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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 5/3/2005
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Form CO-2 LISA MADIGAN CHARITABLE ORGANIZATION Revised 3/05 ATTORNEY GENERAL FINANCIAL INFORMATION FORM PLEASE TYPE OR PRINT IN INK. Organizations that have been in operation less t one (1)han 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 Ateytorn Generals Office, Charitable Trust Bureau, 100 West Randph olStreet, 11th Floor,h Cica go, Illinois 60601. 1. Name, address and telephone number of the organization: 2. The books and records are located at thefo llowing address and telephone number: 3. Are the gross receipts for the current calendar/fiscal year expected to exceed $10,000.00? Yes No 4. Please provide the following financial information: From inception thru Month/Day/Year Month/Day/Year GROSS RECEIPTS TO DATE ASSETS Contributions, Gifts & Grants Cash$ $ Program Service Revenue Accounts Receivable Dues Other Receivables Interest & Dividends Inventory Rents Investments Fund Raising Events Land, Buildings, Equip. Other Revenue Other Assets TOTAL TOTAL $ $ (lN LlEU OF THE ABOVE FINANCIAL INFORMATlON, A CURRENT TREASURERS REPORT MAY BE SUBS TITUTED, PROVIDED THAT IT PROVIDES SUBSTANTIALLY THE SAME IN FORMATION) CERTIFICATION N0TE: At least two different persons, familiar with the financial affairs of thoe rganization, are required to sign. These parties should be the President and the Chief Financial Officer, other authorized Officer or two Trustees. Name and Title Date Signed Address Name and Title Date Signed Address Subscribed and sworn by me this day of 19 A.D. Notary Public: American LegalNet, Inc.
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