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Illinois Administrative Code (Last Updated: March 27, 2024) |
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TITLE14. COMMERCE |
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PART400. SOLICITATION FOR CHARITY ACT |
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Section400.APPENDIX B. Professional Fund Raiser Forms |
§400.ILLUSTRATION B. List of Charities and Contracts
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FORM PFR-06
PROFESSIONAL FUND RAISER (PFR)
JIM RYAN
LIST OF CHARITIES & CONTRACTS
ATTORNEY GENERAL
Attachment
For Whom Fund Raising Services Are to be Provided
PFR NAME __________________________________________________________PFR # 02-________________
MANAGEMENT PERSON(S) WHO PREPARE THIS FORM. _________________________________________
SUBMIT A COPY OF EACH CONTRACT WITH REGISTRATION.
LIST CHARITIES FOR WHOM FUNDRAISTNG SERVICES ARE TO BE PROVIDED.
PROVIDE the following BANK ACCOUNT INFORMATION FOR ALL ACCOUNTS USED TO DEPOSIT FUNDS SOLICITED FOR OR ON BEHALF OF EACH CHARITY LISTED:
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01- ________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct. #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct. #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct. #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct. #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct. #
COMPLETE AS MANY COPIES OF FORM PFR-06 AS NEEDED TO LIST ALL CHARITIES FOR WHICH FUND RAISING SERVICES ARE TO BE PROVIDED. A COMPLETED COPY OF THIS FORM MUST BE SUBMITTED WITH EACH NEW CONTRACT FILED.
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account:
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account:
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
Contract Info:
Charity Name, City, State:
Contract
Contract Date: ___/___/___
CO#
Terms:
Beginning: ___/___/___
01-________ _________
Ending: ___/___/___
Bank Account
Name of Bank:
Signatory Control of Bank Acct:
Information:
Address of Bank:
Acct #
(Source: Added at 24 Ill. Reg. 14684, effective September 21, 2000)