Get PA BCO-10 2017-2024

Names addresses and telephone numbers of all offices chapters branches auxiliaries affiliates or other subordinate units located in Pennsylvania Attach separate sheet if necessary Form BCO-10 Revised 7/2009 Page 1 of 6 5. Dos. state. pa.us/charities Charitable Organization Registration Statement Form BCO-10 Check if registering voluntarily Certificate Number See note under important information Renewals Only Fiscal Year Ended / / Employer Identification Number EIN 1. // Includes contributions received both within and outside Pennsylvania 10. Has organization been granted IRS tax-exempt status Yes No If Yes please submit copy of IRS exemption letter if not previously submitted. A. If Yes under which IRS code section modified Yes No If Yes attach copy of denial revocation or modification. 11. Was the organization required to file an IRS 990 return and applicable schedules for its most recently completed fiscal year Yes No If No attach explanation of why organization is exempt from filing an IRS 990 return. An organization that is not required to file an IRS 990 return must file a Pennsylvania public disclosure form BCO-23. Are you a Pennsylvania affiliate of a parent organization which elected to file a information If Yes provide the name and if available certificate of your parent organization. For each affiliate whose parent organization files a Form IRS 990 group return it must file a form BCO-23 in addition to filing a copy of the organization s Form IRS 990 return. Legal name of parent organization 20. Does your organization share contributions or other revenue with any other nonprofit corporation or unincorporated association Yes No If Yes attach an explanation listing name address type of organization and relationship to your organization. corporation or unincorporated association Yes No If Yes attach an 22. Does any other domestic or foreign organization own a 10 or greater interest in your organization Yes No If Yes attach the following information for each other domestic or foreign organization name and type of organization whether organization is forprofit or nonprofit and relationship of organization to your organization. foreign organization Yes No If Yes attach the following information for each other domestic or foreign organization name and type of organization whether organization is for-profit or nonprofit and relationship of organization to your organization. 24. If you are a parent organization located in Pennsylvania do you elect to file a combined registration covering all of your Pennsylvania affiliates Yes No Not Applicable See note under important information If Yes give all names and certificate numbers of your affiliate organizations For each affiliate whose parent organization files a Form IRS 990 group return it must file a form BCO-23 in addition to filing a copy of the organization s Form IRS 990 return. 19. Was the organization required to file an IRS 990 return and applicable schedules for its most recently completed fiscal year Yes No If No attach explanation of why organization is exempt from filing an IRS 990 return. An organization that is not required to file an IRS 990 return must file a Pennsylvania public disclosure form BCO-23. This includes an organization that files a 990N 990EZ or 990PF. 12. A clear description of the specific programs for which contributions will be used and a statement whether such programs are planned or in existence 13.