Form Chr-1 - West Virginia Registration Statement Of Charitable Organization - 2017 Page 3
Download a blank fillable Form Chr-1 - West Virginia Registration Statement Of Charitable Organization - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Chr-1 - West Virginia Registration Statement Of Charitable Organization - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
43
17. Is the organization authorized to solicit by any other state?
Yes
No
If yes, please list four (4) other states:
1.
2.
3.
4.
18.
Has the organization ever been enjoined by any court, or otherwise
Yes
No
prevented by any governmental body, from soliciting contributions in
any state? (If "Yes," explain in detail on separate sheet)
19.
Give names and
a. Custodian of
addresses for the
financial records:
chief person
responsible for
the following
b. Custodian of
duties:
contributions:
c. Person(s) making
final distribution:
20.
Amount proposed to be raised in West Virginia (estimate):
$
21.
Actual amount of funds raised in West Virginia last fiscal year
$
22.
Amount disbursed for program services in West Virginia during
the period covered by this report: (Please estimate -- if left blank, a
$
$0 will be entered)
Amount disbursed for program services outside West Virginia
23.
during the same period:
$
24.
The license number of the raffle, bingo or other state
permit used for fund-raising if any:
25.
Computation of Fundraising Percentage
$
÷
$
=
%
Income Derived From Fundraising
Fundraising Expenses
Percentage
26.
How much did organization receive from government grants?
$
or private foundations during last year?
Issued by the Office of the Secretary of State
Revised 01/17
Form CHR-1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal