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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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