Page 5 - AL POST 390 - 2022 SOLICITATION OF CONTRIBUTIONS ANNUAL RENEWAL

DTN: 3674197 License#: CH60731

CERTIFICATION
I certify the following: (Please check all that apply)
11 I certify that I am authorized to complete this application and the infoi.mation provided is true and accurate.

H I certify that the above-named charitable organization or sponsor received less thail $25,000 in total revenue (including contributions).
IJ I certify that the fundraising activities of the above-named charitable organization or sponsor are carried on by volunteers. members, or
officei.s who are not compensated and no part of the assets or income of the organization or sponsor inures to the benefit of or is paid to any
officer or member of the above-named charitable organization or sponsor.
I

I certify that the above-named charitable organization or sponsor does not utilize a professional fundraising consultant, professional
solicitor, or commercial co-venturer

If all of the above are not certified, FDACS-10100, Solicitation of Contributions Registi.ation Application, Rev.1 I/21 must be completed.

Signature Printed Name

Title Date

Telephone Number Email Address

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