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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 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# 01-
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
OFFICER, DIRECTOR
OF CHARITY (Print Name)
TITLE
SIGNATURE
DATE
(Source: Added at 24 Ill. Reg. 14684, effective September 21, 2000)