Professional Fund Raiser Annual Financial Report w-Instructions
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Professional Fund Raiser Annual Financial Report w-Instructions Form. This is a Illinois form and can be use in Office Of The Attorney General Statewide.
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Tags: Professional Fund Raiser Annual Financial Report w-Instructions, PFR-02, Illinois Statewide, Office Of The Attorney General
Form PFR-02
Revised 3/05
Filing Fee $25
PROFESSIONAL FUND RAISER
ANNUAL FINANCIAL REPORT
LISA MADIGAN
ATTORNEY GENERAL
THIS MUST BE FILED BY
FILE AT: Office of the Attorney General, Charitable Trust Bureau, 100 West Randolph Street, 11th Floor, Chicago, Illinois 60601
GENERAL INSTRUCTIONS (FURTHER INSTRUCTIONS AT END OF FORM) PLEASE TYPE OR PRINT IN BLACK INK
Make checks payable to the Illinois Charity Bureau Fund.
A. RESPOND TO ALL ITEMS ON THIS FORM.
B. CHANGES OF OR ADDITIONS TO THE INFORMATION IN THIS STATEMENT MUST BE SUBMITTED IN THIS FORMAT.
C. ANNUAL REPORT (CHECK ONE):
OR PREPARED BY ANOTHER METHOD
PREPARED ON A CASH BASIS
PREPARED ON ACCRUAL BASIS
IF PREPARED BY ANOTHER METHOD EXPLAIN:
LEGAL NAME
REGISTERED FOR FISCAL YEAR
MAIL ADDRESS
ENDED JUNE 30,
CITY
PFR # 02-
STATE. ZIP CODE
FEDERAL ID NUMBER
AS
PHONE NUMBER
AND ENDING
REPORT IS FOR PERIOD BEGINNING JANUARY 1,
CHARITY
CO #
CHARITIES FOR WHOM FUNDS WERE RAISED
(A)
AMOUNT TO
CHARITY
(B)
SOLICITATION
EXPENSES
(D)
(C)
TOTAL AMOUNT % ( A/C )
RAISED
TOTAL FOR ALL CHARITABLE FUNDRAISING BY PFR:
TOTAL NUMBER OF CHARITIES BEING REPORTED:
Note: Verification must be by the Corporate President, a General Partner or the Sole Proprietor.
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STATE OF
COUNTY OF
-ss AFFIDAVIT
under penalty of perjury and being sworn on oath state that I am (circle one) the corporate
I,
president, a general partner or the sole proprietor of the registered professional fundraiser.
, have read this annual report including all attachments and personally
(Name of PFR)
know the contents thereof to be true, and such is stated herein and filed with the Illinois Attomey General for the purpose of having the people of the State
of Illinois rely thereupon. I hereby further authorize and agree to submit myself and the registrant hereby to the jurisdiction of the State of Illinois.
Subscribed and sworn to
before me this
(Signature)
day of
19
NOTARY PUBLIC
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