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REGISTERED CHARITIES APPLICATION FOR RE-DESIGNATION
All documents relating to Application for Re-Designation are available to the public upon request. The designation of a charity depends on its board structure, sources of funding, and its mode of operation. There are three types of designations for registered charities: i) Charitable Organization ii) Public Foundation iii) Private Foundation Additional Information: Guide RC4108, Registered Charities and the Income Tax Act Assistance: Charities Directorate ­ 1-800-267-2384 Mail the fully completed application to: Charities Directorate Canada Revenue Agency Ottawa ON K1A 0L5

Applicant
Charity Name Charity Registration Number R R

Particulars
The charity would like to be designated as: Charitable Organization Private Foundation Public Foundation

Provide detailed information about why the new designation is appropriate.

Certification
I hereby apply for re-designation of the above-named charity. I certify that the information given on this form and in any attachment is, to the best of my knowledge, correct, complete, and current.
Name of person authorized to sign on behalf of the charity (Print) Contact Phone Ext Signature Date

Visit our web site ­ Charities and Giving ­ www.cra.gc.ca/charities

T2095 E (08)

Form authorized by the Minister of National Revenue (Ce formulaire existe en français)