Read all instructions prior to completing form. FEIN: - Certificate n umber: N ame of organization as registered with Bureau : Principal address of organizati on: Phone number: Contact person: - mail: Website: Check if this is name or address change and give previous name or address: This non - renewal is for the fiscal year that ends or ended: / / MM DD YYYY Reason (s) for non - renewal (check and complete all that apply): Received gross national contr ibutions of $25,000 or less in the fiscal year indicated above and did not compensate any person who conducts solicitations D issolved on / / (attach documentation of dissolution) MM DD YYYY Ceased solicitation activities in t he Commonwealth on / / MM DD YYYY Note: A charitable organization is required to renew its registration for each fiscal year the organization was engaged in solicitation activities in Pennsylvania and is not otherwise exempt or excluded from registration. If the date solicitation activities ceased in the Commonwealth occ urred during the fiscal year indicated above (for which the non - renewal is sought) , then a renewal registration is required and this form may not be filed . Company n ame and a ddress of individual completing this form (if different than charity information above): I certify that the information provided is true and correct to the best of my knowledge, information and belief. I understand that the falsification of any statement or document made is subject t o the penalties of 18 Pa.C.S. 247 4904 (relating to unsworn falsification to authorities) and 10 P.S. 247162.17 (relating to administrative enforcement and penalties). Signature of Authorized Individual Da te Type or print name and title of Authorized Individual Phone number of signatory Mail to: Pennsylvania Department of State Bureau of Corporations and Charitable Organizations 207 North Office Building Harrisburg, PA 17120 See dos.pa.gov/charities for more information Non - Renewal of Charitable Organization Registration Statement BCO - 2 (rev. 3/2018 ) Fee: None American LegalNet, Inc. www.FormsWorkFlow.com Who should file this form: Only a charitable organization that has previously filed a registration with the Department of State may file this form. If a charitable organization is registered but is no longer subject to the registration requirements of the Pennsylvania Solicitation of Funds for Charitable Purpose s Act, 10 P. S. 247162.1 et seq. , it may notify the Bureau of it s non - renewal by filing this form. Charitable organizations that are seeking recognition of exclusion or exemption from registration under the Act should file a BCO - 9 (Request for Approval of Exemption/Exclusion). Supporting documentation must be provide d. For additional information on why an organization might be excluded or exempted from registration, please refer to the Exemptions and Exclusions Chart at dos.pa.gov/charities . General: The form may be typed and printed using the fillable .pdf version available at dos.pa.gov/charities . If handwritten, please use black ink. It is recommended that all questions are answered, even if the answ er to certain questions is N/A. Leaving questions blank could delay the review process. This form and all accompanying documents should be mailed to the address state above. There is no fee for this filing. Examples of common r easons for non - renewal of registration: A common reason for filing the BCO - 2 is that a previously - registered charitable organization solicited and receive d gross national contributions of $25,000 or less in a fiscal year and did not compensate any person who conducts solicit ations. Charitable organizations which subsequently receive more than $25,000 in contributions must file the appropriate registration statement within 30 days after the contributions ar e received. If an o rganization that has solicited and r eceived $25,000 or less in its immediately preceding fiscal year end , has s olicit ed and receive d in excess of $25,000 in its present fiscal year , then it should not complete and file a BCO - 2 for this immediate ly preceding fiscal year . The reason for this i s that exceeding $25,000 requires registration and the appropriate Another reason for filing the BCO - 2 is that a previously - registered charitable organization dissolved. If that is the case, attach documentation of dissolution , such as Articles of Dissolution. A third rea son for filing the BCO - 2 is that a previously - registered charitable organization ceased soliciting in Pennsylvania. I f that is the case, provide the date that solicitation in Pennsylvania ceased. Non - renewal vs. voluntary registration: Charitable organizations which are no longer required by law to register under the Act may also continue to register voluntarily using the BCO - 10 (Charitable Organization Registration Statement). A charitable organization which is not compensating any person who conducts solicitations and has gross annual contributions which vary being above and below the $25,000 registration threshold may wish to consider maintaining its registration voluntarily by filing the BCO - 10 (and not filing this BCO - 2 when annual contributions are less than $25,000 ). A ll exempt ions from registration are applicable only as long as the organization continues to me et the exemption. Once a charitable organization receive s more than $25,000 in co ntributions during a given fiscal year , then this exemption is no longer ap plicable and a registration statement must be filed within 30 days after the contributions in exces s of $25,000 are received . Maintaining a voluntary registration where contributions fluctuate around $25,000 will assist the charitable organization in maintaining compliance with the Act and help the charity not to incur mandatory late filing fees if a r egistration is not timely filed within 30 days o f contributions exceed ing the $25,000 threshold. Pennsylvania Department of State Bureau of Corporations and Charitable Organizations 207 North Office Building Harrisburg, PA 17120 Phone: (717) 783 - 1720 or 1 - 800 - 732 - 0999 (within PA) Web site: dos.pa.gov/charities Instructions for Non - Renewal of Charitable Registration Statement BCO - 2 Instructions (rev. 3 /201 8 ) American LegalNet, Inc. www.FormsWorkFlow.com