Form Bco-2 - Extension Or Non-Renewal Notice printable pdf download

(Rev. 5-03)

COMMONWEALTH OF PENNSYLVANIA

Approved

___________

DEPARTMENT OF STATE

Reg. Fee

___________

717-783-1720

BUREAU OF CHARITABLE ORGANIZATIONS

P/F

___________

1-800-732-0999 (WITHIN PA)

207 NORTH OFFICE BUILDING

Fee Recv’d ___________

FAX 717-783-6014

HARRISBURG, PA 17120

EXTENSION OR NON-RENEWAL NOTICE FORM - BCO-2

Employer Identification # _____________________ Certificate

# __________________

Official name, phone #, and principal address of organization:

(Full Official Name)

(Phone #)

(Address)

(City)

(State)

(Zip Code)

If an extension is required, please complete Section A. Complete the name, phone #, and address section above

and sign and date below and return your request to the Bureau by your registration due date. An organization failing to

file an extension request by the due date must pay a late filing fee of $25 for each month or part of a month after

the date the registration was due to be filed. An extension request filed late cannot be approved unless the

appropriate late filing fees are received with the request.

An extension request may be completed and signed by any authorized individual, including the organization’s

accountant, attorney, etc. An extension request may be faxed at the number listed above. It is not necessary to also mail an

extension request that was previously faxed to our Bureau.

Renewal registrants may request an extension for any part of the registration. A renewal registrant must have an

approved registration for its prior fiscal year for an extension request to be approved. Initial registrants may only request

an extension for the submittal of financial information and the registration fee. A completed registration statement, and

additional filings (see “Instructions”) must be submitted at the time of your extension request or the extension of time will

not be approved.

Your organization will receive written notification from the Bureau indicating whether your request was

approved.

If your organization does not wish to renew its registration, please complete Section B below.

A. An extension of time until

is requested for filing our

Initial

Renewal

registration for the fiscal year which ended _____/ _____ / _____.

Reason:

If you are not renewing your registration, please state the reason. If the organization has been dissolved, please give

date of dissolution. Please be aware that an organization is required to renew its registration for each fiscal year the

organization was engaged in solicitation activities in Pennsylvania unless exempt from registration.

We do not plan to renew our registration for the fiscal year that ended _____/ _____/ _____.

Reason:

Date of dissolution (if applicable): _____/ _____/ _____.

Signature

Phone # of signatory

Date _____________________________

Form Bco-2 - Extension Or Non-Renewal Notice

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