Charitable Organization Registration Statement - Form BCO-10

375801 05-01-13 Telephone: (717) 783-1720(800) 732-0999 (within PA only)Fax: (717) 783-6014 Website: 1 of 6 form BCO-10 Revised (7/2009)(See note under "important information")(Renewals Only) (Required) (If different than physical)(If different than Contact s E-mail)(Attach separate sheet if necessary)For Official Use OnlyApproved:RF:AF:LF:Fee Received:Commonwealth ofPennsylvaniaDepartment of StateFiscal Year Ended:Employer Identification Number (EIN) name of Organization :Check if name change Previous other names used to solicit person:Contact's E-mail:Physical address of Organization :Mailing address:City:State:City:State:ZIP code:ZIP code:County:Phone number:800 number:Fax number:E-mail : , addresses, and telephone numbers of all offices, chapters, branches, auxiliaries, affiliates, or othersubordinate units located in Pennsylvania: Check if registering voluntarilyBureau of Charitable Organizations207 North Office Bu

Oct 31, 2014 · 375811 05-01-13 Page 4 of 6 Form BCO-10 Revised (7/2009) (See note under "important information") (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

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