Form Sr-2 - Campaign Report Of Charitable Solicitation By An Independent Paid Fund Raiser Or Fund-Raising Counsel - New Jersey Office Of The Attorney General Page 2

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CERTIFICATION
We certify under penalty of perjury that the information furnished in this report, including continuation sheets, is true and
correct to the best of our knowledge.
For the Independent Paid Fund Raiser or Fund-Raising Counsel:
____________________________________________________________________________________________________________
Signature of President, C.E.O., C.F.O. or Authorized Officer
Print Name
Print Title
Date
For the Charitable Organization:
____________________________________________________________________________________________________________
Signature of President, C.E.O., C.F.O. or Authorized Officer
Print Name
Print Title
Date
Form SR-2
Filing Requirements
N.J.A.C. 13:48-9.1(g)
1. According to regulations effective January 25, 2011, any fund-raising counsel or independent paid fund raiser who does
not have custody, control, possession or access to the charitable organization’s contributions must now file a form SR-2.
2. For campaign contracts lasting less than 12 months, Form SR-2 shall be filed within 40 days after the expiration of the
contract.
3. For campaign contracts lasting more than 12 months, the SR-2 form must be filed within 40 days of the end of each of the
charitable organization’s fiscal years.
4. Upon the completion of a campaign contract lasting more than 12 months, a final SR-2 form shall be filed within 40 days
after the expiration of the contract or service agreement.
5. Each SR-2 form shall be signed by an authorized official from the fund-raising counsel or independent fund raiser and an
authorized official from the charitable organization.
6. Each SR-2 form shall be accompanied by a $10.00 fee in the form of a check or money order made payable to the New
Jersey Division of Consumer Affairs.
7. Mail the completed, signed SR-2 form with the $10.00 fee to:
N.J. Division of Consumer Affairs
Charities Registration Section
P.O. Box 45021
Newark, NJ 07101
Please visit our website to view a copy of the statute N.J.S.A. 45:17A-18 et seq. (the
N.J. Charitable Registration & Investigation Act) and/or the administrative rules N.J.A.C. 13:48-1.1 through 15.1. If you have
any questions, please contact the Charities Registration Section at our hotline number (973)-504-6215, Monday through Friday,
9:00 am to 4:30 pm.
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