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The Georgia S200 form is a crucial document for any paid solicitor looking to conduct charitable solicitations within the state. This form is part of the compliance requirements established under the Georgia Charitable Solicitations Act, which aims to regulate fundraising activities and ensure transparency. To properly complete the S200 form, solicitors must provide essential information, including the names and addresses of both the paid solicitor and the charitable organization they represent. Additionally, the form requires details about the solicitation campaign, such as start and end dates, and whether the paid solicitor will handle contributions directly. Attachments play a significant role in this process; a copy of the contract between the paid solicitor and the charity, a full description of the charitable program, and a list of solicitation locations must all accompany the form. A filing fee of $15 is also required, which is non-refundable. It is important to note that solicitors may not begin fundraising activities until the S200 form is filed with the Secretary of State. Failure to comply can lead to serious consequences, including sanctions and penalties. Understanding these requirements is essential for ensuring that fundraising efforts are conducted legally and ethically.

Georgia S200 Example

Professional Licensing Boards and Securities

Division

237 Coliseum Drive

Macon, GA 31217-3858

(478)207-2440

http://www.sos.state.ga.us/securities/

Brian P. Kemp

Secretary of State

Georgia Charitable Solicitations Act

Solicitation Notice

Eric R. Lacefield Division Director

Filing Instructions

1.Complete form in full

2.Attach a copy of contract between paid solicitor and charitable organization

3.Attach filing fee payable to the Secretary of State in the amount of $15.00 (non refundable)

4.Submit end of campaign financial report as prescribed by OCGA 43-17-3(g)

WARNING: A paid solicitor may not solicit charitable contributions in the State of Georgia until this notice is properly completed including attachment(s) and filed with the Secretary of State pursuant to OCGA 43-17-3(f). Failure to file this notice may subject the paid solicitor to sanctions and penalties provided for the in the Georgia Charitable Solicitations Act of 1988, as amended.

1.

Name and Address of Paid Solicitor

Contact Person:

 

 

 

Telephone #:

 

 

 

SOS

 

 

Registration Number

 

 

 

 

2.

Name and Address of the Charitable Organization

Contact Person:

 

 

 

Telephone #:

 

 

 

SOS

NOTE: If charity is exempt from registration with the Secretary of State, please

Registration Number

 

indicate the basis for the exemption

 

 

3.Date Solicitation Campaign will begin:

4.Date Solicitation Campaign will end:

5.Will the Paid Solicitor, at any time, have custody of contributions?

Yes

No

6.The following documents must be attached to this notice:

a.copy of the solicitation contract

b.full and fair description of the charitable program for which the solicitation campaign is being performed.

c.list of the locations and telephone numbers from where the solicitations will be conducted

d.the name and residence address of each person responsible for directing and supervising the conduct of the campaign

The undersigned, on behalf of the paid solicitor, represents that the information and statements contained herein including the exhibits attached hereto, and other information files herewith, all of which are a part hereof, are current, true and complete.

Authorized Signature:

Print Name and Title of Person Signing:

FORM S200 REVISED AUG 2012

Document Breakdown

Fact Name Fact Description
Governing Law The Georgia S200 form is governed by the Georgia Charitable Solicitations Act.
Filing Fee A non-refundable filing fee of $15.00 is required when submitting the form.
Submission Address Submit the form to the Professional Licensing Boards and Securities Division at 237 Coliseum Drive, Macon, GA 31217-3858.
Contact Information Include the name, address, and phone number of both the paid solicitor and the charitable organization.
Campaign Dates Specify the start and end dates of the solicitation campaign.
Custody of Contributions Indicate whether the paid solicitor will have custody of contributions during the campaign.
Required Attachments Attach the solicitation contract, a description of the charitable program, and a list of solicitation locations.
Exemption Information If the charity is exempt from registration, provide the basis for this exemption on the form.
Sanctions for Non-Compliance Failure to file the notice may result in sanctions and penalties under the Georgia Charitable Solicitations Act.
Signature Requirement The form must be signed by an authorized representative of the paid solicitor, affirming the accuracy of the information provided.
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