Resignation Of Registered Agent And Discontinuance Of Registered Office (Non Profit-Foreign) {F0115}

SOUTH CARO H OLINA SE ECRETA ARY OF STATE PUBLIC CH P HARITIES D DIVISION NOTICE OF SOLICIT O TATION COMMERCIAL CO-VE ENTURE Filin Instruction ng ns A copy of the commercia co-venture contract or ag t al c greement must be filed with this Notice of Solicitation n less t h f no than 10 days prior to the start of any solicitation in South Caro d t i olina. If the comm mercial co-ven nturer and the charitable or e rganization in ntend for the N Notice of Solic citation to serv as the ve contract or agreement section 6 of this form mus be complete t, t st ed. Please conta our office with any questi act w ions regarding this form at 80 03-734-1790 o charities@so or os.sc.gov. Mail to Sou Carolina Se uth ecretary of Stat Public Char te, rities Division, 1205 Pendleto St., Suite 52 Columbia, S 29201. on 25, SC Please type or print clearly y. Co ommercial Co-venturer Reg gistered with the Secretary of State's Office w Charit table Organiz zation Register red with t Secretary of State's Offi the fice ________ _______ Registrat tion No. ________ _______ Phon ne __________ _____ Registration No. n _______ ________ Phone _ __________ ___________ ___________ _________ Full Business Legal Name L _ ___________ __________ ___________ ________ Full Charity Name y _ __________ ___________ ___________ _________ DBA A _ ___________ __________ ___________ ________ DBA A _ __________ ___________ ___________ _________ Addre ess _ ___________ __________ ___________ ________ Addre ess _ __________ ___________ ___________ _________ City, Stat Zip te, _ ___________ __________ ___________ ________ City, Stat Zip te, 1 1. 2 2. Solicitatio in South Ca on arolina: Start da _________ ate: ______ End d date: _______ ________ or _ ____ is continu uous. Provide a brief descripti of the fund ion draising campai or event. A ign Attach a separa sheet if nece ate essary. _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ 3 3. Location (physical addr ress, phone num mber and web address) where the fundraisin event will b held, if appli a e ng be icable: _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ 4 4. Minimum percentage of gross receipts guaranteed to charitable org m f s o ganization or o other terms of a agreement: _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ N Notice of Solicitat tion, Commercial Co-Venturer, revis July 2014 C sed Pa 1 of 2 age American LegalNet, Inc. www.FormsWorkFlow.com 5 5. Name, residential addre and phone number of each person direct ess n h ting or supervis sing the fundra aising campaig or event. gn Attach a list if necessary l y. _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ _______ __________ ___________ __________ ___________ __________ ___________ __________ ________ 6 6. This Notice of Solicitat tion must be signed by an authorized rep s a presentative of the commerc co-ventur and an f cial rer officer of the charitabl organization unless a con f le n, ntract or agre eement signed by both parti is attached to this ies d form. Commercial Co-venture er C Charitable Or rganization _______ __________ ___________ ________ Print Nam me _______ ___________ __________ _______ Print Name e _______ __________ ___________ ________ Signature _______ ___________ __________ _______ Signature _______ __________ ___________ ________ Title Date _______ ___________ __________ _______ Title Date N Notice of Solicitat tion, Commercial Co-Venturer, revis July 2014 C sed Pa 2 of 2 age American LegalNet, Inc. www.FormsWorkFlow.com