Fill - Free fillable Oak070400 (City of Oakland) PDF form

1



APPLICATIONFORCHARITABLESOLICIATIONPERM IT

NewApplicaonRenewalApplicaon



NameofOrganizaon:_______________________________________________

Address:______________________________________________________________________

City:__________________________Zip:_______________Phone:______________________

EmailAddress:_________________________________________________________________

EXECUTIVEOFFICERS/MANAGERS:

NAME TITLE HOMEADDRESS





Oﬃcer(s)inchargeofsolicitaon:__________________________________________________

______________________________________________________________________________

Oﬃcerresponsiblefordisbursingthereceiptsofthesolicitaon:_________________________



DATESOFSOLICITATION:________________________________________________________

LOCATION(S)OFSOLICITATION:___________________________________________________

______________________________________________________________________________



OFFICEOFTHECITYADMINISTRATOR

SPECIALACTIVITYPERMITS

1FrankH.OgawaPlaza—1

Floor

Oakland,CA94612

Phone:510‐238‐3294

2



Pleasedescribeindetailhowthesolicitaon(s)willtakeplace:

______________________________________________________________________________

______________________________________________________________________________

Purposeofsolicitaon:(explainbrieﬂywhythissolicitaonisneeded)

______________________________________________________________________________

______________________________________________________________________________

PleasedescribeindetailtheextentofthecharitableworkbeingdoneinOaklandbyyour

organizaon:

______________________________________________________________________________

______________________________________________________________________________



Icerfy(ordeclare)underpenaltyofperjurythattheabovestatementsaretrueandcorrect:

______________________________________________________________________________

Name(Pleaseprint)SignatureofAuthorizedPersonPhone



Iunderstandthatinthegranngofthispermit,itwillnotbeusedorrepresentedinanywayas

anendorsementbythecity,orbyanydepartmentoroﬃcerthereof.(Mustbesignedby

an

oﬃceronPage1)

______________________________________________________________________________

Name(Pleaseprint)SignatureofAuthorizedPersonDate



FOROFFICEUSEONLY

NewApplicaons:IRS(Dept.ofTreasuryandStateFranchiseTaxBoard)exemponleer

 ArclesofIncorporaonorBy‐LawsoftheOrganizaonwithSealofSecretaryofState

ReceivedBy:__________________________________Receipt#_______________________________

Date:____________________________________________________

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Oak070400 (City of Oakland)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Oak070400 (City of Oakland) Form

Related forms

Fillable Oak070400 (City of Oakland)

Fill Online, Printable, Fillable, Blank Oak070400 (City of Oakland) Form

Related forms

First 20 documents completely FREE!