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Form C0-2                             CHARITABLE ORGANIZATION                                                    KWAME RAO LU
Revised 1/1  9                        - FINANCIAL INFORMATION FORM  -                                        ATTORNEY GENERAL 

PLEASE TYPE OR PRINT IN INK.          Organizations that have been in operation less than one (1) year are required to complete this form, 
in compliance with the "Charitable Organization Registration Statement" Form C0-1 Line 20, and file each form with the Attorney 
General's Office, Charitable Trust Bureau, 100 West Randolph Street, 11th Floor, Chicago, Illinois 60601. 

1.      Name, address and telephone number of the organization:------------------------------

2. The books and records are located at the following address and telephone number:---------------------

3. Are the gross receipts for the current calendar/fiscal year expected to exceed $10,000.00? D Yes  D    No 

4.      Please provide the following information:

                        From inception                                   thru 
                                                 Month/Day/Year                    Month/Day/Year 

        GROSS RECEIPTS TO DATE                                                ASSETS 

        Contributions, Gifts & Grants  $                                             Cash                    $ 

        Program Service Revenue                                                      Accounts Receivable 

        Dues                                                                         Other Receivables 

        Interest & Dividends                                                         Inventory 

        Rents                                                                        Investments 

        Fund Raising Events                                                          Land, Buildings, Equip. 

        Other Revenue                                                                Other Assets 

        TOTAL                          $                                             TOTAL                   $ 

        (IN LIEU OF THE ABOVE FINANCIAL INFORMATION, A CURRENT TREASURERS REPORT MAY BE SUBSTITUTED, PROVIDED THAT IT 
        PROVIDES SUBSTANTIALLY THE SAME INFORMATION) 
                                                                  CERTIFICATION 

        UNDER E P NA T LOFY PERJURY HEU, T  DERSIG  N EDDENL RE   C A   AN DC ER I YTHF  T AT T  HEI  NFORMATION CONTA NI EDI     N 
        THISS  TATEMENT AN DALL        ATTACHEDSHEE   SIST   RUET  AN DCORRECT TO THEBES       T OF OURK  NOWLEDGE. 

        At least two different persons, familiar with the financial affairs of the organization, are required to sign. These parties should be the 
Note: 
        President and the Chief Financial Officer, other authorized Officer or two Trustees. 

Name and Title                                                                     Signature and Date Signed 

Address 

Name and Title                                                                     Signature and Date Signed 

Address 






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