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Charitable Organization Financial Information CO-2 - Illinois

Charitable Organization Financial Information Form. This is a Illinois form and can be used in Charitable Trusts Office Of The Attorney General Statewide .
 Fillable pdf Last Modified 10/14/2015
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Form CO-2 Revised 10/15 CHARITABLE ORGANIZATION - FINANCIAL INFORMATION FORM - LISA M ADIGAN ATTORNEY GENERAL PLEASE TYPE OR PRINT IN INK. Organizations that have been in operation less than one (1) year are required to complete this form, in compliance with the "Charitable Organization Registration Statement" Form CO-1 Line 20, and file each form with the Attorney General's Office, Charitable Trust and Solicitations Bureau, 100 W est Randolph Street, 11th Floor, Chicago, Illinois 60601. 1. Name, address and telephone number of the organization: ______________________________________________________________ _____________________________________________________________________________________________________________ The books and records are located at the following address and telephone number: ___________________________________________ _____________________________________________________________________________________________________________ Are the gross receipts for the current calendar/fiscal year expected to exceed $10,000.00? 9 Yes Please provide the following information: From inception ____________________________ thru _____________________________ Month/Day/Year Month/Day/Year 2. 3. 4. 9 No GROSS RECEIPTS TO DATE Contributions, Gifts & Grants Program Service Revenue Dues Interest & Dividends Rents Fund Raising Events Other Revenue TOTAL $____________________ _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ $ ASSETS Cash Accounts Receivable Other Receivables Inventory Investments $____________________ _____________________ _____________________ _____________________ _____________________ Land, Buildings, Equip. _____________________ Other Assets TOTAL _____________________ $ (IN LIEU OF THE ABOVE FINANCIAL INFORMATION, A CURRENT TREASURERS REPORT MAY BE SUBSTITUTED, PROVIDED THAT IT PROVIDES SUBSTANTIALLY THE SAME INFORMATION) CERTIFICATION Note: At least two different persons, familiar with the financial affairs of the organization, are required to sign. These parties should be the President and the Chief Financial Officer, other authorized Officer or two Trustees. Signature and Date Signed ____________________________________________________ Name and Title ______________________________________________________________________________ Address ______________________________________________________________________________ Name and Title ______________________________________________________________________________ Address ______________________________________________________________________________ Signature and Date Signed ____________________________________________________ Subscribed and sworn by me this ______ day of _______________, 20__ A.D. Notary Public: ___________________________________________________ American LegalNet, Inc.
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