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Form COF-85

SECRETARY OF STATE

STATE HOUSE

ANNAPOLIS, MD 21401

FINANCIAL FORM TO BE FILLED OUT BY ORGANIZATIONS NOT FILING FORM 990

NAME OF ORGANIZATION _____________________________________________________________

ADDRESS ____________________________________________________________________________

CITY, STATE & ZIP CODE ______________________________________________________________

THE FOLLOWING INFORMATION IS FOR FISCAL YEAR ENDING ___________

Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances

1 Contributions, gifts, grants and similar amounts received:

a Contributions to donor advised funds			. . . . . . . . . . . .	. . . .	1a
b Direct public support (not included on line 1a)				. . . .	1b
c Indirect public support (not included on line 1a)				. . . .	1c
d Government contributions (grants) (not included on line 1a)					1d
e Total (add lines 1a through 1d) (cash $ ______________ noncash $ _____________									1e
2 Program service revenue including government fees and contracts				. . . . .	. . . .	. .	. .	. . . . . .	2
3 Membership dues and assessments			. . . . . . . . . . . .	. . . . .	. . . .	. .	. . .	. . . . .	3
4 Interest on savings and temporary cash investments				. . . . . .	. . . .	. .	. .	. . . . . .	4
5 Dividends and interest from securities			. . . . . . . . . . . .	. . . . .	. . . . .	. .	. .	. . . . . .	5
6 a	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Gross rents			. . . .	6a
b Less: rental expenses			. . . . . . . . . . . .	. . . .	6b
c Net rental income or (loss). Subtract line 6b from line 6a			. . . . . . . . . . . .	. . . . .	. . . . .	. .	. .	. . . . . .	6c
7 Other investment income (describe 				)					7
8a	Gross amount from sales of assets other		(A) Securities			(B) Other
	than inventory			8a
b Less: costs or other basis and sales expenses				8b
c Gain or (loss) (attach schedule)				8c
d Net gain or (loss). Combine line 8c, columns (A) and (B) . .		. .	. . . . . . . . . . . .	. . . . .	. . . . .	. .	. .	. . . . .	8d
9	Special events and activities (attach schedule). If any amount is from gaming, check here 						฀
a Gross revenue (not including $ ________________ of
	contributions reports on line 1b)		. . . . . . . . . .	9a
b	Less: direct expense other than fundraising expenses			9b

c	Net income or (loss) from special events. Subtract line 9b from line 9a			. . . . .	. . . . .	. .	. .	. . . . . .	9c
10a	. . . . . . .Gross sales of inventory, less returns and allowances		. . . . . . . . . .	10a
b Less: costs of goods sold				10b

c Gross profit or (loss) from sales of inventory (attach schedule). Subtract line				10b from line 10a					10c
11	Other revenue (from Part VII, line 103)		. . . . . . . . . . . .	. . . . .	. . . . .	. .	. .	. . . . . .	11
12	Total revenue. Add lines 1e, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11			. . . . . .	. . . .	. .	. .	. . . . . .	12
13	Program service (from line 44, column (B)			. . . . . .	. . . .	. .	. . .	. . . .	13
14	Management and general (from line 44, column (C)			. . . . .	. . . . .	. .	. .	. . . . .	14
15	Fundraising (from line 44, column (D)			. . . . . .	. . . .	. .	. . .	. . . .	15
16	Payments to affiliates (attach schedule)				. . . . .	. .	. .	. . . . .	16
17	Total expenses. Add lines 16 and 44, column (A)								17
18	Excess or (deficit) for the year. Subtract line 17 from line 12			. . . . .	. . . . .	. .	. .	. . . . .	18
19	Net assets or fund balances at beginning of year (from line 73, column (A) .			. . . . . .	. . . .	. .	. . .	. . . .	19
20	Other changes in net assets or fund balance (attach explanation)			. . . . . .	. . . .	. .	. . .	. . . .	20
21	Net assets or fund balances at end of year. Combine lines 18, 19, and 20 . . . .			. . . . .	. . . . .	. .	. .	. . . . .	21

					Page 2
PART II STATEMENT OF FUNCTIONAL EXPENSES

Do not include amounts reported on lines		(A) Total	(B) Program	(C) Management	(D)
6(b), 8(b), 9(b), 10(b), or 16 of Part 1.			services	and general	Fundraising
22	Grants and allocations (attach schedule)
23	Specific assistance to individuals
24	Benefits paid to or for members
25	Compensation of officers, directors, etc
26	Other salaries and wages
27	Pension plan contributions
28	Other employee benefits
29	Payroll taxes
30	Professional fundraising fees
31	Accounting fees
32	Legal fees
33	Supplies
34	Telephone
35	Postage and shipping
36	Occupancy
37	Equipment rental and maintenance
38	Printing and publications
39	Travel
40	Conferences, conventions and meetings
41	Interest
42 Depreciation, depletion, etc. (attach schedule)
43	Other expenses (itemize): (a)
	(b)
	(c)
	(d)
	(e)
	(f)
44	Total functional expenses (add lines 22 through 43)
PART III STATEMENT OF PROGRAM SERVICES RENDERED

List each program service title on lines (a) through (d); for each, identify the service output(s) or Product(s) and report the quantity provided. Enter the total expenses attributable to each program service and the amount of grants and allocations included in that total.

(a)__________________________________________________________________________________________

__________________________________________________________________________________________

(Grants and allocations $

)

(b)__________________________________________________________________________________________

__________________________________________________________________________________________

(Grants and allocations $

)

(c)__________________________________________________________________________________________

__________________________________________________________________________________________

(Grants and allocations $

)

(d)__________________________________________________________________________________________

__________________________________________________________________________________________

	(Grants and allocations $	)
(e) Other program service activities (attach schedule)	(Grants and allocations $	)
(f) Total (add lines (a) through (3)) (should equal line 44(B))

						Page 3
PART IV PROGRAM SERVICE REVENUE AND OTHER REVENUE (STATE NATURE)					Program	Other
					service revenue	revenue
(a) Fees from government agencies		. . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . .	. . . . . . . . . . .
(b)	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		. . . . . . . . . . . . . .	. . . . . . . . . . .
(c)	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . .	. . . . . . . . . . . .
(d)	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . .	. . . . . . . . . . . .
(e)	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . . . . . . .	. . . . . . . . . . . . . .	. . . . . . . . . . . .
(f) Total program service revenue (enter here and on line 2)			. . . . . . . . . . . . . .	. . . . . . . . . . . .
(g) Total other revenue (enter here and on line 11)			. . . . . . . . . . . . . .	. . . . . . . . . . . .
PART V BALANCE SHEETS		If line 12, Part 1, and line 59 are $25,000 or less, you should complete only lines 59, 66, and 74 and, if you do not
PART V BALANCE SHEETS		Use fund accounting, line 73. If line 12 or line 59 is more than $25,000, complete the entire balance sheet.

Note: Columns (C) and (D) are optional. Columns (A) and (B) must be			(A) Beginning of		End of year
completed to the extent applicable. Where required, attach schedules should be			(A) Beginning of	(B) Total	(C) Unrestricted/	(D) Restricted/
			year	(B) Total	(C) Unrestricted/	(D) Restricted/
for end-of-year amounts only.			year		Expendable	Nonexpendable
for end-of-year amounts only.					Expendable	Nonexpendable
	Assets
45	Cash — non-interest bearing
46	Savings and temporary cash investments
47	Accounts receivable  _______
	minus allowance for doubtful accounts  ____________
48	Pledges receivable  ________
	minus allowance for doubtful accounts  ____________
49	Grants receivable
50	Receivable due from officers, directors, trustees and key
	employees (attach schedule)	. . . . . . . . . . . . . . . . .
51	Other notes and loans receivable  ____________
	minus allowance for doubtful accounts  ____________
52	Inventories for sale or use	. . . . . . . . . . . . . . . . .
53	Prepaid expenses and deferred charges
54	Investments — securities (attach schedule)
55	Investments — land, buildings and equipment: basis  ____
	minus allowance for doubtful accounts  ____________
56	Investments — other (attach schedule)
57	Land, buildings and equipment: basis  _________
	minus accumulated depreciation  ______ (attach schedule)
58	Other assets  _____________
59	Total assets (add lines 45 through 58)
	Liabilities
60	Accounts payable and accrued expenses
61	Grants payable
62	Support and revenue designated for future periods
	(attach schedule)
63	Loans from officers, directors, trustees, and key employees
	(attach schedule)	. . . . . . . . . . . . . . . . .
64	Mortgages and other notes payable (attach schedule)
65	Other liabilities  ___________
66	Total liabilities (add lines 60 through 65)
	Fund Balances or Net Worth
Organizations that use fund accounting, check here  ฀
and complete lines 67 through 70 and lines 74 and 75.
67 a. Current unrestricted fund
	b. Current restricted fund	. . . . . . . . . . . . . . . . . .
68	Land, buildings and equipment fund
69	Endowment fund	. . . . . . . . . . . . . . . . .
70	Other funds (Describe  _________ )
Organizations that do not use fund accounting, check here  ฀
and complete lines 71 through 75.
71	Capital stock or trust principal
72	Paid-in or capital surplus
73	Retained earnings or accumulated income
74	Total fund balances or new worth
75	Total liabilities and fund balances/net worth

			Page 4
PART VI LIST OF OFFICERS, DIRECTORS & TRUSTEES (LIST OFFICER, DIRECTOR & TRUSTEE WHETHER
COMPENSATED OR NOT)

NAME AND ADDRESS	TITLE & AVERAGE	COMPENSATION	EMPLOYEE
	HOURS PER WEEK	(if any)	BENEFITS
	DEVOTED TO
	POSITION






PART VII COMPENSATION OF FIVE HIGHEST PAID PERSONS FOR PROFESSIONAL SERVICES

NAME AND ADDRESS OF PERSONS PAID MORE THAN $30,000		TYPE OF SERVICE	COMPENSATION
			PAID

TOTAL NUMBER OF OTHERS RECEIVING OVER $30,000 for professional services . . . . . . . . . . . . . . _____________________

76 Have any changes been made in the organizing or governing documents? Yes ____ No ____

If yes, attach a copy of the changes.

77 Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? Yes ____ No ____

78 Did your organization receive donated services or the use of materials, equipment or facilities at no charge or at substantially less than fair rental value? Yes ____ No ____

79 The financial books are in the care of _________________________________________________________________________

Located at ______________________________________________________________________________________________

Telephone number ________________________________________________________________________________________

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

UNDER THE PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS REPORT, INCLUDING ACCOMPANYING STATEMENTS AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE.

Name of Officer __________________________________________________ Date ________________ Title ____________

Signature of Officer _____________________________________________________________________________________

Question	Answer
Form Name	Maryland Cof 85 Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	cof 85 form maryland, maryland cof 85 form, cof 85 md, maryland annual update registration form

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