Form Cr-03 - Annual Financial Reporting Form - Arkansas
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1
2Section I. Organization Information
Federal EIN
Organization’s Legal Name
Mailing Address
City
State
Zip
Telephone Number
Fax Number
Designated Contact for Correspondence
Designated Contact’s Phone Number
Designated Contact’s Email Address
Section II. Financial Information (IRS Form 990 Filers)
Fiscal Year
__/__/____ to __/__/____
Total Revenue
$
(Form 990, Part I, Line 12)
Total Program Service Expenses
$
(Form 990, Part III, Line 4e)
Management & General Expenses
$
(Form 990, Part IX, Line 25, Column C)
Fund-raising Expenses
$
(Form 990, Part IX, Line 25, Column D)
Section III. Financial Information (IRS Form 990-EZ Filers)
Fiscal Year
__/__/____ to __/__/____
Contributions, Gifts, Grants Received
$
(Line 1 of Form 990-EZ)
Total Revenue
$
(Line 9 of Form 990-EZ)
Total Expenses
$
(Line 17 of Form 990-EZ)
Total Program Service Expenses
$
(Line 32 of Form 990-EZ)
Section IV. Annual Certification of Current Information
Is the information submitted in the organization’s initial registration current, true, and correct?
Yes
No
If the answer is no, you must submit an updated Charitable Organization Registration Form (Form CR-01) along with any
required documents.
Form CR-03
Page 2 of 3
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