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Pac Rep RRF 2003

The document provides instructions and information for registering and renewing registration as a charitable organization in California. It lists the mailing address and website for the Registry of Charitable Trusts and notes that failure to submit an annual report within 4 months and 15 days of the fiscal year end may result in fines or penalties. It also includes a form for charitable organizations to provide information on their activities, finances, and compliance with regulations during the reporting period. Organizations must disclose any conflicts of interest, theft/misuse of funds, penalties paid, use of professional fundraisers, receipt of government funds, raffles held, and vehicle donation programs.

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L. A. Paterson
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9 views2 pages

Pac Rep RRF 2003

The document provides instructions and information for registering and renewing registration as a charitable organization in California. It lists the mailing address and website for the Registry of Charitable Trusts and notes that failure to submit an annual report within 4 months and 15 days of the fiscal year end may result in fines or penalties. It also includes a form for charitable organizations to provide information on their activities, finances, and compliance with regulations during the reporting period. Organizations must disclose any conflicts of interest, theft/misuse of funds, penalties paid, use of professional fundraisers, receipt of government funds, raffles held, and vehicle donation programs.

Uploaded by

L. A. Paterson
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

.

REGISTRATION/RENEWAL

CS

MAIL TO:
Registry of Charitable Trusts
P.O. Box 903447
Sacramento, CA 94203-4470
Telephone: (916) 445-2021

TO ATTORNEY

GENERAL

Sections 12586 and 12587, California Government Code


11 Cal. Code Regs. Sections 311 and 312
Failure to submit this report annually no later than four months and fifteen days after
the end of the organizatoon's accounting period may result in the loss of tax
exemption and the assessment of a minimum tax of $800, plus interest, and/or fines
or filing penalties as defined in Government Code Section 12586.1.

WEBSITE ADDRESS:
[Link]

IRS FORM 990 EXTENSIONS


Enter State Charity
State Charity

Registration

Registration

FEE REPORT

OF CALIFORNIA

Number,

Number

Name, and Address

WILL BE HONORED

oo

of Organization:

....::5:..:1=.;1=3..=8

Check if:

Change of address
Amended

report

Theatre

t-cP:-.,..';-'O=--.:...-::-=B::...:O:,:x.::........:2::.;:2:::::2::...:0::...:3::...:5:...-

---1 Corporate

or Organization

No.

....::C:...;-....:1:,:1=--4:,:1::...:8=--4:,:3:...---f

Address (Number and Street)

I-;C::::ac:..:r::..:.ffi:;ce=-:1::..!,'----'C:,:A..::........:9:....:3:....:9:....:2::.;:2=--::-:------::=-:-:City or Town

State

-----l Federal Employer

ID No.

ZIP Code

--.:7:....:7:....-....:0:....:0:,:2::...:6::...:9:...::5:...;7=---+

PART A - ACTIVITIES

Note:
2

Yes

If the answer is yes, you are required by Title 11 of the California Code of Regulations,
the amount of $25.00 to this report. Make check payable to Department of Justice.
For your most recentfull
Gross receipts

accounting

PART B - STATEMENTS
Note:

period

(beginning

1,329,974.

REGARDING

1/01/03

Totalassets

ORGANIZATION

Sections

ending

No

311 and 312, to attach a check in

12/31/03)

1,341,483.

list:

Actual~

Estimated

DURING THE PERIOD OF THIS REPORT

If you answer 'yes' to any of the questions below, you must attach a separate
'yes' response. Please review RRF1 instructions
for information
required.

sheet providing

an explanation

and details for each


Yes

No

During this reporting period, were there any contracts, loans, leases or other financial transactions between the
organization and any officer, director or trustee thereof either directly or with an entity in which any such officer,
director or trustee had an financial interest?
2

During this reporting


ro ert or funds?

period, was there any theft, embezzlement,

diversion

or misuse of the organization'S

charitable

3
4

During this reporting period, were any organization funds used to pay any penalty,
Form 4720 with the Internal Revenue Service, attach a co .

During this reporting period, were the services of a professional fund-raiser or fund-raisinq
an attachment listing the name, address, and telephone number of the service
rovider.

During this reporting period, did the organization receive any governmental funding?
the name of the agenc , mailing address, contact
erson, and tele hone number.

During this reporting period, did the organization hold a raffle for charitable
indicating the number of raffles and the date(s) the occurred.

8 Does the organization

o erated b the charit

fine or judgment?

purposes?

If you filed a

counsel used? If 'yes,' provide

If so, provide

an attachment

If 'yes,' provide

conduct a vehicle donation program? If 'yes,' provide an attachment indicating


or whether the organization contracts with a commercial fund-raiser.

O~an~ation~a~acodeand~lephonenumber

listing

an attachment
whether

the program

is

_t

~(8~3~1~)~6-=2-=2:....:-....::0:....:7:....:0~0~

~~==~~~~~~======================================================
Organization's

e-mall address

I declare under penalty~rJury


that I have examined
and be~f(it
is true,p6I'lect and complete.

A~

this report, including

accompanying

and to the best of my knowledge

~dLes'

rURCe.

CAVA9801L

documents,

01/15/04

G 1/ 6

RRF1 (1/04)

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