Fillable Form Bco-2 - Extension Or Non-Renewal Notice Form

(Rev. 09-06)

COMMONWEALTH OF PENNSYLVANIA

Approved

___________

DEPARTMENT OF STATE

Reg. Fee

___________

BUREAU OF CHARITABLE ORGANIZATIONS

P/F

___________

717-783-1720

207 NORTH OFFICE BUILDING

Fee Recv’d ___________

1-800-732-0999 (WITHIN PA)

HARRISBURG, PA 17120

FAX 717-783-6014

EXTENSION OR NON-RENEWAL NOTICE FORM - BCO-2

(PERTAINS TO THE FILING OF REGISTRATION STATEMENT-FORM BCO-10 REQUIRED BY

THE SOLICITATION OF FUNDS FOR CHARITABLE PURPOSES ACT)

Employer Identification # ____________________Certificate

# ________________

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

Check if name or address below is a change

(Full Official Name)

(Phone #)

(Address)

(City)

(State)

(Zip Code)

If an extension of time is required, please provide the information requested, complete Section A, sign and date

below and return your request to the Bureau by your registration due date. Extensions not to exceed 180 days from the

registration’s due date may be requested. 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.

The Bureau will send written notification indicating whether your request was approved. 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.

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 –

Form BCO-10, and a copy of any IRS tax exemption letter, the organization’s charter, articles of incorporation,

constitution or other organizational documents and bylaws must be submitted with the request.

If your organization is not required to renew its registration, please complete Section B below.

A. An extension of time until

for fiscal year ending ______/______/______ is

requested for filing our Initial

Renewal

registration.

Reason:

B. If not required to file registration, please state the exemption from registration or the exclusion from the Act that is

applicable (refer to page #8 for listing of exempt/excluded organizations). If the organization has been dissolved,

please give date and attach supporting documentation. Be aware that an organization is required to renew its

registration for each fiscal year the organization was engaged in solicitation activities in Pennsylvania.

We are not required to file registration for the fiscal year that ended: ______/______/______.

Reason:

Company Name and Address of individual completing Form BCO-2 (if different than above):

Signature

Phone # of signatory

Print Name of signatory

Date

Form Bco-2 - Extension Or Non-Renewal Notice Form - 2006

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