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Annual Filing For Charitable Organizations (2013) CHAR500 - New York

Annual Filing For Charitable Organizations (2013) Form. This is a New York form and can be used in Office Of The Attorney General Statewide .
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CHAR500 NYS Annual Filing for Charitable Organizations www.CharitiesNYS.com 1. General Information Send with fee and attachments to: NYS Office of the Attorney General Charities Bureau Registration Section 120 Broadway New York, NY 10271 2013 Open to Public Inspection For Fiscal Year Beginning (mm/dd/yyyy) _______/_______/ 2013 and Ending (mm/dd/yyyy) _______/_______/_____________ Name of Organization: Employer Identification Number (EIN): Check if Applicable: Address Change Name Change Initial Filing Final Filing Amended Filing Reg ID Pending Check your organization's registration category: Website: City / State / Zip: Mailing Address: NY Registration Number: Telephone: - Email: Find your registration category in the Charities Registry at www.CharitiesNYS.com 7A only EPTL only DUAL (7A & EPTL) EXEMPT 2. Certification See instructions for certification requirements. Improper certification is a violation of law that may be subject to penalties. We certify under penalties of perjury that we reviewed this report, including all attachments, and to the best of our knowledge and belief, they are true, correct and complete in accordance with the laws of the State of New York applicable to this report. President or Authorized Officer: ____________________________________________________________________________ Signature Title Date ____________________________________________________________________________ Signature Title Date Chief Financial Officer or Treasurer: 3. Annual Reporting Exemption Check the exemption(s) that apply to your filing. If your organization is claiming an exemption under the category (7A and EPTL only filers) or both categories (DUAL filers) that apply to your registration, complete only parts 1, 2, and 3, and submit the certified Char500. No fee, schedules, or additional attachments are required. If you cannot claim an exemption or are a DUAL filer that claims only one exemption, you must file applicable schedules and attachments and pay applicable fees. 3a. 7A filing exemption: Total contributions from NY State including residents, foundations, government agencies, etc. did not exceed $25,000 and the organization did not engage a professional fund raiser (PFR) or fund raising counsel (FRC) to solicit contributions during the fiscal year. Or the organization qualifies for another 7A exemption (see instructions). 3b. EPTL filing exemption: Gross receipts did not exceed $25,000 and the market value of assets did not exceed $25,000 at any time during the fiscal year. 4. Schedules and Attachments See the following page for a checklist of schedules and attachments to complete your filing. Yes No 4a. Did your organization use a professional fund raiser, fund raising counsel or commercial co-venturer for fund raising activity in NY State? If yes, complete Schedule 4a. 4b. Did the organization receive government grants? If yes, complete Schedule 4b. Yes No 5. Fee See the checklist on the next page to calculate your fee(s). Indicate fee(s) you are submitting here: 7A filing fee: EPTL filing fee: Total fee: $______ $______ $______ Make a single check or money order payable to: "Department of Law" Page 1 American LegalNet, Inc. www.FormsWorkFlow.com CHAR500 Annual Filing for Charitable Organizations (Updated June 2014) CHAR500 Annual Filing Checklist Simply submit the certified CHAR500 with no fee, schedule, or additional attachments IF: - Your organization is registered as 7A only and you marked the 7A filing exemption in Part 3. - Your organization is registered as EPTL only and you marked the EPTL filing exemption in Part 3. - Your organization is registered as DUAL and you marked both the 7A and EPTL filing exemption in Part 3. Checklist of Schedules and Attachments Check the schedules you must submit with your CHAR500 as described in Part 4: If you answered "yes" in Part 4a, submit Schedule 4a: Professional Fund Raisers (PFR), Fund Raising Counsel (FRC), Commercial Co-Venturers (CCV) If you answered "yes" in Part 4b, submit Schedule 4b: Government Grants Check the financial attachments you must submit with your CHAR500: IRS Form 990, 990-EZ, or 990-PF, and 990-T if applicable All additional IRS Form 990 Schedules including Schedule B (Schedule of Contributors). IRS Form 990-T if applicable If you are a 7A only or DUAL filer, submit the applicable independent Certified Public Accountant's Review or Audit Report: Review Report if you received total revenue and support greater than $250,000 and up to $500,000. Audit Report if you received total revenue and support greater than $500,000 No Review Report or Audit Report is required because total revenue and support is less than $250,000 Note: The Audit and Review requirements are set to change in 2017 and 2021 in accordance with the Non Profit Revitalization Act of 2013. For more details, visit www.CharitiesNYS.com. Calculate Your Fee For 7A and DUAL filers, calculate the 7A fee: $0, if you marked the 7A exemption in Part 3a $25, if you did not mark the 7A exemption in Part 3a For EPTL and DUAL filers, calculate the EPTL fee: $0, if you marked the EPTL exemption in Part 3b $25, if the NET WORTH is less than $50,000 $50, if the NET WORTH is $50,000 or more but less than $250,000 $100, if the NET WORTH is $250,000 or more but less than $1,000,000 $250, if the NET WORTH is $1,000,000 or more but less than $10,000,000 $750, if the NET WORTH is $10,000,000 or more but less than $50,000,000 $1500, if the NET WORTH is $50,000,000 or more Where do I find my organization's NET WORTH? NET WORTH for fee purposes is calculated on: - IRS From 990 Part I, line 22 - IRS Form 990 EZ Part I line 21 - IRS Form 990 PF, calculate the difference between Total Assets at Fair Market Value (Part II, line 16(c)) and Total Liabilities (Part II, line 23(b)). Is my organization a 7A, EPTL or DUAL filer? - 7A filers are registered to solicit contributions in New York under Article 7-A of the Executive Law ("7A") - EPTL filers are registered under the Estates, Powers & Trusts Law ("EPTL") because they hold assets and/or conduct activites for charitable purposes in NY. - DUAL filers are registered under both 7A and EPTL. Check your registration category and learn more about NY law at www.CharitiesNYS.com Send Your Filing Send your CHAR500, all schedules and attachments, and total fee to: NYS Office of the Attorney General Charities Bureau Registration Section 120 Broadway New York, NY 10271 CHAR500 Annual Filing for Charitable Organizations (Updated Ju
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