Form IFC                                   REPORT OF INDIVIDUAL                                                            KWAME RAOUL
Revised 1/19                                                                                                      ATTORNEY GENERAL 
                                           FUNDRAISING CAMPAIGN 

CHARITY: 
     Name                                                                    Reporting Period Beginning         and Ending 
Mailing Address                                                                               CQ#. 01-
City, State, Zip Code                                                                         Phone# 
Contact Person                                                   'l'itle                      Phone# 

PROFESSIONAL FUND RAISER (PFR): 
Name                                                                                          PFR #02 

NATURE OF FUNDRAISING ACTIVITY: 

A. Total Amount Raised __________________________________________________________ A.                           1
                                                                                                               �$ _________ �
                                                                             PAID BY: 
B. Expenses:                                                     PFR                  Charity 
   I. Professional Fundraiser Fee _____________ 1.
   2  Solicitor Compensation ----------_____ 2.
   3. Salaries _________________________ 3.
   4. Printing _________________________ 4.
   5. Postage ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 5. 
   6. Telephone_______________________  6. 
   7. Rent & Utilties ____________________ 7.
   8. Supplies _________________________ 8.
   9. Travel __________________________ 9.
   10.                                     10. 
   11.                                     11. 
   12                                      12. 
   13. TOTAL EXPENSES (PFR + Charity)____  13.                                                          -- B.  ,-.........----------<$ 

C. Total amount received by the charitable organization (after all expenses are paid) __________________ C     l--"-----------1$
D. Percentage of Funds received by charity (Line C divided by line A)-___________________________  D .  .__% _________ _.
E. Bank where funds are deposited? __________ E. ______________________________  _
F. Who (charity or PFR) has signature control of the account(s) listed above?
G. Are the expenses in B above actual expenses for this campaign?  Yes Dor No D If No, attach a schedule explaining in detail, how expenses are
   allocated between fundraising campaigns.
We the undersigned, declare and certify under perjury that we have examined this report, including all the schedules, and statements, and the facts therein 
stated are true and complete and filed with the Illinois Attorney General for the purpose of having the people of the State ot Illinois rely thereupon. 

PFR CAMPAIGN 
MANAGER   (Print Name)                                                                        TITLE 

SIGNATURE                                                                                     DA1E 

OFFICER, DIRECTOR 
OF CHARITY (Print Name)                                                                       TITLE 

SIGNATURE                                                                                     DA1E