Paid Fundraiser – Financial Report

Vermont Office of Attorney General

109 State Street

Montpelier, VT 05609-1001

Fundraiser Name

Fundraiser's Email

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Charity Name

Charity ID Number

Campaign Start Date

Campaign End Date

Is this the final campaign report?

Yes

Dates covered by this Financial Report

If terminated before the anticipated ending date; the date the campaign ended

Percentage of gross receipts from residents of Vermont paid to fundraisers

Percentage of gross receipts from residents of Vermont paid to charity

Minimum guaranteed percent

Total Gross receipts from residents of Vermont

Distribution of gross receipts from the fundraising campaign in Vermont

Expenses of Sale of Goods or Services, if any

Amount paid to paid fundraisers

Amount paid to Charity

Has a representative of the charity reviewed the Financial Report (such a review is required by Vermont Law)

Yes

The detailed listing of all expenses incurred during the campaign may be filled in below or emailed

Expenses

Re-order	Expense Description	Expense Amount	Weight	Operations
	Expense Description	Expense Amount	Item weight

more items

Name

Title

Confirm email

Phone Number

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