Charitable organization annual report

The annual report required by section 21a-190c of the Connecticut General Statutes shall consist of: (1) A form furnished by the department, which shall be signed under penalty of false statement by two authorized officers of the organization, one of whom shall be its chief fiscal officer, on which the charitable organization shall state: (A) Its name, address and telephone number; (B) the fiscal year covered by the report; (C) its Connecticut charities registration number as assigned to the organization upon its registration with the department; (D) whether during the fiscal year covered by the annual report the organization received gross revenue, exclusive of government grants and fees, in excess of the audit threshold established by section 21a-190c(b) of the Connecticut General Statutes; (E) any name, other than that provided in subparagraph (A) of this section, under which funds will be solicited; (F) whether the organization used the services of an outside fund-raising counsel or paid solicitor and the name and address of any fund-raising counsel or paid solicitor so used since the filing of the organization's last annual report; (G) whether the organization plans to use the services of an outside fund-raising counsel or paid solicitor in the next year and the name and address of the fund-raising counsel or paid solicitor; (H) any change in the organization's tax status with the United States Internal Revenue Service since the filing of its last annual report; (I) any significant change in the organization's purpose since the filing of its last annual report; and (J) whether the organization's right to solicit funds has been revoked, denied, suspended or enjoined by any state agency or by any court, or whether any such proceedings are pending and, if any of the foregoing occurred, a detailed statement of the circumstances; (2) A completed United States Internal Revenue Service Form 990, Form 990-EZ, or Form 990-PF, whichever is appropriate for the organization, with all applicable attachments, prepared according to United States Internal Revenue Service instructions except as follows: (A) All organizations are required to complete all parts, lines, columns and schedules of the United States Internal Revenue Service forms; and (B) labor organizations may not file a United States Department of Labor Form LM-2 or LM-3 as a substitute for any part of Form 990 or Form 990EZ; (3) An audit report, if one is required by section 21a-190c(b) of the Connecticut General Statutes; and (4) The fee or fees prescribed by section 21a-190c of the Connecticut General Statutes.