Joint Financial Report For A Solicitation Campaign Form - Commercial Co-Venturer

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SOUTH CAROLINA
SECRETARY OF STATE
PUBLIC CHARITIES DIVISION
JOINT FINANCIAL REPORT FOR A SOLICITATION CAMPAIGN
C
C
-
OMMERCIAL
O
VENTURER
Filing Instructions
This form must be filed within 90 days after a solicitation campaign has been completed or within 90 days
after the anniversary of a solicitation campaign lasting more than one year.
Please contact our office with any questions regarding this form at 803-734-1790 or charities@sos.sc.gov.
Mail to South Carolina Secretary of State, Attn: Division of Public Charities, 1205 Pendleton St., Suite 525,
Columbia, SC 29201.
Commercial Co-venturer Registered
Charitable Organization Registered
with the Secretary of State’s Office
with the Secretary of State’s Office
____________
____________
____________
____________
Registration No.
Phone
Registration No.
Phone
_________________________________
________________________________
Full Legal Name
Full Charity Name
_________________________________
________________________________
DBA
DBA
_________________________________
________________________________
Address
Address
_________________________________
________________________________
City, State, Zip
City, State, Zip
1.
Solicitation in South Carolina: Start Date ______________ End Date ______________ or ____ is continuous.
2.
Brief description of method of solicitation:
______________________________________________
3.
Period covered by this report: ______________ to ______________
If the contract on file with the Charities Division ended early, please check here: _______
4.
Gross Revenue .............................................................................................. $ ____________________
Gross revenue is for this specific solicitation from all states, not just South Carolina, if the campaign is multi-state.
5.
Amount paid to (or retained by) charitable organization ............................... $ ____________________
I do heareby declare that the information contained herein is true and correct to the best of my knowledge,
information and belief.
Commercial Co-venturer
Charitable Organization
_________________________________________
_________________________________________
Name
Date
Name
Date
_________________________________________
_________________________________________
Title
Title
_________________________________________
_________________________________________
Signature
Signature
Joint Financial Return for CCV, revised June 2015

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