Form T1 - Charitable Trust Initial Registration Page 4
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5T1
CHARITABLE TRUST INITIAL REGISTRATION FORM
(Continued)
SECTION B: Financial Information
An organization may submit a copy of its IRS Form 990, 990-EZ, or 990-PF in lieu of completing Section B.
If an organization has not yet filed an IRS return, it must provide preliminary financials for its most recent
fiscal year-end.
Is an IRS Form 990, 990-EZ, or 990-PF attached?
Yes
No If no, provide the following information:
INCOME
1. Contributions Received
$______________________1
2. Government Grants
$______________________2
3. Program Service Revenue
$______________________3
4. Interest
$______________________4
5. Dividends
$______________________5
6. Other Revenue
$______________________6
0.00
7. TOTAL INCOME
$______________________7
EXPENSES
8. Program Expenses
$______________________8
9. Management & General Expenses
$______________________9
10. Fund-raising Expenses
$______________________10
11. Amount Paid to Affiliated Organizations
$______________________11
12. TOTAL EXPENSES
$______________________12
0.00
0.00
13. EXCESS or DEFICIT
$______________________13
(Line 7 minus Line 12)
ASSETS
14. Cash
$______________________14
15. Accounts Receivable
$______________________15
16. Investments
$______________________16
17. Receivables Due from Officers, Trustees,
and Key Employees
$______________________17
18. Land, Buildings & Equipment
$______________________18
19. Other Assets
$______________________19
20. TOTAL ASSETS
$______________________20
0.00
LIABILITIES
21. Accounts Payable
$______________________21
22. Grants Payable
$______________________22
23. Other Liabilities
$______________________23
24. TOTAL LIABILITIES
$______________________24
0.00
FUND BALANCE/NET WORTH
$______________________
0.00
(Line 20 minus Line 24)
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