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OFFICE OF THE SECRETARY OF STATE
VETERANS ORGANIZATION SOLICITATION REGISTRATION STATEMENT
_____New _____Renewal (Please print or type. Attach additional sheets if necessary.)
1. Name of Organization: ___________________________________________________________
Type of Organization: (Corporation, unincorporated entity, partnership, etc.)
Mailing Address:________________________________________________________________
Telephone Number: (_________)______________________
2. List the name, street address, and telephone number of each solicitor that will solicit on
behalf of your organization.
3. List the name, street address, and telephone number of each veterans organization or fund on
behalf of which all or part of the contributions will be used, or, if there is no organization or
fund, a statement describing the manner in which the contributions will be used.
4. State whether this organization or fund solicits in person, by telephone and/or mail.
5.
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Does this organization have a charitable tax exemption under state law?
_________________________ Under federal law? _______________________________
What is the basis for exemption? __________________________________________________
Form #3501