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Get Il Attorney General Charitable

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 Bureau 100 West Randolph Street 11th Floor Chicago Illinois 60601. CHARITABLE ORGANIZATION Form CO-2 Revised 3/05 LISA MADIGAN ATTORNEY GENERAL FINANCIAL INFORMATION FORM PLEASE TYPE OR PRINT IN INK. Name address and telephone number of the organization The books and records are located at the following address and telephone number Are the gross receipts for the current calendar/fiscal year expected to exceed 10 000. 00 Please provide the following financial information From inception thru Month/Day/Year ASSETS GROSS RECEIPTS TO DATE Contributions Gifts Grants No Yes 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 lN LlEU OF THE ABOVE FINANCIAL INFORMATlON A CURRENT TREASURERS REPORT MAY BE SUBSTITUTED PROVIDED THAT IT PROVIDES SUBSTANTIALLY THE SAME INFORMATION CERTIFICATION N0TE 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 address and telephone number of the organization The books and records are located at the following address and telephone number Are the gross receipts for the current calendar/fiscal year expected to exceed 10 000. 00 Please provide the following financial information From inception thru Month/Day/Year ASSETS GROSS RECEIPTS TO DATE Contributions Gifts Grants No Yes 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 lN LlEU OF THE ABOVE FINANCIAL INFORMATlON A CURRENT TREASURERS REPORT MAY BE SUBSTITUTED PROVIDED THAT IT PROVIDES SUBSTANTIALLY THE SAME INFORMATION CERTIFICATION N0TE 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.

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