Initial Registration Form State Of California Page 3
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1
2
3Attach your founding documents as follows:
A)
Corporations - Furnish a copy of the articles of incorporation and all amendments and current bylaws. If incorporated
outside California, enter the date the corporation qualified through the California Secretary of State’s Office to conduct
activities in California.
B)
Associations - Furnish a copy of the instrument creating the organization (bylaws, constitution, and/or articles of
association).
C)
Trusts - Furnish a copy of the trust instrument or will and decree of final distribution.
D)
Trustees for charitable purposes - Furnish a statement describing your operations and charitable purpose.
Has the organization applied for or been granted IRS tax exempt status Yes
No
Date of application for Federal tax exemption:
Date of exemption letter:
Exempt under Internal Revenue Code section 501(c)
If known, are contributions to the organization tax deductible?
Yes
No
Attach a copy of the Application for Recognition of Exemption (IRS Form 1023) and the determination letter issued by the IRS.
Does your organization contract with or otherwise engage the services of any commercial fundraiser for charitable purposes,
fundraising counsel, or commercial coventurer? If yes, provide the name(s), address(es), and telephone number(s) of the
provider(s):
Commercial Fundraiser
Fundraising Counsel
Commercial Coventurer
Name
Address
City
State
ZIP Code
Telephone Number
Commercial Fundraiser
Fundraising Counsel
Commercial Coventurer
Name
Address
City
State
ZIP Code
Telephone Number
Commercial Fundraiser
Fundraising Counsel
Commercial Coventurer
Name
Address
City
State
ZIP Code
Telephone Number
I declare under penalty of perjury that I have examined this registration form, including accompanying documents, and to the best of my
knowledge and belief, the form and each document are true, correct, and complete.
Signature
Title
Date
If additional information is required, please refer to the Supervision of Trustees and Fundraisers for Charitable Purposes Act
(Government Code sections 12580-12599.7), the Administrative Rules and Regulations pursuant to the Act (California Code of
Regulations, Title 11, Sections 300-312.1).
If you have questions regarding registration, or need assistance, information is available on our website at
or you can reach us by telephone at (916) 445-2021 or fax at (916) 444-3651.
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CT-1 REGISTRATION FORM (6/2007)
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