Illinois Administrative Code (Last Updated: March 27, 2024) |
TITLE14. COMMERCE |
PART400. SOLICITATION FOR CHARITY ACT |
Section400.APPENDIX A. Charitable Organization Forms |
§400.ILLUSTRATION B. Financial Information Form
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Form CO-2
CHARITABLE ORGANIZATION
─ FINANCIAL INFORMATION FORM ─
JIM RYAN
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 West Randolph Street, Chicago, Illinois 60601.
1.
Name, address and telephone number of the organization:
2.
The books and records are located at the following 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
$
(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.
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:
(Source: Added at 24 Ill. Reg. 14684, effective September 21, 2000)