1 - West Virginia Registration Statement Of Charitable Organization - 2017 Page 2
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14b. Has this exemption been denied,
Yes
If "Yes," attach copy of letter of decision.
revoked or modified at any time?
No
14c. Please check one or more fundraising methods the organization anticipates using.
Door to Door Solicitation
Telephone Appeals
Other
Combined Appeals
Grant Writing
Auction
Direct mail
Bingo/Raffle
Special Events
15. Names and addresses of all officers, direc-
tors, trustees and the principal salaried ex-
ecutive staff: [All charitable organizations
must appoint an independent governing
board to oversee expenditures, policies,
progress and purposes.]
Name and address of professional fundraising
16.
counsel and/or solicitor used for fundraising
activities in West Virginia.
Yes
No
a. Are current contracts with professional fundraising counsel
and solicitors on file with the Office of the Secretary of State
as required by West Virginia law?
b. Has the professional fund-raising counsel or professional
Yes
No
solicitor registered and filed a bond with the Office of the
Secretary of State as required by West Virginia Law?
c. Give the location of any telephone
facilties to be used in solicitation:
(Room No.)
(Street Address)
(City)
(State)
(Zip)
d. Give the location and address of any
mailing facility to be used in
(Street Address and Box Number)
the solicitation of funds:
(City)
(State)
(Zip)
Revised 01/17
Issued by the Office of the Secretary of State
Form CHR-1
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