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Home | For Businesses | Professional Fundraisers and Charity Information & Registration | Professional Fundraisers | Charitable Organization Disclosure Online Form

Charitable Organization Disclosure Online Form

* Indicates a required field

Disclosure

Financial Information

Name of Professional Fundraisesr:

*

Identify the name, address and phone number of the charitable organization for which you will be soliciting money within the state of Iowa during this registration period (If more than one charitable organization, file a separate form for each.):

*

List the name, title, address and telephone number of the contact person(s) for the charitable organization:

*

Solicitation Start Date:

*

Solicitation End Date:

*

Is the contract between the professional fundraiser and the charitable organization on file with the office of the Iowa Attorney General?:

*

Yes, the contract is on file with the office of the Iowa Attorney General.

No, the contract is not on file with the office of the Iowa Attorney General.

If no, please upload a copy of the contract.:

*

Accepted Formats: Excel Documents, Images, PDFs, Text Files, Word Documents

Soliciting will be conducted by (check all that apply):

*

Telephone Call

Door-to-door

Electronic Media (TV, Radio)

Direct Mail

Print Media (Magazines, Newspapers)

Other

If persons will be contacted by telephone and mail, how will the initial contact be made?:

*

Telephone

Mail

If soliciting will be conducted by telephone, provide the following regarding the location from which calls will be made.

Room 1: Address of telephone room (include street, city and state), all telephone number(s) from which solicitations will be made and Name(s) of manager(s) and/or supervisor(s) of the room:

*

Room 2: Address of telephone room (include street, city and state), all telephone number(s) from which solicitations will be made and Name(s) of manager(s) and/or supervisor(s) of the room:

*

Will the solicitation campaign involve the sale of goods or services?:

*

Yes, the solicitation campaign will involve the sale of goods or services.

No, the solicitation campaign will not involve the sale of goods or services.

If yes, check all that apply:

*

Tickets to an event

Advertising space in a program book, journal or other

Other (please describe)

Please describe:

*

Will the professional fundraiser collect donated funds directly from the donor(s) in person?:

*

Yes, the professional fundraiser will collect donated funds.

No, the professional fundraiser will not collect donated funds

If no, describe how the funds will be collected.:

*

If contributions will be made by mail, identify all the addresses to which the mail will be sent. :

*

Which of the following has the authority to withdraw the funds from any banking account (Check all that apply):

*

Professional fundraiser

Charitable organization

Both

Neither

Please explain:

*

State whether contributions to the charitable organization are tax deductible:

*

Yes, contributions to the charitable organization are tax deductible.

No, contributions to the charitable organization are not tax deductible.

Describe the charitable program for which the solicitation campaign is being carried out:

*

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