Annual Financial Report Form For Charities - South Carolina Secretary Of State - 2017 Page 2
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5Part II— Gross Revenue
Organizations must report their gross receipts from all sources of revenue.
$ 0.00
1. Fundraising events (from page 1, part I, box 11B) ................................................... __________________
2. Fundraising activity revenue not reported on line 1.................................................. __________________
3. Federated campaigns (such as United Way) ............................................................. __________________
4. Membership dues ...................................................................................................... __________________
5. Related organizations (such as related parent or national organizations) ................. __________________
6. Government grants (from federal, state or local governments) ................................ __________________
7. All other contributions, gifts, grants not listed above ............................................... __________________
8. Program service revenue .......................................................................................... __________________
9. Other income ............................................................................................................. __________________
$ 0.00
10. Total revenue (add lines 1 through 9) ................................................................... __________________
Part III— Program Service Expenses
Describe the organization’s program accomplishments and the amount spent on each. If more space is needed you
may attach an additional sheet if necessary.
11. ______________________________________________________________________
................................................................................................................................ $__________________
12. ______________________________________________________________________
................................................................................................................................ $__________________
$ 0.00
13. Total Program Service Expenses (add lines 11 and 12) ..................................... $__________________
Part IV— Management, General and Fundraising Expenses
$ 0.00
14. Program expenses (from part III, line 13) ................................................................ __________________
$ 0.00
15. Direct expenses from fundraising events and contracts (box 12E) .......................... __________________
16. Fundraising expenses (not included in the amount on line 15) ................................. __________________
17. Payments to related organizations ............................................................................ __________________
18. Salaries and other compensation .............................................................................. __________________
19. Management and general expenses .......................................................................... __________________
20. Professional fees and other payments to independent contractors ........................... __________________
21. Other expenses not listed above ................................................................................ __________________
$ 0.00
22. Total expenses (add lines 14 through 21) ............................................................. __________________
$ 0.00
23. Excess or (deficit) for the year (subtract line 22 from line 10) ................................ __________________
24. Fund balances/net worth at the beginning of the fiscal year ..................................... __________________
25. Changes in fund balances/net worth (attach explanation) ......................................... __________________
$ 0.00
26. Fund balances/net worth at the end of the fiscal year (add lines 23 through 25) ...... __________________
Part V— Balance Sheet
27. Total assets ............................................................................................................... __________________
28. Total liabilities ......................................................................................................... __________________
$ 0.00
29. Net assets or fund balances at end of year (subtract line 28 from line 27) ....... __________________
Annual Financial Report, revised January 2017
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