Nhct 2A Form PDF Details

In the realm of charitable organizations operating within New Hampshire, the filing of the NHCT 2A form stands as a pivotal regulatory requirement, designed to ensure transparency and accountability in their operations. This form is part of a broader set of documents and information that charitable entities must submit annually to the Charitable Trusts Unit of the New Hampshire Department of Justice. For private foundations, specific submissions including a notarized Annual Report Certificate, the IRS Form 990-PF, and a list of trustees with their contact details are necessary, alongside a filing fee. Charitable corporations and associations, on the other hand, have their distinct set of requirements, which might involve submitting different versions of the IRS Form 990, the NHCT 2A form itself if applicable, and an appendix addressing conflicts of interest, among other documents. The form details a broad spectrum of financial activities, encompassing revenue, expenses, and changes in fund balances, demanding careful documentation of support received, revenue generated, and expenses incurred throughout the fiscal year. The NHCT 2A form, thus, is not merely a financial report; it plays a crucial role in the compliance regime for non-profits, requiring meticulous preparation to meet the legal and regulatory obligations set forth by the state, all aimed at fostering an environment of integrity and public confidence in the charitable sector.

QuestionAnswer
Form NameNhct 2A Form
Form Length11 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 45 sec
Other namesdoj nh reports online, doj nh annual, new hampshire charity registration, nh charitable annual report

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ANNUAL REPORT INSTRUCTIONS – NH CHARITABLE TRUSTS UNIT

For Private Foundations: If the Internal Revenue Service classifies your organization as a private foundation (i.e. it files an IRS Form 990-PF), then submit the following:

A completed and signed (under oath, before a notary public) original Annual Report Certificate. The appropriate trustee should sign.

A photocopy of the Form 990PF filed with the IRS.

A photocopy of any account required to be filed with the probate court.

A list of trustees including names, home addresses and daytime telephone numbers.

$75 filing fee payable to the State of New Hampshire

For Charitable Corporations and Associations: All other charitable non-profit organizations registered with the Charitable Trusts Unit submit the following:

A completed and signed (under oath, before a notary public) original Annual Report Certificate. Board chair or treasurer should sign. Signature of executive director or other staff member will be rejected.

A photocopy of the Form 990 or Form 990EZ filed with the IRS, if your organization files one of those forms. Form 990N is not accepted.

A completed Form NHCT 2A, only if your organization does not file a Form 990 or Form 990EZ with the IRS. NHCT 2A forms may be downloaded from the publications web page: www.doj.nh.gov/charitable-trusts/publications.htm

A completed Appendix to Annual Report concerning conflicts of interest and pecuniary benefit transactions. The Appendix may be downloaded from the publications web page, above. The Appendix is not required for out-of-state based organizations.

A list of officers/directors/trustees including names, home addresses, position held and daytime telephone numbers.

$75 filing fee payable to the State of New Hampshire.

Certain charitable non-profit organizations must also submit the following:

Organizations with total revenues of $500,000 to $1 million (IRS Form 990, line 12) must file its most recent annual financial statement completed in accordance with generally accepted accounting principles. Organizations with $1 million or more of revenues must file its most recent annual audited financial statement completed in accordance with generally accepted accounting principles.

Organizations that use a professional fundraiser (either paid solicitor or fundraising counsel) should be aware that those professional fundraisers must submit additional material. Detailed information and forms may be downloaded from the publications web page, above.

Organizations that engage in charitable gaming (bingo, lucky 7 or games of chance) must submit materials to the Racing and Charitable Gaming Commission. RSA 287-D:5.

Healthcare organizations must submit an annual community benefits report. Detailed information and forms may be downloaded from the publications web page, above.

Organizations that issue charitable gift annuities must submit a certification that may be downloaded from the publications web page, above.

When and Where to File Annual Report:

Annual reports are due 4 months and 15 days after the close of the organization’s fiscal year. If your organization changes it fiscal year end, notify the Charitable Trusts Unit.

Fiscal year end date

Report due date

 

Fiscal year end date

Report due date

January 31

June 15

 

July 31

December 15

February 28

July 15

 

August 31

January 15

March 31

August 15

 

September 20

February 15

April 30

September 15

 

October 31

March 15

May 31

October 15

 

November 30

April 15

June 30

November 15

 

December 31

May 15

Extensions of time to file the annual report require filing of an extension form (NHCT-4) together with the $75 annual filing fee. The NHCT-4 form may be downloaded from the publications web page, above. Filing an IRS Form 8868 to extend the time to file a return does not extend the time to file with the Charitable Trusts Unit.

Mail all materials to Charitable Trusts Unit, Department of Justice, 33 Capitol St., Concord, NH 03301.

Other Information

Newly registered organizations are not required to submit an annual report for one full year after registration. See the cover letter that accompanied the certificate of registration.

For an acknowledgement of receipt by the Charitable Trusts Unit of an annual report, enclose a self-addressed, stamped envelope.

Organizations with less than $10,000 in assets may be eligible for a suspension of the annual report filing requirement. The application to suspend may be downloaded from the publications web page, above. To qualify, filing requirements must be current.

Report to the Charitable Trusts Unit any changes to an organization’s name, address, articles of agreement, by-laws, or vote to dissolve. Submit copies of all relevant documents. Filing with the Secretary of State is not notice to the Charitable Trusts Unit.

Contact Us

Call the Charitable Trusts Unit at 603-271-3591 or consult our web page: www.doj.nh.gov/charitable-trusts/

Please reference the exact legal name of the organization, as well as the registration number, if possible, since charities sometimes have similar names.

Charitable organizations do important work in New Hampshire. Do not put your organization’s reputation and its resources at risk. Failing to file annual reports in a timely manner may lead to an investigation, and could then result in litigation and the imposition of fines and penalties.

Office of the New Hampshire Attorney General - Charitable Trusts Unit

33 Capitol Street, Concord, NH 03301-6397

ANNUAL REPORT CERTIFICATE

DON’T FORGET TO ATTACH:

NH APPENDIX (conflicts of interest)

FILING FEE ($75)

DIRECTOR LIST (name, street address, telephone)

One of the following: NHCT-2A

IRS Form 990 990-EZ or

990-PF.

probate account (for testamentary trusts)

 

Are your revenues over $500,000? If yes, include GAAP financial statement plus 990 (not for 990-PFs) Are your revenues over $1,000,000? If yes, include audited financial statement plus 990 (not for 990-PFs)

ANNUAL FILING FEE: $75.00 Make check payable to: State of New Hampshire

_______________________________________________

_____________________________

Organization Name

Fiscal Year End

_______________________________________________

_______________________________

In Care of

NH Registration #

________________________________________________________________________________

Address

City

State

Zip

Under the penalties of perjury (RSA 641:1-3), I declare that I have examined this annual report, including all attachments, and to the best of my knowledge and belief, it is true, correct and complete.

_______________________________________

__________________________________

Signature of

Date

PRESIDENT, TREASURER OR TRUSTEE

 

________________________________________

__________________________________

(Print or Type) Name of Officer/Trustee

Title

THE SIGNATURE OF THE EXECUTIVE DIRECTOR IS NOT ACCEPTABLE. (If the organization does not have the office of “President” or “Treasurer”, attach an explanation of the signer’s authority)

STATE OF

COUNTY OF

Signed and sworn to (or affirmed) before me on the ____ day of ____________, 20____ by the above-

named officer or trustee.

 

My Commission Expires:

______________________________________

[Seal]

Notary Public

OFFICE OF THE NEW HAMPSHIRE ATTORNEY GENERAL

CHARITABLE TRUSTS UNIT

 

 

33 Capitol Street

 

 

Concord, NH 03301-6397

Register of Charitable Trusts

Form NHCT-2A

 

 

ANNUAL REPORT

For the calendar year__________________

or fiscal year beginning_______________________

and ending___________________________

Registration number_________________________

NAME OF ORGANIZATION:_____________________________________________________

ADDRESS:

_____________________________________________________________

Please make name/address corrections here:

_______________________________________________________________________________

A) Employer or Federal ID Number:____________________________________________________________

D) Tax exempt under section 501 (c) ( ):

check here if application for exemption is pending ( )

G) Group return filed for affiliates?

Yes

_

 

No______

Separate return filed by group affiliate?

Yes _____

No______

PART I STATEMENT OF SUPPORT, REVENUE, AND EXPENSES AND CHANGES IN FUND BALANCES:

Support and Revenue

 

1)

Contributions, gifts, grants

$_________________

2) Program service revenue (see part V)

. ._________________

3)

Membership dues and assessments

. ._________________

4)

Interest on savings and cash investments

. . _________________

5)

Dividends and interest from securities

. . _________________

9)Special fundraising events and activities (Attach schedule, see instructions #6)

a) Gross revenue

$_________________

b) Minus: direct expenses

. _________________

c) Net income (line 9a minus line 9b). . .

. . . . . . . . . . . . . . . . . . . . . . . . . . ________________

11)

Other revenue (see part V)

________________

12)

Total revenue (add lines 1,2,3,4,5,9(c) and 11

.________________

Expenses

 

 

13)

Program services (program service charities only) (see Part III)

. . ________________

14)

Management and general (see line 44)

. ________________

17)

Total expenses (add lines 13 and 14)

. ________________

 

Fund Balances

Lines 18 Through 21 Must Be Completed

 

18)

Excess (deficit) for the year (line 12 minus line 17)

. . _________________

19)

Fund balances or net worth at the beginning of the year..(see line 75). . . .

. . . ._________________

20)

Other changes in net assets or fund balance

. ._________________

 

(ATTACH EXPLANATION)

 

21)

Fund balances or net worth at end of year (add lines l8 and l9)(see also line 75)_________________

Organization Name:_____________________________________________________

PART II STATEMENT OF FUNCTIONAL EXPENSES

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, meetings

. . ___________________

41)

Interest

___________________

42)

Depreciation (attach schedule)

. .___________________

43)

Other expenses (itemized):

 

a)

___________

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

___________________

b)________________________

. ___________________

c)________________________

___________________

d)________________________

. ___________________

e)________________________

.___________________

44) Total functional expenses (enter on line l4)

. . .___________________

Organization Name:____________________________________

PART III STATEMENT OF PROGRAM SERVICES RENDERED

(program service charities only)

DESCRIPTION

EXPENSES

a)_______________________________________________

 

_________________________________________________

$ ______________________

_________________________________________________

 

_________________________________________________

 

b)_______________________________________________

 

_________________________________________________

$ _______________________

_________________________________________________

 

_________________________________________________

 

c)_______________________________________________

 

_________________________________________________

$ _______________________

_________________________________________________

 

_________________________________________________

 

TOTAL - MUST EQUAL LINE 13

$________________________

Organization Name:____________________________________

PART IV OFFICERS AND DIRECTORS

List ALL Officers, Directors and Trustees. Boards of Directors of voluntary corporations MUST have at least five (5) members who are not related by blood or marriage.

Name___________________________________________________________________

Home Address_______________________________________________________

___________________________________________________________________

Position Held________________________________________________________

Daytime Phone_______________________________________________________

Name___________________________________________________________________

Home Address_______________________________________________________

___________________________________________________________________

Position Held________________________________________________________

Daytime Phone_______________________________________________________

Name___________________________________________________________________

Home Address_______________________________________________________

___________________________________________________________________

Position Held________________________________________________________

Daytime Phone_______________________________________________________

Name___________________________________________________________________

Home Address_______________________________________________________

___________________________________________________________________

Position Held________________________________________________________

Daytime Phone_______________________________________________________

Name___________________________________________________________________

Home Address_______________________________________________________

___________________________________________________________________

Position Held________________________________________________________

Daytime Phone_______________________________________________________

Attach sheet if additional space is required.

Organization Name:__________________________________________

PART V PROGRAM SERVICE REVENUE AND OTHER REVENUE (State nature) (Program service charities only)

 

Program Service

Other

a)_______________________________

_________________

_____________

b)_______________________________

_________________

_____________

c)_______________________________

_________________

_____________

d)_______________________________

_________________

_____________

PART VI BALANCE SHEETS

 

 

 

Beginning of Year__

End of Year

Assets

 

 

 

45)

Cash - non interest bearing

 

________________

_____________

46)

Savings and cash investments

 

________________

_____________

47)

Accounts receivable

 

_________________

_____________

48)

Pledges receivable

 

_________________

_____________

49)

Grants receivable

 

_________________

_____________

50)

Receivables due from Officers, Directors, etc.

_________________

_____________

51)

Other notes and loans receivable

_________________

_____________

52)

Inventories for sale or use

 

_________________

_____________

53) Prepaid

 

_________________

_____________

54)

Investments - securities

 

_________________

_____________

55)

Investments - real estate

 

_________________

_____________

56)

Investments - other

 

_________________

_____________

58) Other assets

 

_________________

_____________

59)

Total assets (add lines 45 through 58)

_________________

______________

Liabilities

 

 

 

60)

Accounts payable

 

_________________

_____________

61)

Grants payable

 

_________________

_____________

63)

Loans from officers, directors, etc.

_________________

_____________

64)

Mortgages/notes payable

 

_________________

_____________

65)

Other liabilities

 

_________________

_____________

66)

Total liabilities (add lines 60 through 65)

_________________

_____________

Fund Balances or Net Worth

Line 75 Must Be Completed

 

75)

Net worth (assets, line 59, minus liabilities, line 66) _________________

_____________

NOTE: PLEASE BE SURE TO SIGN THE ANNUAL REPORT CERTIFICATE BEFORE

A NOTARY PUBLIC AND RETURN THE CERTIFICATE AND REPORT TO:

Office of the Attorney General, Charitable Trusts Unit, 33 Capitol St., Concord, NH 03301-6397

FAILURE TO FILE ANNUAL FINANCIAL REPORTS WITH THE DEPARTMENT OF JUSTICE IN A TIMELY MANNER MAY RESULT IN COURT ACTION AND THE IMPOSITION OF CIVIL PENALTIES OF UP TO $l0,000.00 FOR EACH VIOLATION (RSA 7:28-f II (d))

OFFICE OF THE NEW HAMPSHIRE ATTORNEY GENERAL

CHARITABLE TRUSTS UNIT

33 Capitol Street, Concord, NH 03301-6397

MUST BE COMPLETED

AND ATTACHED TO FILING

APPENDIX TO ANNUAL REPORT

Name of Organization:______________________________________________________

1. Is there currently a conflict of interest policy in effect?Yes_____ No_____

A Conflict of Interest Policy is required by law. (see RSA 7:19, II)

If No, please provide explanation for not adopting a Conflict of Interest Policy (attach extra pages if necessary): __________________________________________________________

2.Did any officer, Director, Trustee, or member of his/her immediate family obtain a pecuniary benefit from the organization in the last year other than reasonable compensation for services of an executive director, or

expenses incurred in connection with his/her official duties? (see RSA 7:19-a)

Yes_____

No_____

 

If Yes, complete the following:

 

A. Was any real estate transaction involved?

Yes_____

No_____

B. Was a loan made to any director, officer or trustee?

Yes_____

No_____

C. Was a pecuniary benefit paid in excess of $500?

Yes_____

No_____

If Yes, attach copy of Meeting Minutes.

 

 

D. Was a pecuniary benefit paid in excess of $5,000?

Yes_____

No_____

If Yes, attach a copy of each of the following:

 

 

*Public Notice made pursuant to RSA 7:19-a, II (d)

*Meeting Minutes

*Employment Contract

E. Provide a list of each pecuniary benefit transaction involving a director, officer, trustee or member of their immediate family. Include name(s) of recipient(s) and amount(s) of benefit(s) as required under RSA 7:19-a, II

(c) and RSA 7:28 (attach extra pages if necessary).

Name of Recipient:_____________________ Nature & Amount of Benefit:________________________

Name of Recipient:_____________________ Nature & Amount of Benefit:________________________

NOTE: The Director of Charitable Trusts may request copies of all contracts, payment records, vouchers and financial records or documents involving a director, officer, trustee or member of the immediate family as authorized under RSA 7:24.

Amended 3/15/2013

OFFICE OF THE NEW HAMPSHIRE ATTORNEY GENERAL

CHARITABLE TRUSTS UNIT

33 Capitol Street, Concord, NH 03301-6397

NHCT-4

APPLICATION FOR EXTENSION OF TIME TO FILE ANNUAL REPORT WITH CHARITABLE

TRUSTS UNIT

This application for extension of time must be received on or before due date of annual filing in order to be accepted. IRS form 2758 is not acceptable for this purpose.

OFFICIAL NAME OF ORGANIZATION:___________________________________________

CURRENT ADDRESS:___________________________________________________________

Is this a change of address?

YES______NO_______

 

COMPLETE THE FOLLOWING

I REQUEST AN EXTENSION OF TIME UNTIL:___________________

(only 1 request per report)

DATE OF FISCAL YEAR END:__________________________________

REGISTRATION # OF CHARITY:_______________________________

(obtain from mailing label)

REASON FOR EXTENSION:____________________________________

______________________________________________________________

ONLY ONE REQUEST GRANTED PER REPORT. REQUEST MAXIMUM AMOUNT OF TIME REQUIRED. $75 ANNUAL FILING FEE MUST ACCOMPANY REQUEST.

If you do not hear from this Unit WITHIN 21 DAYS you may assume that this request has been granted. YOU WILL HEAR FROM THIS OFFICE ONLY IF THE REQUEST IS DENIED.

Date:_______________________By:_________________________

Title:_____________________

Phone:______________________

FAILURE TO FILE ANNUAL REPORTS WITH THE ATTORNEY GENERAL IN A TIMELY MANNER MAY RESULT IN COURT ACTION AND THE IMPOSITION OF CIVIL PENALTIES OF UP TO $10,000 PER VIOLATION (RSA 7:28-f II(d)).

NHCT-2A 3 20 2013.docx 3/20/13

Page 11

CERTIFICATION REQUIRED BY CHARITABLE ORGANIZATIONS THAT ISSUE CHARITABLE GIFT ANNUITIES

(Must be signed by an officer or director)

If you are a charitable organization that issues charitable gift annuities pursuant to RSA Ch.

403-E, and you have not previously filed a notification with the Director of Charitable Trusts, please complete the following:

1.I am the _______________________ (title) of the

________________________________________ (name of organization).

2.I certify that this organization is a charitable organization, and that the annuities issued by the organization are limited to qualified charitable gift annuities as defined in RSA 403-E:1, V.

Date: ______________________

________________________________________

 

(Print name): _______________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

If you are a charitable organization that issues charitable gift annuities pursuant to RSA Ch.

403-E, and you have filed an initial notification with the Director of Charitable Trusts, you must recertify pursuant to RSA 403-E:3, II(b) by completing the following:

1.I am the _______________________ (title) of the

________________________________________ (name of organization).

2.I certify that the annuities issued by this organization shall be limited to qualified charitable gift annuities as defined in RSA 403-E:1, V.

Date: ______________________

________________________________________

 

(Print name): _______________________________

NHCT-2A 3 20 2013.docx 3/20/13

Page 12

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