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Professional Fund Raiser Annual Financial Report PFR-02 - Illinois
| Professional Fund Raiser Annual Financial Report Form. This is a Illinois form and can be used in Charitable Trusts Office Of The Attorney General Statewide . |
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Form PFR-02 Revised 6/12 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 MAIL ADDRESS CITY STATE. ZIP CODE PHONE NUMBER REPORT IS FOR PERIOD BEGINNING JANUARY 1, AND ENDING (A) TOTAL AMOUNT RAISED (C) REGISTERED FOR FISCAL YEAR ENDED JUNE 30, PFR # 02FEDERAL ID NUMBER AS CHARITIES FOR WHOM FUNDS WERE RAISED CHARITY CO # SOLICITATION EXPENSES (B) AMOUNT TO CHARITY (D) % ( C/A ) 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. 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 NOTARY PUBLIC 20 American LegalNet, Inc. www.FormsWorkFlow.com
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