Form Sfn 11302 PDF Details

Form Sfn 11302 is an IRS form that is used by taxpayers to report certain information about their foreign financial accounts. The form must be filed annually, and must include information about each foreign financial account that the taxpayer has, as well as the maximum value of each account during the year. compliance with Form Sfn 11302 is critical for taxpayers with foreign financial accounts, as failure to file can result in significant penalties. Taxpayers who need more information about Form Sfn 11302 should consult a tax professional.

QuestionAnswer
Form NameForm Sfn 11302
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names2010, 2011, north dakota charitable organization annual report, Bequests

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FOR OFFICE USE ONLY

CHARITABLE ORGANIZATION

ID Number

 

 

 

ANNUAL REPORT

WO Number

 

SECRETARY OF STATE

Filed By

 

SFN 11302 (06-2012)

 

 

 

 

 

 

 

DEADLINE: September 4, 2012

Secretary of State

FEE: $10.00

State of North Dakota

600 E Boulevard Ave Dept 108

 

Bismarck ND 58505-0500

 

Telephone 701-328-3665

 

Toll Free

800-352-0867

Instructions:

 

Ext 328-3665

Fax

701-328-1690

 

1. For reference, see North Dakota Century Code, Section 50-22-04.

Web Site: www.nd.gov/sos

2.Please type or print, complete all blanks, and enter "None" when appropriate.

3.The Secretary of State and/or the Attorney General may make a detailed examination of the accounts of any charitable organization conducting solicitation for funds within the State of North Dakota.

4.The annual report must be submitted on or before September 4, 2012. The information submitted must be given as of the close of the business on the 31st day of December next preceding the date herein provided for the filing of the report, or, in the alternative, the date of the end of the fiscal year next preceding this report.

5.Every registered organization in order to solict for the coming year, shall file an annual report along with the $10.00 fee.

6.If for any reason the report cannot be compiled by September 4, 2012, an extension of the filing date may be granted by the Secretary of State. For specific extension instructions see the enclosed letter.

Legal Name of organization:

Business Telephone Number

Street & mailing address of principal address:

City

State

Zip Code

Federal ID Number

Telephone Number

E-Mail Address

Web Address

1.

2.

3.

4.

Check one or more methods of soliciting the organization anticipates using.

 

 

 

 

 

 

Direct Mail

 

Radio

 

 

 

 

Telemarketing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Contact

 

Television

 

National

 

Local

 

Newspaper

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vending Business

 

Show or Concert

 

 

 

Magazines or Periodicals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grant Writing

 

 

 

 

Membership Enrollment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (please describe)__________________________________________________________________

General purposes for which contributions to be solicited will be used?

Attach a list of names & addresses of all directors officers and trustees. Indicate the individuals having the final discretion or authority as to the distribution and use of contributions received.

Name of auditor in charge of organization's books & records if not kept at the organizations office.

Telephone Number

 

 

 

 

Address

City

State

Zip Code

 

 

 

 

 

 

 

 

5.

Attach a list of all Professional Fundraisers, used by the organization during the accounting year and the financial compensation and profit resulting to each professional fundraiser.

6.

Has your organization or a member thereof been involved in any civil or criminal litigation in the past year?

 

Yes - attach a statement of your summary of the litigation, the outcome, and the parties involved.

No

7.

Has your organization been denied the right to solicit contribution, at any time, by any government? or any court?

Yes - attach an explanation

 

No

(continue on reverse side)

SFN 11302 (06-2012) Page 2

ANNUAL REPORTING INFORMATION (This information must be listed on this report form.)

8.The financial information in items 9 and 10 should reflect the fiscal year end of your organization. If the fiscal year ends on December 31st, the year end should be December 31, 2011. If the fiscal year ends prior to September 1st, the year end should be that month, day, 2012. If the fiscal year ends on or after September 1st, the year end should be that month, day, 2011.

Provide the fiscal year end for your organization

9.REVENUE: Specific and itemized support and revenue statements disclosing direct public support in North Dakota from solicitation, indirect public support, government grants, program service revenue, and any other revenue from NORTH DAKOTA. Unless the information is not reasonably available, in which case the charitable organization may, with the approval of the Secretary of State, provide a reasonable estimate of the required information by completing SFN 59569.

a.

Contributions

$

 

 

 

b.

Trust Funds

$

 

 

 

c.

Gifts, Bequests

$

 

 

 

d.

Grants (exclude government grants)

$

 

 

 

e.

Government Grants

$

 

 

 

f.

Interest from Investments

$

 

 

 

g. Other (please identify)

$

 

 

 

 

TOTAL REVENUE

$

 

 

 

10.EXPENDITURES: Specific and itemized expense statements disclosing program services, public information expenditures, payments to affiliates, management costs and salaries paid in NORTH DAKOTA. Unless the information is not reasonably available, in which case the charitable organization may, with the approval of the Secretary of State, provide a reasonable estimate of the required information by completing SFN 59569.

a. Program services means the amount thereof given to the charitable purpose represented.

$

 

 

 

b. Solicitation Expenses

$

 

 

 

c. Total compensation, including salaries, fees, bonuses, fringe benefits, severance payments, and deferred

$

 

compensation paid to employees by the charitable organization and all its affiliated organizations.

 

 

 

 

 

d. Rent

$

 

 

 

e. Public Education

$

 

 

 

f.

Accounting Services

$

 

 

 

g. Fundraising:

$

 

 

 

h. Funds or properties transferred out of state with an explanation as to recipient and purpose, unless the information

 

 

is not reasonably available, in which case the charitable organization may, with the approval of the Secretary of

$

 

State, provide a reasonable estimate of the amounts transferred.

 

 

 

 

i.

Other (please identify)

$

 

 

 

 

TOTAL EXPENDITURES

$

 

 

 

I certify the statements made herein to be true and complete, and are made for the purpose of complying with the requirements of North Dakota Century Code, Section 50-22-04.

Applicant's Signature and Title

Date