Form Ct-694 - Annual Financial Solicitation Report
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1
2MAIL TO:
STATE OF CALIFORNIA
Registry of Charitable Trusts
P.O. Box 903447
OFFICE OF THE ATTORNEY GENERAL
Sacramento, CA 94203-4470
Telephone: (916) 445-2021
REGISTRY OF CHARITABLE TRUSTS
ANNUAL FINANCIAL SOLICITATION REPORT
WEBSITE ADDRESS:
California Business and Professions Code Section 17510.9
Year Ending
, 20
NOTE:
ALL LINE REFERENCES ARE TO IRS FORM 990 UNLESS OTHERWISE NOTED.
THIS FORM MUST BE COMPLETED IN TRIPLICATE.
Name:
CT
Address:
City:
State
Zip
FEIN
1.
Was more than $1,000,000 collected in charitable contributions from donors in California? Yes
No
If the answer is NO, do not proceed. This document is not required. If YES, continue.
2.
Do your charitable contributions collected from donors in California represent more than 50% of your annual income? Yes
No
If the answer is NO, do not proceed. This document is not required. If YES, continue.
PART I STATEMENT OF REVENUE
A.
Revenue
A.
$
B.
Cost/Basis of Sold Assets, (Part I, line 8b)
B.
$
C.
Special Fund-raising Expenses (Part 1, line 9b)
C.
$
D.
Cost of Goods Sold (Part 1, line 10b)
D.
$
E.
TOTAL REVENUE (add previous 4 lines).
E.
$
PART II STATEMENT OF FUNCTIONAL EXPENSES*
A
B
C
D
TOTAL
A..
Total salaries of all persons employed by the charity.
PROGRAM
FUNDRAISING
MGMT &
GENERAL
1. Compensation of officers, etc. (Part II, line 25)
2. Other salaries and wages (Part II, line 26)
3. Pension plan contributions (Part II, line 27)
4. Other employee benefits (Part II, line 28)
5. GROSS SALARIES (add lines 1 through 4)
6. Less: the total of Part II lines 25-28 C + D
7. TOTAL SALARIES
A7
B.
Fundraising Expenses
1. Fundraising Expenses (Part 11, line 44(D)
2. Special Fundraising Expenses (Part I, line 9b)
B3
3. TOTAL FUNDRAISING EXPENSES
(
ADD PREVIOUS 2 LINES)
ANNUAL FINANCIAL SOLICITATION REPORT CT-694 (11/04)
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