Charitable organization registration statement

(a) Every charitable organization required to register with the department pursuant to section 21a-190b of the Connecticut General Statutes shall provide the following information on a registration statement furnished by the department: (1) The organization's full legal name and mailing address; (2) the organization's telephone number; (3) the organization's federal employer identification number; (4) the month the organization's fiscal year ends; (5) the month and year when the organization began operations; (6) any name or names, other than that given in subdivision (1) of subsection (a) of this section, under which funds will be solicited; (7) the name and address of any outside fund-raising counsel or paid solicitor which the organization plans to compensate to raise funds on its behalf in Connecticut; (8) the organization's tax exempt status with the United States Internal Revenue Service and whether exempt status has ever been denied or revoked; (9) whether the organization is incorporated, and if incorporated, the state of incorporation; (10) the purposes of the organization with a description of its major program activities; and (11) the names, residence addresses and titles of all officers, directors, trustees and key employees. (b) The registration statement shall be signed under penalty of false statement by two authorized officers of the charitable organization. (c) A charitable organization shall be considered as registered upon the receipt by the department of a fully completed original registration statement and the fee prescribed by section 21a-190b of the Connecticut General Statutes.