SOUTH CAROLINA
SECRETARY OF STATE
PUBLIC CHARITIES DIVISION
JOINT FINANCIAL REPORT FOR A SOLICITATION CAMPAIGN
P
F
C
ROFESSIONAL
UNDRAISING
OMPANY
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.
Professional Fundraising Company 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.
Method of solicitation:
___ Phone
___ Mail
___ Bingo
___ Door to Door
___ Print Media
___ Electronic Media
3.
Period covered by this report: ______________ to ______________
___ This contract has ended early
Enter revenue and expenses from all states, not just from South Carolina, if the campaign is multi-state.
4.
Gross Revenue ..............................................................................................$ ____________________
5.
Total Expenses (Attach itemized list of all expenses) ...................................$ ____________________
This form will be returned for correction and considered not received if an itemization of expenses is not attached.
6.
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.
Professional Fundraising Company
Charitable Organization
_________________________________________
_________________________________________
Name
Date
Name
Date
_________________________________________
_________________________________________
Title
Title
_________________________________________
_________________________________________
Signature
Signature
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