MARVIN MANDEL,

Governor

1867

TIME]] WITHIN THIS STATE OR TO HAVE FUNDS SOLICITED ON
ITS BEHALF SHALL, AT LEAST 30 DAYS PRIOR TO MAKING ANY
SOLICITATION OR AUTHORIZING OR ALLOWING A SOLICITATION TO
BE MADE ON ITS BEHALF, FILE A REGISTRATION STATEMENT WITH
THE SECRETARY OF STATE UPON FORMS PRESCRIBED BY HIM.
THEREAFTER, IF THE CHARITABLE ORGANIZATION INTENDS TO
ENGAGE, OR DOES ENGAGE, IN SOLICITATION, A REGISTRATION
FORM SHALL BE FILED WITHIN THREE MONTHS OF THE CLOSE OF
EACH FISCAL YEAR IN WHICH IT SO INTENDS OR DOES ENGAGE IN
SOLICITATION. THE PRESIDENT, CHAIRMAN, OR OTHER
PRINCIPAL OFFICER OF THE CHARITABLE ORGANIZATION IS
PERSONALLY RESPONSIBLE FOR TIMELY FILING THE REGISTRATION
STATEMENT. THE STATEMENT SHALL BE ACCOMPANIED BY A
SIGNED AFFIDAVIT AND SHALL CONTAIN THE FOLLOWING
INFORMATION WITH RESPECT TO THE ORGANIZATION:

(1)    ITS NAME AND THE PURPOSE FOR WHICH IT
WAS ORGANIZED;

(2)    ITS PRINCIPAL ADDRESS AND EITHER THE
ADDRESS OF ITS OFFICES IN THIS STATE OR, IF IT DOES NOT
MAINTAIN AN OFFICE IN THIS STATE, THE NAME AND ADDRESS OF
THE PERSON HAVING CUSTODY OF ITS FINANCIAL RECORDS;

(3)    THE NAMES AND ADDRESSES OF ANY CHAPTERS,
BRANCHES, OR AFFILIATES IN THIS STATE;

(4)    THE PLACE WHERE AND THE DATE WHEN IT WAS
LEGALLY ESTABLISHED, THE FORM OF ITS ORGANIZATION, AND A
REFERENCE TO ANY DETERMINATION OF ITS TAX EXEMPT STATUS
OR CHANGE IN ITS TAX EXEMPT STATUS UNDER THE INTERNAL
REVENUE CODE. A COPY OF THE DETERMINATION SHALL BE FILED
WITH THE STATEMENT;

(5)    THE NAMES AND ADDRESSES OF ITS OFFICERS,
DIRECTORS, TRUSTEES, AND PRINCIPAL SALARIED EXECUTIVE
STAFF OFFICERS;

(6)    ITS BALANCE SHEET, INCOME AND EXPENSE
STATEMENT, AND ft FINANCIAL REPORT (INCLUDING THE KIND AND
AMOUNT OF ITS GROSS INCOME RAISED, COSTS AND EXPENSES
INCIDENTAL TO THE FUND-RAISING ACTIVITIES, AND THE
ALLOCATION AND DISBURSEMENT OF GROSS INCOME RAISED)
PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING
PRINCIPLES FOR ITS MOST RECENTLY COMPLETED FISCAL YEAR.

IN THE EVENT THAT:

(I)    THE TOTAL AMOUNT OF GROSS INCOME
RECEIVED EQUALS OR EXCEEDS $100,000 AN AUDIT IS REQUIRED
BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT ACCORDING
TO THE STANDARDS OF ACCOUNTING AND FISCAL REPORTING FOR
VOLUNTARY HEALTH AND WELFARE ORGANIZATIONS;

(II)   THE TOTAL AMOUNT OF GROSS INCOME
RECEIVED IS LESS THAN $100,000 THE SECRETARY OF STATE AT
HIS DISCRETION MAY REQUIRE AN AUDIT AS REQUIRED IN
SUBPARAGRAPH (I).