§400.ILLUSTRATION E. Report of Individual Fundraising Campaign


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  • Form IFC

    REPORT OF INDIVIDUAL

    JIM RYAN

     

    FUNDRAISING CAMPAIGN

    ATTORNEY GENERAL

     

     

     

     

     

     

     

     

    CHARITY:

     

     

     

     

     

     

     

    Name

     

    Campaign Beginning

    and Ending

    Mailing Address

     

    CO#  1

     

    City, State, Zip Code

     

    Phone #

    Contact Person

     

    Title

    Phone #

     

     

     

     

    PROFESSIONAL FUND RAISER (PFR)

     

     

     

     

     

     

    Name

     

    PFR #02

     

     

    NATURE OF FUNDRAISING ACTIVTY:

     

     

     

     

     

     

     

    A.

    Amount received by the charitable organization ........................................................... A.

    $

     

     

     

     

     

     

     

     

    PAID BY:

     

    B.

    Expenses:

     

    PFR

    Charity

     

     

    1.

    Professional Fundraiser Fee................. 1.

     

     

     

     

    2.

    Solicitor Compensation....................... 2.

     

     

     

     

    3.

    Salaries.............................................. 3.

     

     

     

     

    4.

    Printing.............................................. 4.

     

     

     

     

    5.

    Postage.............................................. 5.

     

     

     

     

    6.

    Telephone.......................................... 6.

     

     

     

     

    7.

    Rent & Utilities.................................. 7.

     

     

     

     

    8.

    Supplies............................................. 8.

     

     

     

     

    9.

    Travel................................................ 9.

     

     

     

     

    10.

     

    10.

     

     

     

     

    11.

     

    11.

     

     

     

     

    12.

     

    12.

     

     

     

     

    13.

    TOTAL EXPENSES (PFR + Charity)............. 13.

     

     

    .............. B.

    $

     

    C.

    Total Amount Raised........................................................................................................... C.

    $

     

    D.

    Percentage of funds received by charity (Line A divided by Line C)......................................... D.

     

    %

    E

    Bank and account number where funds are deposited?

     

    F.

    Who (charity or PFR) has signature control of the account(s) listed above?

     

    F.

    Attach a schedule explaining, in detail, how expenses are allocated between fundraising campaigns

     

     

     

     

     

    We the undersigned, declare and certify under perjury that we have examined this report, including all the schedules, and statements, and the facts therein stated are true and complete and filed with the Illinois Attorney General for the purpose of having the people of the State of Illinois rely thereupon.

     

     

     

     

     

    PFR CAMPGAIN

     

     

    MANAGER (Print Name)

     

    TITLE

    SIGNATURE

     

    DATE

     

     

     

     

     

    OFFICE DIRECTOR

     

     

     

    OF CHARITY (Print Name)

     

    TITLE

    SIGNATURE

     

    DATE

     

    (Source:  Added at 24 Ill. Reg. 14684, effective September 21, 2000)