Free State of South Carolina - South Carolina


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Date: February 12, 2008
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State: South Carolina
Category: Secretary of State
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http://www.scsos.com/forms/Charities/Joint%20Financial%20Report%20for%20Solicitation%20Campaign.pdf

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State of South Carolina Office of the Secretary of State Mark Hammond Public Charities Division
Post Office Box 11350 Columbia, SC 29211 Ph o n e 8 0 3 - 7 3 4 - 1 7 9 0 Fax 803-734-1604

Joint Financial Report for a Solicitation Campaign
This report must be filed within 90 days after either a solicitation campaign has been completed or the anniversary of the start of a solicitation campaign lasting more than a year. Instructions for this form are printed on the third page. If the campaign is multi-state, enter revenue and expenses from all states, not just from South Carolina.

1.

Full business name and address of Professional Solicitor:

Reg. No. ___________

____________________________________________ ____________________ _____________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Street Address ________________________________________________________________ _____________________ City State Zipcode ________________________ _____________________________________________________________ Title Telephone Contact Person's Name

2.

Name of Charitable Organization:

Reg. No.: ___________

______________________________________________________ __________ _____________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Street Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ City State Zipcode __________________________________ ______________________________ _____________________ Title Telephone Contact Person's Name (b) Brief description of Campaign: _________________________________________________________ (c) Date(s) of Entire Contract Start Date: _____ / _____ / _____ End Date: _____ / _____ / ______

If the contract does not specify an End Date, please leave End Date blank and check this box: (d) Period Covered by this Report: ______ / _______ / _______ to _______ / ______ / _______ (e) Check method of accounting used for this report: ______ Cash ______ Accrual (Please use the same method which the charity uses to file its annual financial report or IRS 990 with this Office.)

Joint Financial Report for Solicitation Campaign.doc Rev. 02/11/2008

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Financial Information
Enter revenue and expenses from all states, not just from South Carolina, if the campaign is multi-state.

3.

RECEIPTS a. Sales, Admissions .............................................................. ______________ b. Con tributions .................................................................... ______________ c. Bingo Tax Rebate ......................... ..................................... ______________ d. Other (Please sp ecify. If necessary, attach schedule.) _____ _________ e. Gross Receipts (Ad d Lines 3a through 3d) ................................................. ..... ____________ DIRECT EXPENSES OF SPECIAL EVENT OR SALE a. Direct Expenses of Special Event(s) or Sale(s) ................. _____________ b. Bingo Promoter's Fees ....................................................... _____________ c. Total Direct Expense s of Special Event or Sale (Lines 4a plus 4b) ............... _____________ d. N et Receipts (Line 3e minus 4c) ........................................ .. ......................... _____________ FUNDRAISING EXPENSES a. Sales, Solicitation, Promotion, Advertising ....................... ________ ______ b. Solicitor's Share and/or Fees ................................. ............ ______________ c. Other (Please specify. If necessary, attach schedule.) ....... ______________ d. Total Fundraising Expenses (Add Lines 5 a through 5c) .. ............................. ____________ SPONSOR'S SHARE a. Sponsor's Gross Share (Lines 4d minus 5d)...................... .............................____________ 5d) ...................... ............................. ____________ b. Sponsor's Fundraising Expenses after Share ..................... ................ ............. ____________ c. Other Changes in Sponsor's Share ............ ...................................................... ____________ d. Sponsor's Net Share (Combine Lines 6a, b, c) ............................ .................... ____________

4.

5.

. 6.

* Under Section 12-21-3960 of the South Carolina Code of Laws, the bingo promoter and the nonprofit organization are jointly and severally liable for all taxes, penalties, interest, and fines imposed by the Bingo Tax Act of 1996.

I do hereby declare that the information contained herein is true and correct to the best of my knowledge, information and belief.

Name (type or print) of authorized agent for the Professional Solicitor

Name (type or print) of authorized official for the Charity

Signature of authorized agent for the Professional Solici tor

Signature of authorized official for the Charity

Date ______________________________, 20______
FAILURE TO FILE THIS REPORT PURSUANT TO S.C. CODE ยง33-56-70 COULD RESULT IN AN ADMINISTRATIVE FINE OF UP TO TWO THOUSAND DOLLARS ($2,000) AND/OR CRIMINAL SANCTIONS WHERE APPROPRIATE.

State of South Carolina Office of the Secretary of State
Joint Financial Report for Solicitation Campaign.doc Rev. 02/11/2008 Page 2 of 3

Mark Hammond Public Charities Division

Joint Financial Report for a Solicitation Campaign
Filing Instructions
Per Section 33-56-70 of the South Carolina Solicitation of Charitable Funds Act, this report must be filed with the Public Charities Division within 90 days after a solicitation campaign is over or, if the campaign lasts more than a year, after the anniversary of its start. Be sure to fill in either Line 4b, Bingo Promoter's Fees or Line 5b, Solicitor's Share, which ever applies to you. If there is insufficient space for answers, attach separate sheet(s) referencing the number of the question which you are answering. If the campaign is multi-state, enter revenue and expenses from all states, not just from South Carolina. Line 1 Line 2 Line 2c Line 2d Enter solicitor's registration number with the Public Charities Division. It can be found on the solicitor's registration confirmation letter. Enter charity's registration number with the Public Charities Division. It can be found on the organization's registration confirmation letter. Enter the start and end dates of the entire contract effective in South Carolina between the charity and fundraiser. Enter the start and end dates of the period covered by the report. The start date of the initial report filed for the campaign should have the start date of the contract in South Carolina. The end date of the final report filed for the campaign should have the end date of the contract in South Carolina. The cash method of accounting means accounting for revenues when received and expenses when paid. The accrual method means accounting for revenues when pledged and expenses when incurred. Please use the same method of accounting that the charity uses in its annual financial reports filed with this Office. Enter revenue from the sale of tickets, products, services or bingo cards. Also include any admission fees to the special event or bingo game. For bingo games, enter funds received by the charity from the South Carolina Department of Revenue as a rebate from bingo tax. Enter the value of any services or products which individuals received in return for their purchase of tickets to, or sponsorships of, a special event or for any contribution made to the organization. For a special event like a dinner or concert, enter the cost of producing the special event (room rent, food, entertainment, etc.). For the sale of a product or service, enter the fair market value of such. If the special event is a bingo game, include all costs of conducting the game except for bingo promoter's fees which goes in Line 4b. Include specifically bingo paper (cards), bingo taxes, use of the building (rent, maintenance, utilities), prizes, concessions (if their sale is part of the contract between producer and sponsor), bingo taxes, and interest paid. Enter bingo promoter's fees (or profits after all expenses listed on Line 4a). Please note: Bingo operators are considered professional fundraisers under state law but not federal law. So that this form is completed in the same way as IRS forms, bingo promoter's fees are treated as a direct expense of a special event and not as a fundraising expense. Enter the cost of any sales, solicitation, promotion and advertising. This includes the costs of salaries, commissions, bonuses, use of telephones, printing, postage, and rentals related to solicitation. Enter the solicitor's fees from the campaign, or his profit after expenses listed on Line 5a. Note: bingo promoters enter their fees not on this line, but on 4b. Enter any fundraising costs which the charity incurred after receiving its share from the campaign or outside its contract with the professional fundraiser. In this blank, enter adjustments to the charity's share. These may include additions to or subtractions from its share.

Line 2e

Line 3a Line 3c Line 4a

Line 4b

Line 5a Line 5b Line 6b Line 6c

Joint Financial Report for Solicitation Campaign.doc Rev. 02/11/2008

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