Professional Fund Raiser Annual Report Form - Kansas Secretary Of State
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Contact Information
Kansas Secretary of State
KANSAS SECRETARY OF STATE
FR
Ron Thornburgh
Professional Fund Raiser Annual Report
Memorial Hall, 1st Floor
120 S.W. 10th Avenue
All information must be completed or this document will not be accepted for filing.
Topeka, KS 66612-1594
(785) 296-4564
Print
Reset
Please complete the form, print, sign and
1. Name of professional fund raiser:
mail to the Kansas Secretary of State with
the filing fee. Selecting 'Print' will print the
form and 'Reset' will clear the entire form.
2. Any other names used by the fund raiser:
3. Address:
Do not write in this space
Street address
City
State
Zip
4. Charitable organizations solicited for in the preceding 12 months:
Name of organization
Address
City
State
Zip
5. Financial information:
Name of charitable
Gross
Solicitation/operating
Net proceeds
Net amount to
Fee to
organization
receipts
expenses
raised
charitable organization professional fundraiser
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