Professional Documents
Culture Documents
Sacramento, CA 94203-4470
j liberty
TO SOLICIT FOR CHARITABLE PURPOSES
WEBSITE ADDRESS:
Section 12599.1, California Government Code
11 Cal. Code Regs. section 308 .94/7
http:/lag.ca,ggy/charities/
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5005 545-0
Official Name and Address of Fundraising Counsel for
CF Registration Number FR0003321
Charitable Purposes:
Please indicate the name, address, and telephone number of the person responsible for directing and supervising the
work of the fundraising counsel for charitable purposes under the contract: RECEIVED
I certify Unfier penalty of perjury that I am authorized to sign this form and that the information provided herein,
includiffabttachments, is true and complete to the best of my knowledge and belief.
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