Charities Form 006 - Notice Of Annual Filing Exemption
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1Charities Form 006
Page 1 of 1
State of New York
Office of the Attorney General
Charities Bureau
120 Broadway, New York, NY 10271
NOTICE OF ANNUAL FILING EXEMPTION*
CHAR006
For Fiscal Year Ending____________
Attorney General's file (registration) number(s):
________
________
Organization's name:___________________________________________
Mailing address: _____________________________________________
_____________________________________________
State of
)
County of
)ss.
I swear under oath that the organization listed above is exempt from filing an annual report or paying an annual filing fee to the
NYS Office of the Attorney General for the reporting period stated above because
ESTATES, POWERS & TRUSTS LAW REGISTRANTS AND\OR DUAL REGISTRANTS
_____ (1) total contributions did not exceed $25,000, and (2) the assets (market value) and the cumulative gross receipts
received by the organization did not exceed $25,000 at any time during the fiscal year.
EXECUTIVE LAW REGISTRANTS
_____(1) total contributions from the public did not exceed $25,000 during the fiscal year and (2) it did not use the services of
a fundraising professional at any time during the reporting period for which the exemption is claimed.
NOTE:
DUAL REGISTRANTS MUST SATISFY BOTH OF THE ABOVE EXEMPTIONS IN ORDER TO BE EXEMPT FROM FILING
ANNUAL REPORTS WITH THE OFFICE OF THE ATTORNEY GENERAL.
NO FEE IS REQUIRED WHEN SUBMITTING THIS FORM.
_____________________________________
NAME (Printed)
TITLE+
_____________________________________
SIGNATURE
_____________________________________
Daytime telephone number
Sworn to before me this
day of ,
19__
___________________
NOTARY PUBLIC
----------------------------------------------------------------
*Note: A Notice of Annual Filing Exemption Form must be submitted for each reporting period for which an exemption is claimed.
+In the case of a corporation, the Notice of Annual Filing Exemption Form must be signed by one officer of the Corporation. A
Notice of Exemption Form for a trust or estate must be signed by one trustee or executor. CHAR006 (11/97)
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