retained by a commercial fundraiser or fundraising counsel. “Administrative and fundraising” costs include, but are not
limited to, the following expenses if not directly related to program services: salaries, wages, compensation, legal,
accounting, occupancy, equipment costs, printing and publications, telephone, postage, supplies, travel, meetings, fees
for services (including fundraising consultation), and cost of goods or inventory sold;
6. Enter the gross dollar value of program service, administrative and fundraising expenditures. (Line 6 is the sum of
lines 4 and 5) These total expenses include, but are not limited to, amounts paid to or retained by a commercial
fundraiser or fundraising counsel, amounts expended for charitable program services, administrative services, fees for
services, and fundraising costs incurred by the charitable organization;
7. Enter gross beginning assets; and
8. Enter gross ending assets
The organization may provide additional information or an explanation regarding the figures reported above by entering
“Solicitation Comments” on the lines provided (optional).
NOTE: The organization’s Board (or a committee thereof) is required to review and accept any financial information filed
with the Secretary of State’s Charities Program.
Section 4: A signature and date are required. This form may be signed by the organization’s President, Treasurer or a
comparable officer. In the absence of officers, a person responsible for the organization may sign.
If Expedited Service is requested, include a $50.00 fee and write the word “EXPEDITE” in large, bold letters on the
outside of the envelope. Make checks or money orders payable to “Secretary of State.” All fees are non-refundable
Mail completed forms and payment to: Secretary of State, Charities Program, PO Box 40234, 801 Capitol Way S
Olympia, WA 98504-0234
Please contact the Charities Program at
charities@sos.wa.gov
or 360-725-0378 if you have any questions or need
assistance.
Charitable Organization Supplemental
Washington Secretary of State
Revised 11/2010
Print Form