Form CT-694 "Annual Financial Solicitation Report" - California

What Is Form CT-694?

This is a legal form that was released by the California Department of Justice - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the California Department of Justice;
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  • Fill out the form in our online filing application.

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STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
CT-694
PAGE 1 of 5
(Rev. 12/2017)
MAIL TO:
STATE OF CALIFORNIA
Registry of Charitable Trusts
P.O. Box 903447
OFFICE OF THE ATTORNEY GENERAL
Sacramento, CA 94203-4470
REGISTRY OF CHARITABLE TRUSTS
STREET ADDRESS:
1300 I Street
ANNUAL FINANCIAL SOLICITATION REPORT
Sacramento, CA 95814
(916) 210-6400
California Business and Professions Code Section 17510.9
WEB SITE ADDRESS:
Year Ending
, 20
(For Registry Use Only)
www.oag.ca.gov/charities
Name:
CT
Address:
City:
State
FEIN
Zip
1.
Was more than $1,000,000 collected in charitable contributions from donors in California? Yes
No
If the answer is NO, do not proceed. This document is not required. If YES, continue.
2. Do your charitable contributions collected from donors in California represent more than 50% of your annual income? Yes
No
If the answer is NO, do not proceed. This document is not required. If YES, continue.
PART I STATEMENT OF REVENUE (See instructions)
A.
Total Revenue reported on IRS Form 990
A. $
B.
Expenses deducted from Revenue on IRS Form 990
B
$
C.
Gross Revenue (Add lines A and B)
C. $
PART II STATEMENT OF FUNCTIONAL
Program
% of Revenue
Non-Program
% of Non-
EXPENSES (See instructions)
(A)
(B)
(C)
Program (D)
1. Salary Expenses
2. Fundraising Expenses
3. Travel Expenses
4. Overhead and General Expenses
5. Program Expenses
6. Total Non-Program Expenses
7. Joint Cost Allocation Yes___ No__ If yes: 7a) Amount Allocated to Programs $________ 7b) Percentage _______
PART III SALARIES OF FIVE (5) HIGHEST COMPENSATED EMPLOYEES (See instructions)
AMOUNT
NAME AND TITLE
$
$
$
$
$
$
TOTAL SALARIES
Under penalty of perjury, I declare that I have examined this report, and to the best of my knowledge and belief it is true, correct and
complete.
Signature of authorized officer
Printed Name
Title
Date
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
CT-694
PAGE 1 of 5
(Rev. 12/2017)
MAIL TO:
STATE OF CALIFORNIA
Registry of Charitable Trusts
P.O. Box 903447
OFFICE OF THE ATTORNEY GENERAL
Sacramento, CA 94203-4470
REGISTRY OF CHARITABLE TRUSTS
STREET ADDRESS:
1300 I Street
ANNUAL FINANCIAL SOLICITATION REPORT
Sacramento, CA 95814
(916) 210-6400
California Business and Professions Code Section 17510.9
WEB SITE ADDRESS:
Year Ending
, 20
(For Registry Use Only)
www.oag.ca.gov/charities
Name:
CT
Address:
City:
State
FEIN
Zip
1.
Was more than $1,000,000 collected in charitable contributions from donors in California? Yes
No
If the answer is NO, do not proceed. This document is not required. If YES, continue.
2. Do your charitable contributions collected from donors in California represent more than 50% of your annual income? Yes
No
If the answer is NO, do not proceed. This document is not required. If YES, continue.
PART I STATEMENT OF REVENUE (See instructions)
A.
Total Revenue reported on IRS Form 990
A. $
B.
Expenses deducted from Revenue on IRS Form 990
B
$
C.
Gross Revenue (Add lines A and B)
C. $
PART II STATEMENT OF FUNCTIONAL
Program
% of Revenue
Non-Program
% of Non-
EXPENSES (See instructions)
(A)
(B)
(C)
Program (D)
1. Salary Expenses
2. Fundraising Expenses
3. Travel Expenses
4. Overhead and General Expenses
5. Program Expenses
6. Total Non-Program Expenses
7. Joint Cost Allocation Yes___ No__ If yes: 7a) Amount Allocated to Programs $________ 7b) Percentage _______
PART III SALARIES OF FIVE (5) HIGHEST COMPENSATED EMPLOYEES (See instructions)
AMOUNT
NAME AND TITLE
$
$
$
$
$
$
TOTAL SALARIES
Under penalty of perjury, I declare that I have examined this report, and to the best of my knowledge and belief it is true, correct and
complete.
Signature of authorized officer
Printed Name
Title
Date
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
CT-694
PAGE 2 of 5
(Rev. 12/2017)
Office of the Attorney General
Registry of Charitable Trusts
Privacy Notice
As Required by Civil Code § 1798.17
Collection and Use of Personal Information. The Attorney General's Registry of Charitable Trusts
(Registry), a part of the Public Rights Division, collects the information requested on this form as
authorized by the Supervision of Trustees and Fundraisers for Charitable Purposes Act (Gov. Code §
12580 et seq.) and regulations adopted pursuant to the Act (Cal. Code Regs., tit. 11, §§ 300-312.1). The
Registry uses the information in the administration and enforcement of the Act, including to register,
renew, or update your organization's registration or to prepare reports pursuant to the Act. The Attorney
General may also use the information for additional purposes, including in support of investigations and
law enforcement actions, providing public access to information as required by the Act (Gov. Code §§
12587, 12587.1, 12590), and making referrals to other law enforcement agencies. Any personal
information collected by state agencies is subject to the limitations in the Information Practices Act and
http://oag.ca.gov/
state policy. The Department of Justice's general privacy policy is available at
privacy-policy.
Providing Personal Information. All the personal information requested in the form must be provided.
An incomplete submission may result in the Registry not accepting the form, and cause your
organization to be out of compliance with legal requirements to operate in California.
Access to Your Information. The completed form is a public filing that will be made available on the
http://oag.ca.gov/charities
Attorney General's website at
pursuant to the public access requirements of
the Act. You may review the records maintained by the Registry that contain your personal information,
as permitted by the Information Practices Act. See below for contact information.
Possible Disclosure of Personal Information. In order to process the applicable registration, renewal,
registration update, application, or report, we may need to share the information on this form with other
government agencies. We may also share the information to further an investigation, including an
investigation by other government or law enforcement agencies. In addition, the information is available
and searchable on the Attorney General's website.
The information provided may also be disclosed in the following circumstances:
·
With other persons or agencies where necessary to perform their legal duties, and their use of
your information is compatible and complies with state law, such as for investigations or for
licensing, certification, or regulatory purposes;
·
To another government agency consistent with state or federal law.
Contact Information. For questions about this notice or access to your records, contact the Registrar of
Charitable Trusts, 1300 I Street, Sacramento, CA 95814 at
rct@doj.ca.gov
or (916) 210-6400.
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
CT-694
PAGE 3 of 5
(Rev. 12/2017)
MAIL TO:
STATE OF CALIFORNIA
Registry of Charitable Trusts
OFFICE OF THE ATTORNEY GENERAL
P.O. Box 903447
Sacramento, CA 94203-4470
REGISTRY OF CHARITABLE TRUSTS
(916) 210-6400
ANNUAL FINANCIAL SOLICITATION REPORT
WEB SITE ADDRESS:
INSTRUCTIONS Form CT-694
www.oag.ca.gov/charities
WHEN TO FILE
PART II STATEMENT OF FUNCTIONAL EXPENSES
Form CT-694 is due at the same time as the Attorney
Salary Expenses
General's Registry of Charitable Trusts form RRF-1, which is
no later than four months and fifteen days after the end of
Line 1 Column A: Total Program Salaries
the organization's accounting period (e.g., May 15 for
calendar year filers).
Please complete the following worksheet:
WHO NEEDS TO FILE
1. Program compensation of
current officers, directors,
Line 1: If more than $1 million was collected in charitable
trustees, and key employees
contributions from donors in California check yes and
as reported on IRS Form
continue to question #2. If less than $1 million was raised
990 Part IX, line 5, column B.
$____________
from California donors check “No” and you are not required
to file this form with the Registry.
2. Program compensation not
included in Line 1 above, to
Line 2: Do the funds collected from California donors
disqualified persons as
represent more than 50% of the annual income. If the
reported on the IRS Form 990
answer is yes, mark “Yes” and continue. If the answer is no,
Part IX, line 6, column B.
$____________
mark “No” and you are not required to file this form with the
Registry.
3. Other program salary and
wages as reported on the
PART 1 STATEMENT OF REVENUE
IRS Form 990 Part IX, line 7,
This Part represents all funds raised for your organization.
column B.
$____________
Line A: Please enter the total revenue as reported on the
4. Program pension plan accruals
IRS Form 990 Part VIII, line 12, column A.
and contributions as reported
on IRS Form 990 Part IX,
Line B: Please complete the following worksheet:
line 8, column B.
$____________
1. Cost or other basis and sales
5. Other program employee
expenses related to sales revenue
benefits as reported on IRS
as reported on the IRS Form 990
Form 990 Part IX, line 9,
Part VIII, line 7b.
$____________
column B.
$____________
2. Direct expenses from fundraising
6. Total (add above lines 1-5)
events as reported on the IRS Form
This is total Program salaries.
990 Part VIII, line 8b.
$____________
Enter this amount on Form
CT-694 Part II, line 1,
3. Direct expenses from gaming
Column A.
$____________
activities as reported on the IRS
Form 990 Part VIII, line 9b.
$____________
Line 1 Column B: % of Revenue
4. Cost of goods sold from sales of
Divide program salaries as reported on Form CT-694 Part II,
Inventory as reported on the IRS
line 1, column A, by gross revenue reported on Part 1, line C.
Form 990 Part VIII, line 10b
$____________
Multiply this result by 100 and enter on Part II, line 1, column
B.
5. Add lines 1-4 above and enter
on Form CT-694 Part 1, line B.
$____________
Line C: Gross Revenue. Add lines A and B from Form
CT-694.
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
CT-694
PAGE 4 of 5
(Rev. 12/2017)
Line 1 Column C: Non-Program Salaries
2. Enter fundraising expenses
from events as reported on
Please complete the following worksheet:
IRS Form 990 Part VIII,
line 8 b.
$____________
1. Non-program compensation of
current officers, directors,
3. Total lines 1 and 2 above
trustees, and key employees
and enter on Form CT-694
as reported on IRS Form
Part II, line 2, column C.
$____________
990 Part IX, line 5, columns
C and D.
$____________
Line 2 Column D: % of Non-Program
2. Non-program compensation not
Divide fundraising expenses as reported on Form CT-694 Part
included in Line 1 above, to
II, line 2, column C by gross revenue reported on Part 1, line
disqualified persons as
C. Multiply this result by 100 and enter on Part II, line 2,
reported on the IRS Form 990
column D.
Part IX, line 6 columns
C and D.
$____________
Travel Expenses
3. Other non-program salary and
Line 3 Column A: Program
wages as reported on the
IRS Form 990 Part IX, line 7
Enter the amount of program travel expenses from IRS Form
columns C and D.
$____________
990 Part IX, line 17, column B.
4. Non-program pension plan
Line 3 Column B: % of Revenue
accruals and contributions as
reported on IRS Form 990
Divide program travel expenses as reported on Form CT-694
Part IX, line 8, columns
Part II, line 3, column A by gross revenue reported on Part 1,
C and D.
$____________
line C. Multiply this result by 100 and enter on Form CT-694
Part II, line 3, column B.
5. Other non-program
employee benefits as
Line 3 Column C: Non Program
reported on IRS Form 990
Part IX, line 9, columns
Enter the non-program travel expense amounts from IRS
C and D.
$____________
Form 990 Part IX, line 17, columns C and D.
6. Total (add above lines 1-5)
Line 3 Column D: % of Non-Program
This is total non- program
salaries. Enter this amount
Divide non-travel expenses as reported on Form CT-694 Part
on Form CT-694 line 1,
II, line 3, column C by gross revenue reported on Part 1, line
column C.
$____________
C. Multiply this result by 100 and enter on Part II, line 3,
column D.
Line 1 Column D: % of Non-Program
Overhead & General Expenses
Divide non-program salaries as reported on Form CT-694
Part II, line 1, column C by gross revenue reported on Part 1
Line 4 Column C: Non-Program
line C. Multiply this result by 100 and enter on Part II, line 1,
column D.
Enter the amount from IRS Form 990 Part IX, line 25, column
C.
Fundraising Expenses
Line 4 Column D: % of Non-Program
Line 2 Column C: Non-Program
Divide overhead and general expenses as reported on Part II,
1. Enter total amount of fundraising
line 4, column C by gross revenue reported on Form CT-694
expenses as reported on IRS
Part 1, line C. Multiply this result by 100 and enter on Part II,
Form 990 Part IX, line 25,
line 4, column D
column D.
$____________
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICE
CT-694
PAGE 5 of 5
(Rev. 12/2017)
Program Expenses
PART III SALARIES OF FIVE (5) HIGHEST
COMPENSATED EMPLOYEES
Line 5 Column A: Program
List the salaries, name and title of the five highest
Enter the amount from the IRS Form 990 Part IX, line 25,
compensated employees. This information may be different
column B.
from the “highest compensated employees” on IRS Form 990
Part VII. The salary reported here shall include amounts paid
Line 5 Column B: % of Revenue
by the organization for pension or other employee benefits.
Divide program expenses as reported on Form CT-694, Part
SIGNATURE OF AUTHORIZED OFFICER
II, line 5, column A by gross revenue reported on Part 1, line
C. Multiply this result by 100 and enter on Part II, line 5,
The signature of an authorized officer is required. An
column B.
authorized officer may be the president, chief executive officer
or chief financial officer of the organization.
Total Non-Program Expenses
Line 6 Column C: Non-Program
Combine the amounts from Form CT-694, Part II, line 2,
column C and line 4, column C.
Line 6 Column D: % of Non-Program
Divide total non-program expenses as reported on Part II,
line 6, column C by gross revenue reported on Part 1, line
C. Multiply this result by 100 and enter on Part II, line 6,
column D.
If the result is less then 25%, you are not required to submit
this form.
Line 7 Joint Cost Allocation:
Did the organization mark yes on the IRS form 990 Part IX
Line 26? If no then mark no and move on to Part III of this
form.
1) If yes please mark yes, and
enter the amount on IRS form
990 Part IX line 26 column B
here and on Part 7A of this form
$____________
2) Enter the amount from IRS form
990 Part IX, line 25 column B
$____________
3) Divide line1 above by line 2
And multiply the result by 100
Enter this amount on this form
Line 7b
____________
Page of 5