Charitable Organization Registration Statement {CO-1} | Pdf Fpdf Doc Docx | Illinois

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Charitable Organization Registration Statement {CO-1} | Pdf Fpdf Doc Docx | Illinois

Charitable Organization Registration Statement {CO-1}

This is a Illinois form that can be used for Charitable Trusts within Statewide, Office Of The Attorney General.

Alternate TextLast updated: 1/17/2007

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Form CO-1 Revised 1/07 CHARITABLE ORGANIZATION - REGISTRATION STATEMENT - LISA MADIGAN ATTORNEY GENERAL PLEASE TYPE OR PRINT IN INK. This registration statement is required by the Illinois Charitable Trust Act and the Illinois Solicitation for Charity Act. Please answer all items which are applicable to your organization. If you are unable to answer any question fully in the space provided, please attach a sheet containing the remainder of your answer. No further registration statement is required, provided that every registered organization shall notify the Attorney General within 10 days of any change in the information submitted herein. One copy of this Registration Statement and attachments are to be filed with the Office of the Attorney General, Charitable Trust and Solicitations Bureau, 100 West Randolph Street, 11th Floor, Chicago, Illinois 60601 1. This is a registration under: 9 Illinois Charitable Trust Act: 9 Illinois Solicitation for Charity Act; 9 Both Acts Telephone Number Federal Employer ID# 2. Name of Organization _____________________________________________________________________________________________________________ Street and Number City County State Zip Code _____________________________________________________________________________________________________________ 3. Type of legal entity (Corporation, Trust, Unincorporated Association or other) and date, method and place organization legally established. ___________________________________________________________________________________________________ If a foreign corporation, when was it authorized to do business in Illinois? __________________________________________________ If a corporation, Illinois Secretary of State's File No. ____________________ *A copy of the Articles of Incorporation or Certificate of Authority issued by the Secretary of State must be attached. 4. Name, address and telephone number of Illinois registered agent ________________________________________________________ _____________________________________________________________________________________________________________ 5. Address of all offices in the State of Illinois. _________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 6. Date on which the annual accounting period of the organization ends. Month __________________________ Day ____________ 7. State the purposes of the organization and purposes for which contributions are to be used. (Be specific) _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 8. If the name under which the organization intends to solicit funds differs from the name listed in No.2 provide name(s) under which contributions will be solicited, and the reason for the use of such other name(s). _____________________________________________ _____________________________________________________________________________________________________________ 9. If the organization has previously been registered with the Attorney General under either Act, give the name under which registered (if different than shown in No. 2), last registration number, and date registered. ______________________________________________ _____________________________________________________________________________________________________________ 9 Yes 9 No 10. Has the organization been registered with any other governmental authority to solicit contributions? Name of authority and date of authorization. _________________________________________________________________________ 9 Yes 9 No Is such registration current? 11. Has the organization or any of its officers, directors or trustees ever been enjoined or prohibited by any court or other governmental 9 Yes 9 No agency from soliciting contributions, or is such action pending? If "Yes", attach an explanation. American LegalNet, Inc. www.FormsWorkflow.com 12. Do you intend to use the services of a professional fund raiser as defined by "An Act to Regulate Solicitation and Collection of Funds for 9 Yes 9 No Charitable Purposes"? If "Yes", answer a, b, and comply with c below. a. Name and address of professional fund raiser(s): ___________________________________________________________________ _____________________________________________________________________________________________________________ b. Has the professional fund raiser registered and filed a bond with the Office of the Attorney General as required? 9 Yes 9 No c. Attach copies of all contracts with professional fund raiser(s). 13. Have any of organization's officers, directors, executive personnel, or have any of the organization's employees who have access to funds, ever been charged with or convicted of a misdemeanor involving misapplication or misuse of money of another, or any felony? 9 Yes 9 No If "Yes", give the following information: (IRS 1981 ch.. 23, sec. 5109) NAME AND ADDRESS OF COURT NATURE OF OFFENSE DATE OF CONVICTION(Mo./Yr.) _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 14. State the board, group or individual having final discretion as to the distribution and use of contributions received. _____________________________________________________________________________________________________________ 15. Will you use any of the following methods of solicitation? 9 Telephone Appeals 9 Coin Collection Containers 9 Other --- If other, attach an explanation. 9 Unordered Merchandise 9 Distribution or Sale of Seals 9 Special Events 9 Ad Books 9 Direct Mail 16. List name, mailing address and title of the chief executive or staff officer of the organization. __________________________________ _____________________________________________________________________________________________________________ 17. Attach a list of n

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