State of Utah Department of Commerce FRANCINE A. GIANI THOMAS A. BRADY DANIEL Executive Director Deputy Director Director, Division of Consumer Protection GARY R. HERBERT Governor SPENCER J. COX Lieutenant Governor September 15, 2017 SARAH KLETNER CENTER FOR PUBLIC INTEGRITY 202.848.1249 Subject: Request for Information Dear Ms. Kleiner: The Utah Division of Consumer Protection has received your request of September 13, 2017 for records related to Residential Programs and Outreach Calling, speci?cally documents containing registration information. The Division understands you to be seeking records from the past ?ve years. Your request has been considered under the Utah Government Records Access and Management Act Utah Code et seq., as amended Your request has been granted. Please ?nd the Professional Fundraiser Permit Application Forms submitted by both organizations to the Division over the past ?ve years attached. Sincerely, 93M DAVID J. PIERSON Records Of?cer Utah Division of Consumer Protection 160 East 300 South, Box 146704. Salt Lake City. UT 84114-6704 telephone (801) 530-6601 facsimile (801) 530-6001 wrvw.dep.umh.gov I a . vn-r I H. I :1 a 1 "w It?d "In" nu, ?tailAIE TAFH a II .7. a a m. ha": an: armMMERCE I a u. a CGNSUME I.41 r??h?llgIEHN 11EFFECTIVE DATE: 20 2013 d. .4 1. h. EXPIRHIDN DATE: . 4 J. 1 .. ISSUEDTO01.. I I .4 9"4h. in"? n-r 6? lrgDETAILS) 1 3532243-FFRO 4 Professional: Fund Raiser 149.64- ?lwduou Director, Divisiqn of Consumer Protection 0. 3-. STATEMENT: THE STATE OF UTAH DOES NOT WARRANT THAT THE INFORMATION CONTAINED ON THIS CERTIFICATE IS TRUE . wec?x_ I. .1. . an?. 5?4. ?Iz/u (hr 1v:- ?a n. 5 State Of Utah DEPARTMENT OF COMMERCE DIVISION OF CONSUMER PROTECTION RECEIVED DEC 2 6 2012 DIVISION OF PROFESSIONAL FUND RAISER, CONSUMER PROTECTION PROFESSIONAL FUND RAISING COUNSEL, PROFESSIONAL FUND RAISING CONSULTANT PERMIT APPLICATION FORM OFFICE USE ONLY Date Issued: 16 Permit Number: 757/Zi/f Annual Application fee: $250.00 (Non-refundable) Approved: Outreach Calling Applicant?s Name Denied: Expiration: 10l29l201 2 Date of Application Please Indicate whether this IS an applIcatIon for an Initial or renewal registration INITIAL [x1 RENEWAL APPLICATION APPLICATION Please IndIcate the type of application 3 PROFESSIONAL FUND RAISER PROFESSIONAL FUND RAISING COUNSEL PROFESSIONAL FUND RAISING CONSULTAD ?m8? ?f??mmer?e 5an and Enforcement System If you have any questIonS, please contac 3ayer OUTREACH CALLING INC er ID TermmallD Please make applicatlon fee check or monej User mcorak Please return the completed I Date 120612012 . Department Of Check $250 00 of Consum 160 East 300 Amount Due $250 00 Box 1467 Amount Paid $250 00 Salt Lake Clty Utah Receipt 5060444 April 2010 Due date 01/18/2013 See Instructions for Professional Fund Raiser, Professional Fund Raising Counsel, Professional Fund Raising Consultant Permit Application Form. PART I: IDENTIFICATION 1 Applicant?s Name. Outreach Calling 2 Other Names that Applicant Uses none 3 Applicant?s Street Address 200 S. Virglnia Street, 8th Floor Street Reno, NV 89501 City State Zip Code Telephone Number 775'322'9992 FaCSimile Number 775-332-9991 Contact Person?s Mailing Address clo Copilevitz 8. Canter, LLC 310 West 20th Street, Smte 300 Street Kansas City. MO 64108 City State Zip Code Telephone Number 315-472-9000 Facsn'mle Number 315472'5000 4 Type of Organization IndiVidual Partnership Limited Liability Company Assomation Corporation Jomt Venture Other 5 Contact Person Parker, Legal Assmtant Telephone Number 31547243000 6 List the Applicant?s busmess, occupation, or employment for the three (3) year period immediately preceding the date of this application Telemarketing semces to charitable organizations PART II: VENDING ENDING DEVICE DECAL 1 Are vending dances/decals to be utilized by Applicant? Yes No If "yes", complete this Part If go to Part 2 Indicate type of deVice none ts.) 3 Please explam the ?nanc1al arrangement With each charitable organization with regards to the vending deVice/decal none none 4 Please indicate the length of tune that the vending devnce be utilized, the type of vending deVice. and the number of dev1ces utilized for each charitable organization Name of Expiration Type of Number Charitable Organization Date Date DeVIce of Dev1ces none none none none 5 Please list the location(s) of the vending dev1ce(s) none none PART CHARITABLE ORGANIZATIONS 1 Please prov1de the name and address of each charitable organization utilizmg Applicant?s serwces during application period American Assocmtlon for Cancer Support. Inc American Foundation for Disabled Children, Inc. Name Name 2210 Country Brook Lane 84 New Dorp Plaza. Suite 207 Address Address Knoxwlle, TN 37921 Staten Island, NY 10306 City State/Zip Code City State/Zip Code Contract Effective Date 7101(2012 Contract Effective Date 710112010 Contract Expiration Date' 6/30!2015 Contract Expiration Date 6I3012015 Breast Cancer Survivors Foundation. Inc. Cancer Fund of America. Inc. Name Name 18851 NE 29th Avenue, Suite 700 2901 Breezewood Lane Address Address Aventura, FL 33130 Knoxville, TN 37921 City State/Zip Code City State/Zip Code Contract Effective Date 91152010 Contract Effective Date 711512010 Contract Expiration Date 911412015 Contract Expiration Date 711412013 Center for American Homeless Veterans, Inc Childhood Leukemia Foundation, Inc. Name Name 210 East Broad Street, Suite 202 607 Mantoloking Road, Suite 202 Address Address Falls Church, VA 22045 Brick, NJ 08723 City State/Zip Code City State/Zip Code Contract Effective Date: 44030011 Contract Effective Date 3101120212 Contract Expiration Date 711412016 Contract Expiration Date 212812015 Disabled Police and Sheriffs Foundation, lnc. Fire?ghters Support Foundation, Inc Name Name 23 Teaberry Drive 40 School Street, Smte 10 Address Address Chepachet, RI 02814 Green?eld. MA 01301 City State/Zip Code City State/Zip Code Contract Effective Date 710112010 Contract Effective Date 710112010 Contract Expiration Date 613012015 Contract Expiration Date' 613012015 2 Attach a copy of all contract agreements With each charitable organization usmg Applicant's serVices NOTE Renewal applications should include copies of current contracts PART IV: PROFESSIONAL FUND RAISER 1 Is Applicant a Professional Fund Raiser" Yes No If ?yes", complete this Part If go to Part 2 State the purpose of the solic1tation and use of the contributions to be solic1ted for each charitable organization. General charitable purpose of the indiVIdual organizations. 3 Please check each of the applicable methods by which Will be conducted and indicate the prOJected length of time that the soliCitation Will be conducted for each charitable organization A response such as ?see contract" is not acceptable Method of Dates of Dates of Solic1tation Conunencement/Tennination Commencement/Termination telephone 00-60019 Year-Round sell advertismg direct mail sell coupon door-to-door sell other item 1 speCIal events other (explain) 1 show or performance 3. Please explain the ?nancial arrangement with each charitable organization with regards to the vending device/decal none 4. Please indicate the length of time that the vending device will be utilized, the type of vending device, and the number of devices utilized for each charitable organization. Name of Beginning Charitable Organization Date Date none none 5. Please list the location(s) of the vending device(s). none Expiration Type of Number Device of Devrces none none none PART CHARITABLE ORGANIZATIONS 1. Please provide the name and address of each charitable organization Applicant?s servrces during this application period' Healing Heroes Network, Inc. International Union of Police Associations, Name Name 31840 US Highway 19N.. Suite 2 154B Ringling Blvd., 6th Floor Address Address Palm Harbor. FL 34684 Sarasota, FL 34236 City State/Zip Code City StatelZip Code Contract Effective Date: 210112012 Contract Expiration Date: 4130I2014 Kids Wleh Network, Inc. Contract Effective Date: 710112010 Contract Expiration Date: 6i30/2013 Law Enforcement Officers Relief Fund Name Name 4060 Louis Avenue 1549 Ringling Blvd. 6th Floor Address Address Holiday. FL 34691 Sarasota, FL 34236 City State/Zip Code City State/Zip Code Contract Effective Date: 410112010 Contract Expiration Date' 3l31!2015 Contract Effective Date: 2?0112011 Contract Expiration Date: ?3112016 National Vietnam Veterans Foundatlon, Inc. Optlmal Medical Foundation. Inc. Name Name 1015 N. Pelham Street 43525 Gallegos Avenue Address Address Alexandria. VA 22304 Fremont, CA 94539 City State/Zip Code City State/Zip Code Contract Effective Date: 010112010 Contract Effective Date: 210112011 Contract Expiration Date' 513112015 Contract Expiration Date: 113112014 Reserve Police Officers Aeeoclatlon United Breast Cancer Research Soclety. Inc Name Name 89 Rockland Avenue 325 Pennaytvanla Avenue SE Address Address Yonkers. NY 10705 Dc 20003 City StatelZ1p Code City State/Zip Code Contract Effective Date: 710112010 Contract Effective Date. 511512011 Contract Expiration Date: 013012015 Contract Expiration Date: 511412016 2. Attach a cepy of all contract agreements with each charitable organization using Applicant?s serwces. NOTE. Renewal applications should include copies of cur rent contracts. PART IV: PROFESSIONAL FUND RAISER I Is Applicant a Professional Fund Raiser? Yes No If ?yes?, complete this Part If go to Part V. 2. State the purpose of the solicnation and use of the contributions to be solicited for each charitable organization General charltable purpose of the organlzatlona. 3. Please check each of the applicable methods by which solicitations will be conducted and indicate the projected length of time that the solicitation will be conducted for each charitable organization. A response such as ?see contract? is not acceptable. Method of Dates of Dates of Solicntatlon Commencement/Termination Commencement/Termination telephone On-Golng 1 Year-Round sell advertising 1 direct mail 1 sell coupon door-to-door 1 sell other item 1 special events I other (explain) 1 show or performance 1 1 Woman to Women Breast Cancer Foundation, Inc. Name Name 4850 W. Oakland Park Blvd. Sulte 225 Address Address Lauderdale Lakes. FL 33313 City State/Zip Code City State/Zip Code Contract Effective Date: 5N1I2010 Contract Expiration Date: 5131I2015 Contract Effective Date. Contract Expiration Date: Name Name Address Address City StateIZip Code City State/Zip Code Contract Effective Date- Contract Effective Date' Contract Expiration Date: Contract Expiration Date: 2. Attach a c0py of all contract agreements with each charitable organization using Applicant?s NOTE: Renewal applications should include copies of current contracts. PART IV: PROFESSIONAL FUND RAISER 1. Is Applicant a Professional Fund Raiser? If ?yes?, complete this Part. If go to Part V. [x]ch 2 State the purpose of the solicitation and use of the contributions to be soliCIted for each charitable organization. General charitable purpose of the mnlzatlona 3. Please check each of the applicable methods by which solicitations will be conducted and indicate the projected length of time that the solicitation will be conducted for each charitable organization A response such as ?see contract? is not acceptable. Method of Dates of Dates of Solicitation Commencement/Termination CommencementITermmation telephone Year-Round sell advertising direct mail I sell coupon I door-to-door I sell other item I special events I other (explain) I show or performance I I 4 Indicate the followmg information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application A Name of Charitable Organization. American Association for Cancer Support, Inc. (1) Total amount of contributions prejectcd to be made as a result 5'000'00 of the solic1tation (2) Amount of antic1pated expenses of the solic1tation Applicant's fee Cost of collection 3 4,500.00 Salaries Other expenses explain (3) Total amount of contributions proiectcd to remain available to this charitable organization 3 500 00 [line (1) less ltne (4) Percentage of total contributions that are pro_]ectcd to remain available to this charitable organization 10 [line (3) diVided by line Name of Chantable Organlzatlon American for DisabIEd Inc. (1) Total amount of contributions prolected to be made as a result of the solic1tation (2) Amount of antic1pated expenses of the solic1tation Applicant?s fee 3 Cost of collection Salaries Other expenses explain (3) Total amount of contributions to remain available to this charitable organization. $170,000.00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization 10 [line (3) diVided by line 4. Indicate the following information concerning the Applicant?s revenue and expenses gnticipated dar'n the a lication rio for each charitable organization declared in this application' A. Name of Charitable Organization: Breast Cancer Survivors Foundatlon, Inc. (1) Total amount of contributions projected to be made as a result 35 2.500.000 00 of the solicitation (2) Amount of anticipated expenses of the soltmtation Applicant?s fee Cost of collection 2,250,000.00 Salaries Commissions Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization. 3 250.000 00 [line (1) less line (4) Percentage of total contributions that are prOjected to remain available to this charitable organization. 10 [line (3)d1vided by line B. Name of Charitable Organization: 08'1?" FUN Of America. (1) Total amount of contributions projected to be made as a result 550.000 00 of the solicitation (2) Amount ot?antictpated expenses of the solicitation Applicant?s fee Cost of collection 3 489,500 00 Salaries Commissions Other expenses explain 3 (3) Total amount of contributions projected to remain available to this charitable organization. 60,500 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 1 1 [ltne (3) divided by line 4. Indicate the following information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application. A. Name of Charitable Organization. Center for American Homeless Veterans. Inc. (1) Total amount of contributions projected to be made as a result 350,000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant's fee 5 Cost of collection 3: 315,000 00 Salaries Commissions Other expenses 3 explain (3) Total amount of contributions projected to remain available to this charitable organization 3 35,000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 10 [line (3) divided by 111160)] B. Narne of Charitable Organization: ChildhOOd FOUHda?on, Inc. (1) Total amount of contributions projected to be made as a result 250 000.00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant's fee Cost of collection Salaries Commissions Other expenses explain 212 500 00 9999596659 (3) Total amount of contributions projected to remain available to this charitable organization. 55 37.500 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 15 [line (3) divided by line l0 4. Indicate the following information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application. A. Name ofCharitable Organization. Disabled Pollee and Foundatlon. Inc (1) Total amount of contributions projected to be made as a result 500-000 00 of the solicitation (2) Amount of anticipated expenses of the Applicant?s fee 3 Cost of collection SBWO Salaries Commissions Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization. 75.000 00 [line less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 15 [line (3) divided by line . Name of Charitable Organization. Support Foundation. Inc (1) Total amount of contributions projected to be made as a result of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection 3,150,000 00 Salaries Commissions Other expenses explain (3) Total amount of contributions projected to remain available to 3 3,500,000 00 this charitable organization. 3 350,000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 10 [line (3) divided by line li 4. Indicate the following information concerning the Applicant?s revenue and expenses anticipated during the application mnod for each charitable organization declared in this application: A. Name of Charitable Organization: Heallno Heroes Network. Inc. (1) Total amount of contributions projected to be made as a result 3 25.000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee 1; Cost of collection 22.500 00 Salaries Commissions Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization 3 2,500 00_ [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 10 [lme (3) divrded by line B. Name ofCharitable Organization: tnternatlonal Unlon of Police Associations, AFL-CIO (1) Total amount of contributions projected to be made as a result 3 1.350.000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection 3 1 215,060 00 Salaries Commissions Other expenses 3 explain (3) Total amount of contributions projected to remain available to this charitable organization. 135,000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 10 [line (3) divided by line 4. Indicate the following information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application: A. Name of Charitable Organization Kid? Wl?h Network, Inc. (1) Total amount of contributions projected to be made as a result 325.000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Commissions Other expenses explain 726,000 00 6999999595 (3) Total amount of contributions projected to remain available to this charitable organization. 3 99.000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 12 [line (3) divided by line B. Name of Charitable Organization: LOW Office? Fund (1) Total amount of contributions projected to be made as a result 225,000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant's fee Cost of collection 202,500 00 Salaries Commissions Other expenses explain (3) Total amount of contributions prOJected to remain available to this charitable organization. 22,500 00 [line (1) less line (4) Percentage of total contributions that are pr0jected to remain available to this charitable organization. 10 [line (3) divided by line 4. Indicate the following information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application: A. Name ofCharitable Organization. National Vletnem Veterans Foundetlon, Inc (1) Total amount of contributions projected to be made as a result 25300900 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee 3 Cost of collection 3 1,730.03) 00 Salaries Commissions Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization. 220.000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 1 ?l [line (3) divided by line Name of Charitable Organization: Optlmal Inc. (1) Total amount of contributions projected to be made as a result 15 325,000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection 3 292 590 00 Salaries Commissions Other expenses 5 explain (3) Total amount of contributions prejected to remain available to this charitable organization 32.500 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 10 [line (3) dwided by line 4. Indicate the following information concerning the Applicant's revenue and expenses anticipated during the application period for each charitable organization declared in this application' A. Name of Charitable Organization: Officers Msoc'a?on (1) Total amount of contributions projected to be made as a result 450.000_00 of the solicrtation (2) Amount of anticipated expenses of the solicitation Applicant's fee :3 Cost of collection 3 382.500 00 Salaries Commissrons Other expenses 3 explain (3) Total amount of contributions projected to remain available to this charitable organization :5 67,500 00 [line (I) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. 15 [line (3) divided by line 3. Name of Charitable Organization: United Breast Cancer Research Society, Inc. (1) Total amount of prejected to be made as a result 275,000 00 of the solicitation (2) Amount of expenses of the solicitation Applicant?s fee Cost of collection Salaries Commissions Other expenses explain Tame 9569996669 (3) Total amount of contributions projected to remain available to this charitable organization. 3 27.500 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization 10 [line (3) drvided by line 16 4. Indicate the followmg information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application: A Name of Charitable Organization: Woman to Woman Breast Cancer Foundation, Inc. (1) Total amount of contributions projected to be made as a result of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Commissions Other expenses explain 99699969? (3) Total amount of contributions projected to remain available to this charitable organization. [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization. [line (3) divided by line B. Name of Charitable Organization. W00 3,500,000 00 350,000 00 10 (1) Total amount of contributions projected to be made as a result of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Commissions Other expenses explain ace-emcee; (3) Total amount of' contributions projected to remain available to this charitable organization. [line l) less line (4) Percentage of total contributions that are pnojected to remain available to this charitable organization. [line (3) divided by line 5 Are the amounts to be earned or received by as set forth above based on a ?at fee arrangement? Yes No If ?yes?. explam the facts that support the reasonableness of the fees to be pald by each charitable organizatlon declared 1n none 6 Please provrde the followmg summary for all contnbutlons collected or received w1thln the calendar year Immedlatelv precedlng the date of this applicatlon A Name of Chantable Orgamzatlon American Association for Cancer Support, Inc (1) Total amount of contnbutlons collected or recelved by Applicant from Utah sources 0 00 (2) Total amount of collected or recelved by Apphcant from all Donors [Including [me 0 00 (3) Amount of expenses made from or the use made of the contnbutlons Collected or received by Applicant fee Cost of collectlon Salaries Other expenses Explain Total Expenses 35 0-00 9999999999 Name of Chantable Orgamzation American Foundation for Disabled Children, Inc. (1) Total amount of contributlons collected or received by Applicant from Utah sources 3; 1,825.00 (2) Total amount of contnbutlons collected or recelved by from Donors [mcludmg line 1,657,755.00 (3) Amount of expenses made from or the use made of the Collected or by Applicant?s fee Cost of collectlon 1,492,000.00 Salaries Other expenses 3 ExPlaln Total Expenses 9.4910003!) 7 If applicable, state the total cost of product 17 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application. none 6. Please provide the following accounting summary for all contributions collected or received Within the calendar year ImmediaLely preceding the date of this application. A Name ofCharitable Organization: Breast Cancer Survlvors Foundation. Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources. 1,925 00 (2) Total amount of contributions collected or received by Applicant from all Donors [including line 2,456,621 44 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 2,210,959.30 2,210,959 30 9999696969 B. Name of Charitable Organization. Cancer Fund of America. Inc 1) Total amount of contributions collected or received by Applicant from Utah sources 419 00 (2) Total amount of contributions collected or received by Applicant from at Donors [including line 531,610 22 (3) Amount of expenses made ?'om or the use made of the contributions Collected or received by Applicant. Applicant's fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 473133 10 473,133.10 999969959!- 7. If applicable, state the total cost of product. 3 18 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6. Please provide the following accounting summary for all contributions collected or received within the calendar year immediately preceding the date of this application: A, Name ofCharitable Organization: Center for American Homeless Veterans. Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources. 1 254 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 339 160.05 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee 3 Cost of collection 305,244 05 Salaries Commissions Other expenses 35 Explain Total Expenses 305,244.05 B. Name ofCharitable Organization: Childhood Leukemia Foundation. Inc (1) Total amount of contributions collected or received by Applicant from Utah sources. 0.00 (2) Total amount of contributions collected or received by Applicant from p? Donors [including line 243,999.33 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 207,399 43 207.399 43 0966999999 7. If applicable, state the total cost of product. 3 19 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement?? Yes No If ?yes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please prowde the followmg accounting summary for all contributions collected or received Within the calendar year immediately preceding the date of this application A Nan?le 0i Chantable Orgamza?uon Disabled Police Officers of America, Inc (1) Total amount of contributions collected or received by Applicant from Utah sources 0 (2) Total amount of contributions collected or received by Applicant from all Donors [including line 0 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee $0 Cost of collection $0 Salaries $0 Comm15510ns 0 Other expenses $0 ExPlain_ Total Expenses 0 Name of Charitable Organization (1) Total amount of contributtons collected or received by Applicant from Utah sources (2) Total amount of contributions collected or recewed by Applicant from a_ll Donors [including line (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Other expenses Explain Total Expenses 6966999966 7 If applicable. state the total cost ofproduct 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application. none 6 Please provrde the following accounting summary for all contributions collected or received within the calendar year immediatelv preceding the date of this application: A. Name of Charitable Organization. 00'0? Dl?b?t? Foundation. Inc (1) Total amount of contributions collected or received by Applicant from Utah sources. 1 ,037 00 (2) Total amount of contributions collected or received by Applicant from all Donors [including line 482,028.04 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 409,723 83 409,723.83 9559699599 B. Name of Charitable Organization Dleabled Police and Sherl??e Foundatlon. Inc. Total amount of contributions collected or received by Applicant from Utah sources 0.00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [Including line 327,282 07 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 294.553 85 294,553.86 959999-5969 7. If applicable, state the total cost of product 20 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application. 6. Please provide the following accounting summary for all contributions collected or received Within the calendar year immediater preceding the date of this application: A. Name of Charitable Organization: Fire??h?m Support FOUMMIOH- Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources 3M (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 3,463,194 15 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Name of Charitable Organization: Heating "07?08 Inc. 3 3,116,874 74 Total Expenses 3.115.374 74 (1) Total amount of contributions collected or received by Applicant from Utah sources 000 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 000 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain 7. If applicable, state the total cost of product. 21 6959995999 Total Expenses 35 0 00 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application. 6. Please provide the following accounting summary for all contributions collected or received wrthin the calendar year immediatelv preceding the date of this application. A. Name ofChaJ-itab]e Organization; lntornatlonal 0f POIIGO AFL-CIO 1) Total amount of contributions collected or received by Applicant from Utah sources 3,619 00 (2) Total amount of contributions collected or received by Applicant from Donors [including line 1,332,111 43 (3) Amount of expenses made ?'om or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissrons Other expenses Explain Total Expenses 33 1.193.900 29 1,198,900 29 cams-oases B. Name of Charitable Organization: Wish Network, Inc. (1) Total amount of contributions collected or received by Applicant ?'om Utah sources. 0.00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 801,918 23 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection 705,688 04 Salaries Commissions Other expenses Explain Total Expenses 705,688.04 7. If applicable, state the total cost of product. 22 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application. 6 Please provide the following accounting summary for all contributions collected or received within the calendar year rmmediatelv preceding the date of this application: A. Name of Charitable Organization: Law Enforcement Officer. Rellef Fund (1) Total amount of contributions collected or received by Applicant from Utah sources. 11083.00 (2) Total amount of contributions collected or received by Applicant from a_l_l Donors [including line 3 214.497 33 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee 3 Cost ofcolleetion 103,043 00 Salaries Commissions Other expenses 3 Explain Total Expenses 193,048 09 B. Name of Charitable Organization: Natlonal Vietnam Veterans Foundation. Inc. (I) Total amount of contributions collected or received by Applicant ?'om Utah sources 1,072 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 1,945,900.46 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant's fee Cost of collection Salaries Other expenses Explain Total Expenses 1,731,851 41 1,731,851 41 999995-9966 7. If applicable, state the total cost of product. 23 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6. Please provide the followmg accounting summary for all contributions collected or received within the calendar yea immediately pgeceding the date of this application. A. Name of Charitable Organization: Optimal Medlcal Foundation. Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources. 0 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 313.176 49 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 3 281.858 84 281.858 84 Ha??i? Name of Charitable Organization: Reserve Police Of?cers Assoclatlon Total amount of contributions collected or received by Applicant from Utah sources 165 00 (2) Total amount of contributions collected or received by Applicant from a? Donors [including line 429,768 76 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Other expenses Explain Total Expenses 365.303 45 365,303 45 6995596999 7. If applicable, state the total cost of product. 24 5. Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If "yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6. Please provide the following accounting summary for all contributions collected or received within the calendar year immediatelv preceding the date of this application A Name ofCharitable Orgamzauon: United Breast Cancer Society, Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources. 757.00 (2) Total amount of contributions collected or received by Applicant from a? Donors [including line 262,527 68 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 236,274 91 ?74 19"? 5699999999 B. Name of Charitable Organization: Woman to Woman Breast Cancer Foundation. Inc 1) Total amount of contributions collected or received by Applicant from Utah sources. 927 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 3,332,655 97 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee 3 Cost of collection $m7 Salaries Other expenses Explain Total Expenses 2,999,390 37 7 If applicable, state the total cost of product 25 PART V: PROFESSIONAL FUND RAISING COUNSEL OR CONSULTANT 1 Is Apphcant a Professwnal Fund Ralsmg Counsel or Professronal Fund Ralsing Consultant?? Yes No If "yes?, complete this Part If go to Part VI Ix.) State the purpose of the plan, management. admse, counsel or preparation of matenals for, or respect to the and use of the contnbutlons to be sohcrted for each chantable orgamzatlon none 3 Please check each of the applicable methods by the plan. management. counsel. or preparatlon of matenals be orgamzed or coordmated and the length of tune of the sol1c1tatlon for each charitable organizatlon Method of Dates of Sohc1tatlon Commencement/Tenmnatnon consultmg none Plannmg none dlrectmg/schedulmg none prov1d1ng promotlonal matenals other servrces unne_ (explam) 4 Indlcate the followmg Informatton concermng the Apphcant?s revenue and expenses anticipated during the penod for each chantable orgamzatlon declared [1115 apphcatlon A Name of Chantable Orgamzatlon None (1) Total amount of fees prOJected (2) Total amount of expenses (3) Total net fees that are protected to be earned or recelved by Applicant [lme (1) less lme Name of Chantable Organlzatlon None (1) Total amount of fees prOJected (2) Total amount of Applicant?s ant1c1pated expenses (3) Total net fees that are to be earned or recelved by [lme (1) less lme 26 5 Are the amounts to be earned or received by as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explam the facts that support the reasonableness of the fees to be pald by each chantable orgamzatlon declared 1n tlus none 6 Please prov1de the followmg accounting summary for all contnbutlons collected or received by the withm the calendar year immedlately precedmg the date of tlus apphcatron A Name of Charltable Orgaruzatlon None (1) Total amount of fees earned or recewed by (2) Total amount of expenses made from fee of payees Amounts Paid Total Expenses (3) Net fees earned or recewed by Applicant [lme (1) less lme Name of Chantable Orgamzatlon None (1) Total amount of fees earned or recelved by Applicant (2) Total amount of expenses made from Applicant?s fee List of payees Amounts Pad 35 Total Expenses (3) Net fees earned or recelved by [lme (1) less [me 27 PART VI: HISTORY LISI all prevrous or licenses by state and date of Issuance Ili' Il=- tlzr-EH und" 2 Has there been any Judgment, or order by a federal. state, or local agency agamst the Yes N0 3 Has the been conVICted of any cnme mvolvmg moral turpltude'? Yes No If ?yes". please explam 1n detarl mcludmg nature of proceeding. date, locatlon and current status Please provrde a copy of the order none 4 Has there been any Injunctlon, Judgment, or order or of any crlme mvolvmg moral turpltude respect to any of?cer, dlrector, manager, operator, or pnncipal of the Yes No If ?yes?. please explam 1n detarl mcludmg nature of proceedmg, date, locatron and current status Please provrde a copy of the order none PART VII: ORGANIZATION IDENTIFICATION 1 Provide the followmg Informatlon for Applicant's Reglstered Agent Greg Lam Name 31?! Street Address MM City State er Code MB MD Telephone Number Facsunrle Number 2 the followmg Informatlon concemrng the Apphcant?s partners, of?cers and d1rectors E1332 tat?(kiwi Telephone Number See "List of Shareholders" See a?achment "List of Of?cers and Directors" 28 PART SOLICITING WITHOUT PERMIT 1 If this IS an initial application or a renewal application a?er the applicant has let its pennit expire. has the applicant cenducted actiwties regulated by the Charitable Solicitations Act, Utah Code Title 13, Chapter 22. WlthO'Jt being duly registered the DIVISIOHO Not Applicable. This IS not an initial application, nor has the applicant allowed its perrnit to eXpire This includes prov1ding fund raismg, fundraismg counsel or consultant serVices, planning, managing, advising, counseling, consulting, preparing material, or coordinating and scheduling solic1tations (including direct mail, telephonic, and email solic1tations) on behalf of any charitable organization into the state of Utah Yes ]No 2 If ?yes?, please explain in detail, including the name of the charitable organization, the dates involved, and the method of the solic1tation Not Applicable; This is not an initial application, nor has the applicant allowed its permit to expire. PART IX: SIGNATURE I ACKNOWLEDGEMENT By Signing this application, the profeSSional fund raiser, profeSSional fund raismg counsel, or professmnal fund raismg consultant - af?rms that this application is complete and not misleading, and - acknowledges that fund raising in Utah Will not commence until both the charitable organization, its parent foundation, if any, and the professwnal fund raiser or professmnal ?Jnd raismg counsel or consultant are registered and in compliance With the Utah Charitable Solicitations Act DATED 1 APPLICANT BY ?ll/977% ?Tfs 29 Outreach Calling Attachment referenced In question VI 2 List of Shareholders Damian 100% Shareholder 200 Street 8th Floor Reno. NV 89501 bl. FEIN: 27-091 5392 Outreach Calling 27-0915392 Attachment referenced in question Ill 1 List of Agreements with Charitable Organizations American Assoaation for Cancer Support. Inc . 2210 Country Brook Lane. Knoxwlle. TN 37921 Campaign Penod 07-24-2012 to 06-30-2015 American Foundation for Disabled Children. Inc . 84 New Dorp Plaza, 207. Staten Island. NY 10306 Campaign Penod 07-01-2010 to 06-30-2015 Breast Cancer Survivors Foundation, Inc . 18851 NE 29th Ave Ste 700. Aventura. FL 33180 Campaign Period 09-15-2010 to 09-14-2015 Cancer Fund of America, Inc . 2901 Breezewood Lane. Knoxv?le. TN 37921 Campaign Penod 12-01-2010 to 07-14-2013 Center for Amencan Homeless Veterans. Inc. 210 East Broad Street. Sune 202, Falls Church. VA 22046 Campaign Penod 05-18-2011 to 07-14-2016 ChIldhood Leukemla Foundation. Inc. 807 Mantoloking Rd 202. Brick. NJ 08723 Campaign Penod 03-05-2012 to 02-28-2015 Defeat Diabetes Foundation. Inc . 150 153rd Avenue. 300, Madeira Beach. FL 33708 Campaign Pernod 11-01-2010 to 11-30-2013 Disabled Police and Sheriffs Foundation. Inc. 23 Teaberry Dr. Chepachet. RI 02814 Campaign Period 08-05-2011 to 06-30-2015 Disabled Police Of?cers of America. Inc . 1697 Vine Ave . Niceville. FL 32578 Campaign Period 09-26-2010 to 06-30-2015 Fire?ghters Support Foundation. Inc .40 School Street. 10. Green?eld. MA 01301 Campaign Period 07-01-2010 to 06-30-2015 Healing Heroes Network. Inc . 31640 US Highway 19N . 2. Palm Harbor. FL 34684 Campaign Period 02-03?2012 to 04-30-2012 International Union of Police Assomations. AFL-CIO, 1549 Ringling . 6th Floor. Sarasota, FL 34236 Campaign Period 07-01-2010 to 06-30-2013 Kids Wish Network. Inc .4060 Lows Avenue. Holiday. FL 34691 Campaign Penod 04-01-2010 to 03-31-2015 Law Enforcement Officers Relief Fund. 1549 Ringling 6th Floor. Sarasota. FL 34236 Campaign Period 04-15-2011 to 01-31-2016 National Vietnam Veterans Foundation. Inc . 1015 Pelham Street. Alexandria. VA 22304 Campaign Penod 05-14-2011 to 05-31-2015 Optimal Medical Foundation. Inc . 43525 Gallegos Avenue. Fremont. CA 94539 Campaign Penod 03-05-2012 to 01-31-2014 Reserve Police Of?cers Assomation. 89 Rockland Avenue. Yonkers. NY 10705 Campaign Period 10-10-2010 to 06-30-2015 United Breast Cancer Research Society, Inc . 325 Avenue SE. Washington. DC 20003-1110 Campaign Period 08-08-2011 to 05-14?2016 Woman to Woman Breast Cancer Foundation. Inc .4850 Oakland Park Blvd. Sunte 225. Lauderdale Lakes. FL 33313 Campaign Period 06-01-2010 to 05?31-2015 Outreach Callmg FEIN 27-0915392 Attachment referenced question VI 2 List of O?icers and Directors Damian Presndent 200 Virginia Street 8th Floor Reno, NV 89501 775-322-9992 Outreach Calling FEIN 27-0915392 Attachment referenced questron V1 1 of States, Countres, and Crtres Where Regrstered Alaska Alaska Department Of Law. 1031 4th Ave . 200. Anchorage. AK 99501 Alabama Consumer Affairs Section, 500 Dexter Avenue. Montgomery. AL 36130 Arkansas Consumer Protection DiviSIon, 323 Center Street. 200 Tower Bldg. Little Rock, AR 72201 Arizona Secretary of State-Charities DiviSion, 1700 Washington St . 7th Floor. Phoenix. AZ 85007 California Registry Of Charitable Trusts, 1300 I Street, SUite 101. Sacramento, CA 95814 Colorado Office Of The Secretary 01 State. 1700 Broadway. 300. Denver. CO 80290 Connecticut Public Charities Unit, 165 Capitol Avenue. Hartford, CT 06106 Florida Divi3ion Of Consumer Services, 2005 Apalachee Parkway Tallahassee. FL 32399 Georgia Office Of The Secretary Of State. 237 Coliseum Drive. Macon. GA 31217 Hawaii Department of the Attorney General. 425 Queen Street, Honolulu. Hl 96813 ?More Charitable Trust Bureau. 100 Randolph St 11th Fl . Chicago. IL 60601 Indiana Consumer Protection Division, 302 Washington Street, 5th Floor. Indianapolis, IN 46204 Kansas Secretary Of State's Of?ce, 120 10th Ave . 1st Fl, Topeka. KS 66612 Kentucky Consumer Protection Divi3ion. 1024 Capital Center Drive Frankfort. KY 40601 Consumer Protection Section. 1885 3rd Street. Baton Rouge, LA 70802 Massachusetts Public Charities DiviSion, 1 Ashburton Place. Boston, MA 02108 Maryland Charitable Organization Divi5ion. 16 FranCIs Street. Annapolis. MD 21401 Maine Of?ce of Licensmg and Regulation, 122 Northern Ave. Gardiner. ME 04345 Michigan Charitable Trust Section, 690 Law Bldg, 525 Ottawa Street. Lansmg. Ml 48913 Minnesota Of?ce of the Attorney General/Charities. 445 Minnesota Street. SUite 1200. St Paul. MN 55101 Missouri Missouri Attorney General. 207 High Street, Jefferson City. MO 65102 Office Of The Secretary Of State. 700 North Street. Jackson. MS 39202-3024 North Carolina Secretary Of State, 2 South Salisbury Street. Raleigh. NC 27601 North Dakota Secretary Of State. 600 East Boulevard. Bismarck. ND 58505 New Hampshire Charitable Trusts Unit, 33 Capitol Street, Concord, NH 03301 New Jersey Office of Consumer Protection, 124 Halsey Street. 7th Floor. Newark. NJ 07101 New MEXICO Office of the Attorney General. 111 Lomas NW. SUite 300, Albuquerque. NM 87102 Columbus. Ohio Charitable Solioitations License Section. 750 Piedmont Road. Columbus. 01 43224 Ohio Charitable Foundation Section, 150 Gay Steet. 23rd Floor. Columbus. OH 43215 Oklahoma Oklahoma Secretary Of State. 2300 Lincoln . Room 101. Oklahoma City, OK 73105 Bureau Of Charitable Organizations, 207 North Office Budding. Harrisburg, PA 17120 Rhode Island Charrtable Organization Section. 1511 Pontiac Ave. 69-1. Cranston. RI 02920 South Carolina Office Of The Attorney General, 1205 Pendleton Street. Ste 525. Columbia. SC 29201 South Dakota Of?ce Of The Attorney General. 500 East Capitol. Pierre, SD 57501 Tennessee DiviSion Of Charitable Solioitations. 312 Rosa Parks Avenue, 8th Floor, TN 37243 Texas Statutory Documents. 1019 Brazos. Austin. TX 78701 Utah Divi3ion Of Consumer Protection, 160 East 300 South. Salt Lake City. UT 45804 Virginia Of?ce of Consumer Affairs. 102 Governor Street. Lower Level. Richmond, VA 23219 Vermont Of?ce Of The Attorney General. 109 State Street, Montpelier, VT 05609 Washington Charitable Solioitation DiViSion, 801 Capitol Way South, Olympia. WA 98504 Wisconsm Dept Of Regulation 8. Licensing. 1400 Washington Avenue. Madison. WI 53702 West Virginia Of?ce Of The Secretary Of State. 1900 Kanawha . East. Charleston. WV 25305 i? .. II IEI Fin?. ?a I 3 I ?I'm an I . I ,rullIl .m mun 1' Sui-J :4 33. 33?. 33.: 33:: +3.3in 3.1.?.3331331 4:313? 33:??333- 33.3: 33.. 43:: 433.133 I33 433. 3:3. I333 33.1.33. 333133: 33.113.331.33 3333'. 34: PM. .m rm.? [$1111 STATE 36F UTAH :34 3.3 ?34? '33 1.33.333. .3: 133mm .333?: IIH 33:33.3. 33.33:.? .33133332?1333 33.33133; 33:: 3311-334. 3:3: 333.33. 4. I'nl?h ?3:3 :"Ilh 1.".513 ?.343 :33 ?3441.3: 33: ?.31 3341-3 343:3? 333433434 .33 3?3 33'- :31 33 33? 33 334.33.: ?1.3-3.3 3.3.3 13:33? 33.433 33??43? .?33 :33? ?3343133 1?33??.?334 3.3333333 ?233.44" 3513-33334 1'33 .3 ?33 333 I33 '33: 3:133:11 ?1.21433". 4:33.. :33: 333.?: 4.. 33:. 43.3.3 333.3 433; 33. 3:113:31.? T3331 4.21.13.33.31m33 3431313 1.3313?Wr WEISWIIM Tm}. twrl??'w :11 ?it. 11??qu "u I7h.? ml" 6:11:11? ?13: 41111 In?ll :l?r?r .El' airjun-W ?i-niERI': Mali?. In Kym?? 1?1: 1m; ?"nFjH 1-3? II new II 1.. I mm" W13 3331?. 3 ?33:6 34. 1354.334- 31 31:. 334.13.? 9 3 tun? 1? :13 ?1th ?30135":33? "1m 3'11: .3- ISM .1111" 11:1111I5?111wg. 5 .??grrn; i?l'ri. Irv-1F? 25%? I131: 4433;. 111.1111 :11. 416:; at L- a n? {?1331 43 I133 133??:3 CALLENGINW .1 .3142 20033:? STRIISEJ w] 334% .3 131111 RENQ 1% 9591511.. 4 . 4- . 3331.3. . 1 ?m h. 33., i - 3.34:. 33.. 31.4333 3.33? 333' 33:4?: ?333:33.113. 33.1.3333. 33.1.33 ?354.3133" 1 33. l: 43 .415 ?HUI-:mrp? "55 Inland 11.,..33 an??k 51.8..er ll" 05..-. ?a ?Wm 'ld'u PIP 1 Id" at 1.111.. 1:4? 'l 411? In. I an; I: It'r 11 id 5. .. 14.13??: 9? II rt 5 REFERENCE LASSIFICATIONG) BETAIMS31.35. -. 3.33 .13 175721248 31Professional:Fund Raiser: .. 3 33': 4 - 3 '33? 4 3'34?" 3? 33?: . 3" 3?343.5 Ihrn' 11 In: - 1:3: .4: 1 '4 11 1-: 1?44lun.131 ?3311 1: :t 1 . 3 1:11:13" ImiiI ?1113!?: 451": 3411.1: Li 1 ?mgDlrector D1visioq1pr01TsurII1lerI ngtectiop . .. . 4 1 1 .. 4 "1:i'jTHIS ?In.111? TL ?1 31.11133 2.13:? .4 11111.3? l?State Of Utah mm DEPARTMENT OF COMMERCE JAN 0 7 2014 DIVISION OF CONSUMER PROTECTION OF CONSUMER PROTECTION PROFESSIONAL FUND RAISER, PROFESSIONAL FUND RAISING COUNSEL, PROFESSIONAL FUND RAISING CONSULTANT PERMIT APPLICATION FORM OFFICE USE ONLY Date Issued: Permit Number: Annual Application fee: $250.00 (Non-refundable) Approved: Outreach Calling Applicant?s Name Denied: Expiration: 10128f2013 Date of Application Please indicate whether this is an application for an initial or renewal registration INITIAL RENEWAL APPLICATION APPLICATION Please IndIcate the type Of applicatIOn PROFESSIONAL FUND KAISER PROFESSIONAL FUND RAISING COUNSEL mah PROFESSIONAL FUND RAISING CONSULTANT "Fame? 01' Cmmerce ensmg and Enforcement System . Payer OUTREACH awerID terminalld User mcorak If you have any questions, please contact the 13 Please make application fee check or money ordeu Please retum the completed application form so Date a 1 Department of Comm: 1 250 no 250' DivtSion of Consumer Pr: Check $250 I 160 East 300 Soutl Box 146704 Due 5250 I .. Salt Lake City, Utah 341 amp! 545;:sz Paid 5250 A. April 2010 Due date 1i18l'2014 COPILEVITZ CANTER, LLC ATTORNEYS AT LAW 310 20TH STREET SUITE 300 KANSAS CITY, MISSOURI 54MB (816)472?9000 - FAX {816) 4T2?sono . JAN 0 7 20M DIVISIGN 0H E- . . MS Mareta Corak Department of Commerce4 ofConsumer Prolecuon 160 East 300 South Box 146704 Salt Lake City, UT 841 14?6704 Re Outreach Calling 7572248-PFRO Dear MS Corak Enclosed please ?nd the above-referenced organtaatlon's completed Prol?esmonal Fund Ratscr. Prot'essmnal Fund Counsel, Prol?essmnal Fund Consultant Applaeatton Form, and the $250 00 fee Please renew the enclosed apphcahon and renew th1S organI/atlon?s as a prol'esslonal fund ralser w1th your of?ce Thank you, In advance, for your attentlon to matter Should you need any further 1nformatton, please do not hesnate to contact me Very truly yours, ?t a .1 Megan Parker Legal For the ?rm Enclosures Of?ce lg?? STREET 215, WASHINGTON. 203315 0 [202) 0 FAX [202) 331-934] See Instructions for Professional Fund Raiser, Professional Fund Raising Counsel, Professional Fund Raising Consultant Permit Application Form. PART I: APPLICANTS IDENTIFICATION 1 Applicant?s Name Outreach Calling 2 Other Names that Applicant Uses None 3 Street Address 200 S. Virginia Street, 8th Floor Street Reno, NV 89501 City State Zip Code Telephone Number 775422-9992 Faesmiile Number 775432$991 Contact Person?s Malling Address oi'o Copilevitz 8. Canter, LLC 310 West 20th Street. Suite 300 Street Kansas City, MO 64108 City State Zip Code Telephone Number 316472-9000 Faesmiile Number 315472-5900 4 Type of Organizatimi Indmdual Partnership Limited Liability Company Assoeiatwn Corporation Jomt Venture Other 5 Contact Person Megan Parker, Legal Assistant Telephone Number 816-472-9000 6 List the Applicant?s busmess, occupation, or employment for the three (3) year period inunediately preceding the date of this application Telemarketing-services to charitable organizations. PART II: VENDING DEVICEN ENDING DEVICE DECAL 1 Are vending derieesf decals to be utilized by Applicant? Yes No If ?yes", complete this Part If go to Part 2 Indicate type of dewce none 3 Please explain the ?nancial arrangement each charltable orgamzanon regards to the devrceldecal none 4 Please mdlcate the length of tune that the devrce be utilized, the type of devrce, and the number of dewces for each charltable organlzatlon Name of Beginning Expn'atron Type of Number Chantable Organrzatlon Date Date Dewce of Deuces none none none none none 5 Please list the locatlon(s) of the devrce(s) none PART CHARITABLE ORGANIZATIONS 1 Please provrde the name and address of each chantable orgamzatron Apphcant?s servrces dunner this pertod Please refer to attached list. Name Name Address Address Clty Statethp Code Ctty Stater'le Code Contract Effective Date Contract Effectrve Date Contract Explratlon Date- Contract Exprratton Date Name Name Address Address City State/Zip Code City StateIZIp Code Contract Effectwe Date Contract Effective Date Contract Expiratlon Date Contract Exprrahon Date Please refer to attached list. Name Name Address Address City State/Zip Code City State/Zip Code Contract Effective Date Contract E?ectlve Date Contract Explratron Date Contract Expiration Date Name Name Address Address City State/Zip Code City Stateerp Code Contract Effective Date Contract Effective Date Contract Explratlon Date Contract Expiraoon Date 2 Attach a copy of all contract agreements each chantable organlzatron using Apphcaot?s servrces NOTE Renewal applications should Include comes of current contracts PART IV: PROFESSIONAL FUND KAISER 1 Is Applicant a Professwnal Fund Ralser'lI If ?yes?, complete Part If go to Part [it] Yes No 2 State the purpose of the and use of the contnbutlons to be solicited for each charitable orga mzatlon General charitable purpose of the individual organizations. 3 Please check each of the applicable methods by Will be conducted and 1nd1cate the length of tune that the SOIICltathIl Will be conducted for each chantable organlzatlon A response such as ?see contract? 1s not acceptable Method of Dates of Dates of Commencement/Temnatlon Commencementhenmnatlon telephone (in-Going Year-Round sell d1rect mall sell coupon I door-to-door sell other Item I specral events other (explain) Show or performance I 4. Indicate the Fotlowing infmmatlon concerning the Applicant?s revenue and expenses antieigated (101 my. the application nenod to. each ehantabie organnratlon declared in this application A Name of Charitable Olganization. American Association for Cancer Support. Inc. I) l?olai amounted eonn {bullons p1 ejected to be made as a men]! 725.000 00 nf?lhe snhellallon (2.) Amount nfanhelpnled expenses of the Applicant?s fee 3 Cost of collection 652.500 00 Salaries Commissions Olhel expenses :5 explam (3) Total amount plnjected to lemaln available to this charitable organlzallon. 55 T2500 00 [line (I) less line (4) Percentage oftotal contnbullons that are [31 meeted to remain dV?ll?bIC to this charitable organization. 10 ?Vu [line (3) dwlded by [me Name cl Chal 0; American Foundation for Disabled Children. Inc (I) iotal amount projected to be made as a result 1,225,000 00 oflhe solicitation (2) Amount ofannelpaled expenses of the solacnanon Applicant?s fee Cost ofeolleetlnn 1.102.500 00 Saianes Othel expenses CXplaIn {195969-6959 (3) [oLaI anmunl of eontnbutlons proueeted lo remaln available to this chin liable organization 122.500 00 [line (I) less line (4) Peleentage of total conllibutions that are prejceled to ren'ualn available to 11115 chat ltable organization 10 Va [I1ne(3)dlwded by Ime 4 indicate the followmg information concerning the Applicant?s revenue and expenses anticipated during the application iod for each charitable organization declared 1n this application A Name of Charitable Organization Breast Cancer Survivors Foundallon. Inc. total amount of eontt Ibutions projected to be made as a result 3.600.000 00 ofthc solicitation (2) Amount of anticipated expenses ol'the sollettation Applicant's tee Cost of'eolleetion Salanes Commissnons Othel expenses explaln 3.240.000 00 6946559599? Fetal amount of eonn'ibutlons prolected to remain avallable to this chat itahle organisation. 360.000 00 lime less line Percentage of total contributions that are projected to remain available to this charitable organization 10 ?34: [line (3) dmded by line 8 Name ol'CharItable ()rganwatlon Cancer 0? America, inc (I) Total amount of contributions protected to he made as a result ESMQQE oi the soltettatlon (2) Amount of antielpatcd expenses of the solicttatton fee Cost ol collection .3 25100000 Salatles Commissuons (Jther expenses 35 explain (3) Total amount ol?eontnbuttons pIoIectcd to Iemaln available to th Is chat [table or gantzatton 00 lime (I) less line Percentage of total contributions that are ple?CE?d to lemain available to this charitable organization [line (3) clouded by (DJ 11 4 Indicate the following mf?olmatlon eoneet the Applicant?s revenUe and expenses anticipated during the apolleation period to: each charitable organwation declared in tl?lls applieatton A Name 0 Chan ":3th Organization Center for American Homeless Veterans, Inc. (I) l?otal amount of eontnbutions projected to be made as a result 33 2.225.000 00 of the soileitatlon Amount ol'antlelpated expenses orthe solicitation l3 Applicant?s l'ee Cost ol'eolleeuon 2.002.500 00 Salat les Commissions Other expenses 3 explain (3) Total amount of projected to remain available to this ehantable olgamzatlon ?me (1) less Ime (4) Peleenlage of total eontl tbutions that are plojected to I?emaln available to the charitable organization [lune (1) divided by line Name oftihantablc Organlzatlon' Child Watch of North Amarlca 'l?olal amount of eonlnhutlons plojeeted to be made as a of the solicitation (2) Amount ol?antlelpated expenses of the soilellation Applteant?s lee Costol'eolleetlon 12.00000 Salarles Other expenses 3: explain Total amount of eontnbutlons projected to I?ntaln available to this charitable organ Izatton. [line (2) less Ilne (4) Peleentage 01" total eontnbunons that are projected to remain available to this charitable organizatlon line (3) clouded by line $322,500 00 10 0,3 :5 14.000 9L 5; 1.40000 10 ~04, 4. indicate the followmg information concerning the Applicant?s revenue and expenses anticipated during the apolleatlon period for each chat itable organiaation declared in this apphcatlon: A Name of?harttable Organization. Childhood Foundation, Inc. (I) Total amount ofcontl ibutlons projected to be made as a result 250.000 00 orlhe Amount of antletpated expenses of the solicitation Applicant?s fee Cost of'mileetlon 212,500 00 Salaries Commissions Other expenses 3; explain (3) Total amount projected to remain available to this charitable organization $_3_7.500 00 ?me (1) less lune Percentage oftotal cont: Ibuttons that are ptoJected to remain available to the; char Itable organization. 15 [line (3) diwded by line Namc ()lganlfatu'gn Disabled POIICB and Sheriffs FDU?datlD?. Inc (1) Total amount ofeontributtons projected to be made as a result 1.200.000 00 ot the solleitatlon (2) Amount of anticipated expense: of the solicitation Applicant?s fee 35 Cost of collection 3 1,080,000 00 Salanea Commissions ()theI expenses 32 explain (3) "l otal amount of prejected to lentam available to this charitable or gamzatlon 1.1293100 00 [line (1) less hot: Percentage ol'total that are projected to rematn available to this chat rtable organization. 10 lltne (3) diwded by lune 4. Indicate the following Information concel mm; the Applicant?s revenue and expenses anticipated do: in}: the application period to: each chat ttahle organization declared to this application A. Name of Chat Itahlc Organization' ??9leth? Support Foundation. Inc. (I) Total amount projected to be made as a result 3; 4.000.000 00 orthe soltcnatton (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost ol?colleetion Salaries ()lher expenses explain 3.600.000 DU commence-9 (3) Total amount of eontl Ibutlons ptoleeted to remain available to this charitable organisation 400.000 00 [line (1) less line (4) Peleentage of total contributions that me pl'?j?ct?d to remaln available to this charitable organization 10 1ine (3) by line Name orChaI-itablc Organisation Healing Heroes Network. Inc 1) total amount of contributions or ejected to be made as a result 5 425,000 00? ol the solteltatton (2) Amount expenses of the sohCItation Applicant?s fee 33 Cost ol'collectlon 332.500 00 Salarles Commiwons Other expenses 33 explain (3) 1 otal amount plojeeted to remain available to this chat itable oi ganlzatton 42,599 00 [line (1) less line (4) Percentage oftotal contributions that are plUj?Gled to remain available to this chat Itable organization. 10 [line (3) divided by line (DI 4. Indicate the following inl?ol malion concerning the Applicant?s revenue and expenses anticipated during the application oertod each charitable otganizatton declared in the. applleatlon A Name orchai ttable Organization: International of Police Associations. AFL-GIO Fetal amount of cent: Ibutlons prtuected to be made as a result 3 2.900.000 00 ofthe solicitation (2) Amount of anticipated expenses of the solieltatlon Applicant?s fee (lost ofeolleetton Salal Ies Cemmtsatons Other expenses explain 2.610.000 00 cameraman (3) Total amount of'eontlibutlons plojeeted to remam available to the. charitable organtzatton 200.000 00 [lune less line (4) Percentage of total contributions that are plnjeeted to lentam available to Ihl?: charitable organwallon 10 Ellne (3)dlv1ded by [me l3 Name of Chat ttahle ()rganwatlon' ?"35 Wl?h Network. Inc. (1) Total amount of com: lbutlons prejeeted to be made 215 a Ieault 350.000 00 ol the sohcttatlon (2) Amount of anttetpated expenses. of the ?lOItCllI?llO? Applicant?s fee Cost of collection Salaries Commlsatona Other expenses explam 303.000 00 5999909999 Total amount efeontribultons ptojected to woman available to eharltahle mganliallon agent) 00 [lme lees lune (4) Percentage of total cont] Ihuttona that are prOJected to remain available to this. chat itable organization. 12 [hne (3) diwded by lme 10 4 Indicate the following information concerning the Applicant's revenue and expenses during the aoplication period for each chat itable elganlzation declared In the; application A Name of Charitable Organization: Law Enforcement 0mm? Fund (I) Total amount of cont: ibuuons projected to be made as a result 285.000 00 of the solicitation (2) Amount ofantncupatcd expenses of the solicitation Applicant?a lice Coat of collection Salai tea Commissions Othel expenses explaln 256.500 00 (3) Total amount of contributions projected to remain available to thi? charitable organtzation 23,500 at] [line (I) less line (4) Pclcentage of total contnbutlena that are p1 {named to remain available to the. chat itablc organuatien. 1? [line (3)dw1dcd by line B, Name nf?jhal ltahlc ()lgani?aliun. National Vietnam Veterans Foundation. Inc (I) Total amount of cont: ihutions prejeeted to be made as a ieault 5.250.000 00 of the solicitation Amount of antletpated expenses ofthe enlimtation Applleanl?a Cost ol?eolieetlon Salai lea Commtaalona ()thei expenses. explain 4,672.500 00 5959-5913999 (3) Total amount of contributions projected to remain available to this. chat itablc organization 5; 5?7.500 00 [line (I) less line (4) Percentage of total contributions that are preJeeted to lematn available to this chat itable organlzalton. 11 ?me (3) divided by line IL 4. Indicate the ?tllowmg Information eoneel rung the Appheant?s revenue and expenses anticipated during the application period fer eaeh ehal Itable organization declared in this application A Name of Charitable Otganizatlon: Optimal Medical Foundation, (1) Total amount projected to be made as a result 0 00 of the solicitation (2) Amount orantietpated expenses of the solicitation Applicant?s fee Cost ofeoileetion Salaries Commissions Other expenses explam HEMEHE Total amount at contributions proleeted to remain available to this eharrtable organization. 9.9 [line (I) less lme (4) Percentage of total contributions that are projected to remain ave: Iable to the: charitable organization. NM ?me (3) divided by line a Name of'Chat [table Organization Reserve Police Of?cers Associatmn (I) Total amount projected to be made as a result Eli 625.000 90? of' the sollettatlon (2) Amount of anticipated expenses 01' the solieltatlen Applleant's fee 3 Cost ufcollcetltm 53125000 Salaries Other expenses 34 explain (3) Total amount of contributions projected to remain available to that char Itable o] gan tzation $_93,750 DD [ltne less line (4) Percentage of total contributions that are projected to remain available to this charitable Olganlaatlon 15 [line by line t3 4. Indicate the follewmg Information eoneernmg the Appileant?s levenue and expenses anticipated durina the application pet met for each charitable orgamratlon declared tn the: application. A. Name of Charttahle Organization: Childm'h Ine. (I) Total amount of contributions projected to be made as a result 35 200.000 00 of the soltettatlon (2) Amount of anticipated expenses ofthe solIeItatton Appheant?s fee Cost ofeelleetton Salai Ies Commissums Other expenses explam 180,000 00 mammal: (3) Total amount oi eontl Ibuttons protected to remain avaliable to this charitable organlzatlon 3 20300 on Here (I) less lune (4) Pet eentage of total eontt [buttons that are projected to rematn available to this charitable on gantratlon. 10 '54. [l1ne(3)dlv1ded by [me [3 Name ofCharilable Organizatlon United Breast Cancer Research Society. Inc. (I) 'l?otal amount projected to be made as a result 300.000 00 ofthe solicitatlon (2) Amount ot'anttetpated expenses ofthe soiletlalton Applteant?s Fee Cost efeolleetton Salaries Other expenses eXplatn 6999619999! (3) Total amount to remain avaliahlc to this charitable organization. $_w30.000 00 [line (1) less line Percentage of total eontributtons that are projected to remam avatlable to this chat itable organization 10 [line (3) dtwded by line [Li 4 Indleate the followmg mformanen eoncermng the revenue and expenses anticipated dunng the agphganon [?ned for each chantable organlzatlon declared this applreanon A Name of Chantable Organization Woman to Woman Breast Cancer Foundation, Inc. (1) Total amount of conmbunons prejected to be made as a result of the (2) Amount of antlelpated expenses of the Appheant?s fee Cost of collection Salaries Other expenses exp lam (3) Total amount of eontnbutlons proleeted to remain available to ehantable organlzatlon 175:0? a" [lme (1) less hue (4) Percentage of total eontnbuttons that are prejeeted to remain available to this chantable organization 10 [lme (3) dmded by hue Name of Chantable Organlzatlon (1) Total amount of contributions projected to be made as a result of the (2) Amount of antleipated expenses of the sohenahnn Applleant?s fee Cost of eolleenon Salarles Comnussrons Other expenses explain 599599-9999 (3) Total amount of projected to remaln available to this ehantable organizatlou 3; [line (1) less law (4) Percentage of total conmbutlons that are projected to remam avarlable to this chantable organlzanon [hue (3) dwrded by line l5 5 Ate the amounts to be owned or by applicant as set forth above based on a llat fee ariangemcnt?? Yes No lf?ycs", explain the facts that suppoil the teasonablencss of the fees to he paid by each charitable organization declared In this application none 6. Please plowde the followmg accounting summary [or all contributions collected or received Within the calendar year immediately orecedma the date of this application- A Name 01 Chat ttablc Organtaatlon? American Association for Cancer Support, Inc (1) total amount of contributions collected or received by Applicant from Utah somces 1.343 DD (2) 'l"otal amount ofcontributions collected on ieccived by Applicant ti om all Donois including line (3) Amount of expenses made ?ora (it the use made of the conti ibutions Collected oi iccewed by Applicant. Applicant?s fee (lost ol'collection Salaries {)thei expenses Explain total 64331024 643,310 24 Name ol?Charttahle ()rgamaation? American Foundation for Disabled Children. Inc I otal amount ofeontiibutions collected or ieceived by Applicant from Utah souiccs 912 cc (2) l'olal amount of contributions collected (it received by Applicant ?om a_ll Donors [Including line 1219-159 91 (3) Amount ofcxpenscs made from or the use made of the contributions Collected oi iecewcd by Applicant $9 Applicant's lee Cost of collection Salaiics Commissions Other expenses Explain Total Expenses 1.091810 92 1,097,310 92 99999369 7. It applicable, state the total cost of'piocluet 5: 5. Are the amounts to be termed or ieceived by applicant as set foith above based on a ?at fee arrangement? Yes No lf?yes", explain the facts that suppoit the leasonableness of the fees to be paid by each charitable organization declared in this application "0119 6 Please piovide the following accounting summary ltii all conti ibutlons collected or received WItl'Iln the calendai year immediately preceding the date of this application: A Name of Charitablg Organization; Breast Cancer SUWIVOIB Foundation, Inc. 1) Total amount of contributions collected or received by Applicant from Utah sources 2.343 0D (2) lotal amount ofeonlributions collected or by Applicant fiorn all Donors lineluding line 3&553355 0? Amount of expenses made from or the use made oi the con? ibutions Collected or received by Applicant Applicant's fee Cost ofeolleetion Salaiies Commissions Other expenses Explain Total Expenses 3.207.559 55 3.207.559 56 ll Name of Charitable ()iganization' Cancer Fund of America. Inc (1) otal amount of contiibutions collected or received by Applicant l?rorn Utah som ees 562 DD (2) Total amount ol?conti ibutions collected or by Applicant from a? [)onois [including line 292126?343 (3) Amount of expenses made From or the use made of the contributions Collected or received by Applicant Applicant's tee Cost ofeolleetion Salaries Commissions Othei expenses Explain Total Expenses 250.114 45 260.11445 7 lfapplicable, state the total cost ofpioduct Fl 5. Alt: the amounts to be earned or received by applicant as set forth above based on a flat fee anangement? 1 Yes No if "yes?, explain the facts that suppolt the teasonableness ofthe fees to he paid by each charitable organization declared in this application. none 6. Please prowde the lollowmg summary for all cont] ibutlons collected or received within the calendar year Immedlateljg the date anollcallon A. Name 0f(:harilablg ()rganwatlon Center for American Homeless Veterans, Inc. (I) Total amount of cont: Ibutlons collected or received by Applicant om Utah sources. 1,13? 00 Total amount oi contributions collected or received by Applicant ?om all Donors [Including hne 2,200,031 10 (3) Amount of expenses made ?om or the use made ol?the cont: Ibutlons Collected Iecelved by Applleant fee Cost of collection Salarles Other expenses l'ixplam Total Expenses 1,930,012? 99 9399696999 Name ot?Chal Itable ()IganW?tl??' ChIld Watch of North America (1) Fetal amount collected 0: Iccelved by Applicant from Utah sources. 0 00 (2) "Fetal amount of cont: Ibutlons collected or received by Applicant flora at?! Donols [Including [lne (l)f 13.?24 00 (3) Amount ol'expens'es made liom or the use made ol?the eontt Ihutions Collected 01 received by Applicant Applicant?s l'ec Cost of collection Salaries Commisslons Othel expenses ExPlaln l?otal Expenses 3M 12,351 60 996959599! 7 ll apphcable, state the total cost ofploduct [3 5 Are the amounts to be en: ned or leceived by applicant as set forth above based on a ?at fee arrangement? 1 I Yes No lt??yes?, explain the facts that support the leasonahlencss of the fees to he paid by each charitable organization declared in this application. none 6. Please provide the following accounting summary for all contributions collected or received within the calendar veal immediatelv preceding the date oFthis application. A Name of Charitable Organization: Childhood Foundation, Inc. (I) Total amount of contributions collected or received by Applicant From Utah sources 422 cc (2) Total amount ofconti ibutions collected or received by Applicant From a_ l Dennis [including line 3; 243.553 so Amount made from or the use made of the contributions Collected or ieceived by Applicant Applicant?s fee Cost oi collection Salaiics Commissions ()tliei' expenses Explain Total Expenses $__207.020 56 69691396969 Nameol?Charitable ()rgamtfatlon Defeat Diabetes Foundation. Inc (I) otal amount of contiibutions collected oi received by Applicant tiom Utah soniccs 5: 335 on (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 1?2.365 41 Amount of expenses made Fiom or the use made of the coop ihutions Collected oi received by Applicant 99 Applicant?s lee Cost of collection Salaiics ()thCI expenses Explain Total Expenses 146.510 60 146.510 60 9959999?: 7. [tapplicablm state the total cost of product to! 5. Are the amounts to be earned 0! received by applicant as set forth above based on a ?at fee arrangement?? Yes No if ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please piovide the following accounting summary for ali conti ibutions collected or received within the calendar year immediately the date of this aoolicatien A Name (Ii-Chill {table ()rganiyanon: and Sheriffs FOU?d?th?, Inc. (1) Total amount of contributions collected oi received by Applicant iioni Utah sources. 1,022 00 (2) Total amount of contributions collected or received by Applicant from a_ 1 Donors {including line 1,100,?5994 (3) Amount ofeXpenses made {iom or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salai Ies Commissions Other expcn Explain Total Expenses 33 990.533 95 990.683 95 69-6999?? 13 Name oI?Chaniable Organization: Firefighters Support Foundation. Inc (I) Total amount of contributions collected or received by Applicant lrom Utah 1,585 00 (2) Total amount of contributions collected oi received by Applicant ['rorn a_ll Donois mcluding line 24 (3) Amount of expenses made from 0: the use made ol?the conti ibutions Collected or by Applicant Applicant?s fee Cost of collection Salai ies Commissions Other expenses EXPIHIH Total Expenses 15 3.549.036 32 3,549,036 82 991396995 Ifapplieablc, state the total cost of product 3 2,0 5 {tie the amounLa to he earned or ieceived by applicant as set forth above based on a flat fee arrangement? Yes No Il??ycs", explain the facts that support the ieasonahleness of the fees to be paid by each charitable oiganization declared in this application D0119 6 Please provide the followmg accounting summary for all cont: ibutions collected or received the calendar; yeai immediately preceding the date of this application A. Name of Charitable gamzation- Healing Heroes Network. Inc l) 'l'otal amount ofeontiibutions collected or iceeived by Applicant from Utah sources. 5 290 (2) Total amount of cont: ibutions collected or received by Applicant from all Donors {Including line 422335 85 Amount of expenses made ?om or the use made of the contributions Collected oi received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other expenses rotal Expenses 38M 380,462 2? 599956-59? Name of Charitable Organization International Union of Police Associations, AFL-CIO (1) total amount ot'eontributions collected (it received by Applicant from Utah sources. 2.455 00 (2) Total amount of contiihutions collected oi received by Applicant from g? Donors lincluding line 239194? 19 (3) Amount made ham or the use made of the contributions Collected oi received by Applicant. Applicant?s tee Cost of collection Salaries Commissions Othci expenses Explain Total Expenses 2513-152 47 2.518.152 47 mammoa If applicable, state the total cost ol?product. 5 Are the amounts to be next or received by applicant as set forth above based ?Wes?, explain the facts that support the reasonableness of the fees to be paid by each chai itablc organization declared in this application 6 Please pi ovide the Following accounting summary fol all eonti ibutions collected or received within the gagindar Yea! the date ofthis application. A. Name of Charitable Organiration. Kids Network, Inc (I) Total amount of conti ibutions collected or by Applicant from Utah sources 235 on (2) total amount of contributions collected 01 received by Applicant from a? Donors including line 345.222 75 (3) Amount of expenses made fiom or the use made ot'thc contributions. Collected or received by Applicant Applicant's fee Cost of collection Salai ies Other expenses Explain 303.?96 02 Total Expenses 95 303.?96 02 Name oFChai itable Organization Law Enforcement Officers Relief Fund "l otal amount of contributions collected or received by Applicant from Utah sources ?ll) 00 (2) Total amount of Loan ibutions collected oi received by Applicant fi om Donuts [Including line (In 279.382 52 Amount of expenses made from the use made of the contributions Collected or ieceived by Applicant Applicant's lee Cost of collection Salaries Commissnins {)thei expenses Explain 7 ?applicable, state the total cost of pi odiziel~ 251 ,444 27 Ind?- 99*599959 Total Expenses 251,444 27 5. Are the amounts to be earned OI received by applicant as set forth above based on a ?at fee arrangement? Yes No lf?yes?, explain the Facts that support the reasonableness. olthe fees to be pool by each charitable organization declared in this application none 6 Please p1 mode the followmg accounting summary for all contributions collected or received Within the calendar year Immediately preceding the date of this abolication A. Name of Charitable ganizatign. National Vietnam Veterans Foundation. tnc. (I) Total amount of contributions collected or received by Applicant lrom Utah sources (2) ?l?otal amount ofcontt Ibutrons collected or received by Applicant from all Donors [Including [me (IN. 35 1.720 00 5.000.222 3? (3) Amount of expenses made from or the use made ol?the contributions Collected or received by Applicant?s fee Cost of collcetton Salaries Comm Isslons ()ther expenses Explain 43150.19? 91 1 otal Expenses 35 4.450.197 91 Name of Charttablc ()rganlratlcn Optlmal Medical Foundation. Inc I) l?etal amount collected or received by Applicant l?rom Utah sources. 'l otal amount of contributions collected or received by Applicant from a_l Donors [Including 20,249 on (3) Amount of expenses made ?om or the use made of the contributlons Collected or received by Applicant. fee Cost of collectton Salaries Other expenses lixplain 7. if applicable. state the total cost ofploduct. 13.22410 {19-56-59 Total Expenses 53 18.22410 3' 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at lee arrangement" Yes No ll'?yes?, explain the facts that support the leasonableriess ol the fees to be paid by each charitable organization declared in this applreation 6 Please provide the followrng accounting summary for all contributions collected or received Within the calendar year immediately preceding. the date of this application A Name ()fChanlable Organization' RESQWB PDIICB Officers Association (I) Total amount of contributions collected or received by Applicant from Utah sources r65 00 (2) Total amount ol?eonti ibutions collected or received by Applicant from g? Donors [including [me 604.699 32 Amount ol expenses made [mm or the use made ofthe contributions Collected ot received by Applicant Applicant?s fee Cost tifeoileetion Salaries Other expenses Explain 513,994 85 6999599969 Total expenses 513.994 85 Name ofChaiitahlc Organization The Committee For Mlssing Children, Inc. (I) lotal amount ol contributions collected or received by Applicant fiom Utah sources 34500-? (2) oial amount of contributions collected or received by Applicant from all [)onois lincludmg line 194.288 09 Amount oleapenses made ll om or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain 7 if applicable, state the total cost ol?product 174.359 696959-559 Total l-ixpenses 174.359 28 5 Are the amounts to be earned or recelved by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes", explain the facts that Support the reasonableness of the fees to be pald by each chantable organtzatton declared to applicatlon none 6 Please provnde the followmg accountmg summary for all contnbutlons collected or received w1thm the calendar year Immediately precedmg the date of the. applicatlon A Name of Cbantable Organ] 3311011 United Breast Cancer Research Society, Inc. (1) Total amount of contnbutrons collected or renewed by Applicant from Utah sources 435.00 (2) Total mount of contnbunons collected or received by Apphcant from a_ll Donors [Including [me 291,490.41 (3) Amount of expenses made ?'om or the use made of the contnbunons Collected or received by Applicant Apphcant?s fee Cost of collecnon $262,341.37 Salanes Commisslons Other expenses Explam Total Expenses 15 252341-37 Name of Chantable Orgamzanon Woman to Woman Breast Cancer Foundation, Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources 300.00 (2) Total amount of contnbutlons collected or received by from Donors [Including hne 3 1,514,220.81 Amount of expenses made from or the use made of the contnbutlons Collected or recewed by Applicant Applicant?s fee 3 Cost of collection 1,452,298.73 Salanes Other expenses 5? Explain Total Expenses $1,452,793.73 7 If state the total cost of product 25 4 lndteate the followmg Information concerning the revenue and expenses anticipated durlna the applicatlon period For each charitable orgamzatlon declared In this application . A Name of Charitable Organization Disabled Police Officers of America, Inc Total amount of projected to be made as a result 0 DD ol?the solrellallon (2) Amount ofantlupt?ed expenses ot?the sollcnallon Applicant?s fee 0 00 Cost ol?collectlon 33 Salaries Other expenses 00 explaln (3) Total amount proleeted to remain available to charttable organtzatton 3: 0 no Hm: (I) less line (4) Percentage oftotal contributions that are protected to remarn available to this charitable organization DD [l1ne(3)dw1ded by Itne Name ol?CharItable Olganwatlon (I) Total amount projected to be made as a result of the soltenauon (2) Amount expenses ol?the Applicant?s fee Cost ol'collectlon Salarles Other expenses emplam Enema-9995a I'ota[ amount Lontnbutnons pto eLted to remain avallable to this eharttable orgamzatton ?5 ?me (1) less line Percentage of total contributions that are projected to remaln available to ll'llS charitable orgamzatton [lrne(3)dw1ded by hot: 5 Are the amounts to be earned or received by applicant as set forth above based on a [lat ariangcment" Yes No lf"ycs" explain the facts that support the reasonableness ol the fees to be paid by each charitable organization declared in this application none 6 Please prOVldE the followmg accounting summary [or all contributions collected or received the calendar year lt?TlH?ICdlal?lY preceding the date ofthis application A Name of Charitable Orgamzatmn Disabled Police Officers of America. Inc Total amount ol'contributions collected or received by Applicant from Utah sources 9 OD 'l'otal amount ot contributions collected or received by Applicant from a_ l Donors [including line (l 9 DD (3) Amount made trom or the use made of' the Collected or received by Applicant Applicant's Fee $0 00 Cost ofcollection Salaries Commissions Other expenses DO Explain Name ofChaiitable Organization ?l?otal 90 'l"ota amount ofcontributions collected or received by Applicant from Utah sou1ces (2) Total amount of contributions collected or received by Applicant from Donors [including line (3) Amount of'expenses made l'rOm or the use made of? the contributions Collected or received by Applicant Applicant?s lee Cost Salaries Commissions Other expenses Explain 7 lfapplicable, state the total cost ol?producl Total Expenses PART V: PROFESSIONAL FUND RAISING COUNSEL 0R CONSULTANT 1 Is Applicant a Professronal Fund Ralsmg Counsel or Professional Fund Ratsmg Consultant?? Yes No If ?yes?, complete this Part If go to Part VI 2 State the purpose of the plan, management, advrse, counsel or preparation of matenals for, or respect to the and use of the contributions to be for each chantable organization none 3 Please check each of the apphcable methods by the plan, management, advrse, counsel, or preparation of materials be organized or coordmated and the pro] ected length of time of the sohcltatlon for each chantable organrzatron Method of Dates of Sohcltatlon Commencement??ermmatlon eonSultmg planning 1? I promotronal matenals I other servrees I (explam) 4 Indlcate the followmg concemtng the revenue and expenses anticipated during the for each charitable organ Izatlon declared to A Name of Chantable Organrzatlon (1) Total amount of fees projected (2) Total amount of Applreant?s expenses (3) Total net fees that are pro; ected to be earned or received by [lrne (1) less [me Name of Chantable Organizatron (1) Total amount of fees projected (2) Total amount of expenses :5 (3) Total net fees that are projected to be earned or received by Applicant [llne (1) less hne 26 5 Are the amounts to be earned or recewed by Applicant as set forth above based on a flat fee arrangement? Yes No If ?yes", explaln the facts that support the reasonableness of the fees to be paid by each chantable organlzatlon declared 111 this apphcatlon 6 Please prowde the followmg aecountmg sununary for all contributions collected or received by the Applicant the calendar year Immediately the date of th1s apphcatton A Name of Chantahle Organization (1) Total amount of fees earned or recewed by Apphcant (2) Total amount of Appheant?s expenses made from Applicant?s fee of payees Amounts Pald 3 Total Expenses (3) Net fees earned or recewed by [hue (1) less [me Name of Chantable Organlzatmn (1) Total amount of fees earned or recelved by Applleant (2) Total amount of Apphcant?s expenses made from Applicant?s fee of payees Amounts Paid Total Expenses (3) Net fees earned or received by ApplIcam 3 [lane (1) less llne 27 PART VI: HISTORY all prevrous penmts or licenses by state and date of Issuance I IISIBIEE Gaunt-IE: 2 Has there been any Injunctron, Judgment, or order by a federal, state, or local agency agamst the Yes No 3 Has the Applicant been of any crune moral turpltude'? Yes No If ?yes", please explarn 1n detall Includlng nature of proceeding, date, location and current status Please proytde a copy of the order 4 Has there been any Injunction, judgment, or order Or of any cnme mvolvmg moral turpltude respect to any of?cer, director, manager, operator, or of the Applicant? Yes No If ?yes?, please explam detatl Includrng nature of proceedmg, date, location and current status Please provrde a copy of the order PART VII: ORGANIZATION IDENTIFICATION Proytde the followmg Information for Reglstered Agent Greg Lam Name 310 W. 20th Street. Suite 300 Street Address Kansas City. MO 64108 Clty State 21;} Code 816-472-9000 816-472-5000 Telephone Number Number 2 the followmg Information concernmg the Applicant?s partners, of?cers and dlrectors Name Address Telephone Number See attachment "List of Shareholders" See attachment "List of Officers and Directors? 28 PART SOLICITING WITHOUT PERMT 1 If this is an initial app licatlon or a renewal application alter the applicant has let 115 permit expire, has the applicant conducted regulated by the Charitable Solicitations Act, Utah Code Title 13, Chapter 22, Without being duly registered With the DiViSion?? Not Applicable This includes provtding fund raismg, fundraismg counsel or consultant servrces, planning, managing, counseling, consulting, preparing material, or coordinating and scheduling solic1tations (including direct mail, telephonic, and email on behalf of any charitable organization into the state of Utah Yes No 2 If ?yes?, please explain in detail, includingr the name of the charitable organizati on, the dates involved, and the method of the solicnation Not Applicable; This is not an initial application, nor has the applicant allowed its permit to expire. PART IX: SIGNATURE By 51 gnin this application, the profeSSional fund raiser, professmnal fund raising counsel, or professronal fund raising consultant - af?rms that this application 15 complete and not misleading, and acknowledges that fund raising in Utah not commence until both the charitable organization, its parent foundation, if any, and the professronal fund raiser or professronal fund raismg counsel or consultant are registered and in compliance With the Utah Charitable Act DATED lo I 3 APPLICANT BY 049?? 29 LIST OF DOCUMENTS TO ATTACH ATTACH A COPY OF EACH OF THE FOLLOWING DOCUMENTS The Apphcant?s of Incorporanon or other organizatronal dommentahon showmg 1ts current legal status (Imnal only, unless amended), The current by-laws or other pollCIBS and procedures governing day-to-day operations (Initial only, unless amended), Current contract wuh parent foundation, 1f Vendmg deuce decal, 1f and Telephone script, 1f [1100 DJ :9 Outreach FEIN 2??0915392 Attachment referenced nn questnon 1' List of Agreements Chantabte Orgamzatrons Amencan Assocnatnon for Cancer Support, Inc . 322 Nancy Lane. Sunte 3. TN 3?919 Contract Pernod 07-01-2012 to 06-30-2015 Amerncan Foundatnon for Dnsabled Children, Inc . 64 New Dorp Plaza. Sunte 20?, Staten Island, NY 10306 Contract Pernod 07-01-2010 to 06-30?2015 Breast Cancer Survnvors Fouhdatnon. Inc . 16651 NE 2ch Ave Ste 700. Aventura. FL 33180 Contract Pernod 09~1 5-2010 to 09-14-2015 Cancer Fund of Amernca. Inc. 2901 Breezewood Lane. TN 3?921 Contract Pernod 0?-15?2010 to 0711442016 Center for Amerncan Homeless Veterans. Inc . 210 East Broad Street. Sunle 202. Falls Church. VA 22046 Contract Pernod 04-08?2011 to 0114-2016 Watch of North Arnenca. 4601 SW 34th Street. Sunte 100. Orlando. FL 32611 Contract Pernod 06-01-2013 to 05-31-2016 Childhood Leukemna Foundatnon. Inc . 80? Mantoloknng Rd Sunte 202. NJ 06723 Contract Pernod 03-01-2012 to 02-28-2015 Dnsabled Polnce and Foundatnon. Inc . 14304 Rd . Ste Genevneve. MO 53er Contract Pernod 07-01-2010 to 06-30-2015 Dnsabled Polnce Of?cers of Amernca. Inc . 169? ?v'nne Ave Nncevnlle. FL 32573 Campangn Pernod 09-26-2010 to 06-30-2015 Fire?ghters Support Foundatnon. Inc . 40 School Street. Sunte 10. Green?eld. MA 01301 Contract Pernod 0?-01-2010 to 06?30-201 5 Healnng Heroes Network, Inc . 31640 US 19N . Sunte 2. Palm Harbor. FL 34684 Contract Pernod 02-01-2012 to 04-30-2014 International Unnon of Polnce Assocnatnons. 1549 Rnnginng . 6th Floor. Sarasota. FL 34236 Contract Pernod 0?-01?2010 to 06?30-2014 Network. Inc . 4060 Louns Avenue. Holnday. FL 34691 Contract Pernod 04?01-2010 to 03-31-2015 Law Entorcement Of?cers Relnef Fund. 1549 6th Floor. Sarasota. FL 34236 Contract Pernod 02-01-2011 to 01-31-2016 Natnonal Vnetnam Veterans Foundatnon. Inc . 1015 Pelham Street. Alexandna. VA 22304 Contract Pernod 06?01-2010 to 05-31~2015 Optnmal Medncal Foundatnorn. Inc . 300 West Pner Drnve. Sunte 234B. Sault Ste Marne. MI 49763 Contract Pernod 02?01-2011 to 01-31?2014 Reserve Polnce Of?cers Assocnatnon. 69 Rockland Avenue. Yonkers. NY 10?05 Contract Pernod 07-01-2010 to 06-30-2015 The For Inc . 934 Stone I'vInIl Run. Lawrencevnlle. GA 30046 Contract Pernod 03?1 5-2013 to 03-14-2018 Unnted Breast Cancer Research Socnety. Inc . 325 Avenue SE. DC 20003?1110 Contract Pernod 05-15-2011 to 05-14-2016 Woman to Woman Breast Cancer Foundatnon. Inc . 4850 Oakland Park Blvd. Sunte 225. Lauderdale Lakes. FL 33313 Contract Pernod 06-01-2010 to 05-31-2015 Outreach Calling FEIN: 2741915392 Attachment referenced question 2 List of Shareholders Damian Muznanl, 100% 200 Virginia Street 8th Floor Reno, NV 89501 Outmach Cattmg FEW 2?-0915392 Attachment referenced QUESTION Vt 2 List of Ot?cars and Directors 0311113? Pres-Idem 200 Strata 8th Floor Reno. NV 89501 ?75-322-9992 Outreach Calling FEIN: 2741915392 Attachment referenced rri questron 1' List of States, Counties. and Cttfes Where Registered Alaska Alaska Department Of Law. 1031 4th Ave. Surte 200, Anchorage. AK 99501 Alabama Consumer Affairs Section. 501 Washington Avenue, Montgomery, AL 36130 Arkansas Consumer Protection Division, 323 Center Street. 200 Tower Bldg. Little Rock, AR T2201 Arizona Secretary of State-Charities Orvisron, 400 West Congress, 2nd Floor. Room 252. Tucson. AZ 85?01 Californra Of Charrtable Trusts. 1300 I Street. Suite 101. Sacramento. CA 95814 Colorado Of?ce Of The Secretary Of State. 1700 Broadway. Surte 300, Denver, CO 80290 Connecticut Public Chanties Unit, 165 Caprtol Avenue, Hartford. CT 06106 Flonda Of Consumer Services, 2005 Apalachee Parkway, Tallahassee, FL 32399 Georgra Of?ce Of The Secretary Of State. 231r Colrseum Drive. Macon. GA 3121? Hawaii Department of the Attorney Generat, 425 Queen Street. Honolulu. Hl 96813 Illinois Charitable Trust Bureau. 100 Randolph St . 11th Fl . Chrcago. IL 60601 Indiana Consumer Protection 302 Washington Street. 5th Floor, Indianapolis. IN 46204 Kansas Secretary Of State's Of?ce. 120 ?l?th Ave 1st Fl. Topeka. KS 66612 Kentucky Consumer Protection 1024 Capital Center Dnve, Frankfort. KY 40601 Loursiana Consomer Protection Sectron. 1885 3rd Street. Baton Rouge. LA ?0802 Massachusetts Public Charitres Division. 1 Ashburton Place. Boston. MA 02108 Maryland Charitable Organizatron 16 Francis Street. Annapolis. MD 21401 Maine Of?ce of and Regulation. 35 State House Statron, Augusta. ME 04333 Mrchigan Chantahle Trust Section. 690 Law Bldg. 525 Ottawa Street. Ml 48913 Mrnnesota Of?ce of the Attorney GeneralfChanties. 445 Mrnnesota Street. Surte 1200. St Paul. MN 55101 Missouri Attorney General. 207 High Street. Jefferson City, MO 65102 Mississippi Of?ce Of The Secretary Of State, 700 North Street, Jackson. MS 39202-3024 North Carolina Secretary Of State. 2 South Salisbury Street. Raleigh. NC 2?601 North Dakota Secretary Of State. 600 East Boulevard, Bismarck. ND 58505 New Hampshire Chantable Unit. 33 Caprtol Street. Concord. NH 03301 New Jersey Of?ce of Consumer Protectron, 124 Halsey Street. 7th Floor. Newark. NJ 07101 New Mexico Of?ce of the Attorney General. 111 Lomas . NW. Surte 300. Albuquerque. NM 87102 Columbus, Ohio Charitable chense Section, 1'50 Piedmont Road. Columbus, 01 43224 Ohro Charitable Foundation Section. 150 Gay Steet. 23rd Floor. Columbus, OH 43215 Oklahoma Oklahoma Secretary Of State, 2300 Lincoln . Room 101, Oklahoma City. OK T3105 Bureau Of Chantable Orga nizations. 20? North Office Burlding, Harrisburg, PA 17120 Rhode Island Charitable Section, 1511 Pontiac Ave. 69-1. Cranston. RI 02920 South Carolina Of?ce Of The Attomey General. 1205 Pendleton Street, Ste 525. Columbia, SC 29201 South Dakota Of?ce Of The Attorney General, 500 East Capitol. Preire, SD 51501 Tennessee Division Of Charitable Solicrtations, 312 Rosa Parks Avenue, 8th Floor. Nashville. TN 37243 Texas Statutory Documents, 1019 Brazos. Austin. TX ?8?01 Texas Statutory Documents, 1019 Brazos. Austin. TX ?8701 Utah Of Consumer Protection. 160 East 300 South, Salt Lake City, UT 45804 Vrrginia Of?ce of Consumer Affairs. 102 Govemor Street. Lower Level. Richmond. VA 23219 Vermont Of?ce Of The Attorney General. 109 State Street. Montpelier, VT 05609 Washington Charitable Solicitation 801 Capitol Way South. Olympia. WA 98504 Wisconsm Department of Financral Institutions, Box 7876. Madison, WI 53707-78?6 West Virginia Of?ce Of The Secretary Of State. 1900 Kanawha East. Chaneston. WV 25305 nip?STATEMENT THE STATE OFIUTAH DOES NOT WARRANT THAT THE INFORMATIONCONTEEJED ON THIS CERTIFICATE Is TRUE wsgon Consumer Protecnon pl In" w. u; \Ed?y?f?x?fba??ixifn 1:.fma{ .r 7572243-PFRO REFERENCE ProfessionaliFund Rmser I *hn .LL I ?1 am 89301' RENO NV ,30013 I 13?4 II .STREETET-H FLOO ISSUED TO I ?d .a a g? UTREAGH CALLING I ?n I II as. ?Lyn-$4 9:755135- Hizitg-Etgcie?wi??aw?! Januaxy. 20, 201.6 I aw EXPIRATION DATE 1 .?Ir Janna}; 20,. f. i EFFECTIVE DATE .n II 1.. 2016 'DIVISIONQ . JII. 1m; a? 'f ?1I..I a; by UTAH . 1 DEPARTMENT 0E COMMERCE - REGISTRATION . EGTION- J. 1 i 1? i ".353 frn" 3: . r} I II State of Utah DEPARTMENT OF COMIVIERCE DIVISION OF PROTECTION JAN 1 3 2315 ION 0 Ecno? CONSUMER PROT PROFESSIONAL FUND RAISER, PROFESSIONAL FUND RAISING COUNSEL, PROFESSIONAL FUND RAISING CONSULTANT PERMIT APPLICATION FORM OFFICE USE ONLY Date Issued: Annual fee: $250.00 (Non-refundable) Permit Number: 22 VI Approved: Outreach Calling Denied: Expiration: Applicant?s Name 1DI1012014 Date of Applicanon Please 1nd1cate whether the 15 an application for an Initial or renewal INITIAL RENEWAL APPLICATION APPLICATION Please indicate the type of application I PROFESSIONAL FUND RAISER Utah PROFESSIONAL FUND RAISING COUNSEL Department ofCommerce Lmensmg and Enforcement System PROFESSIONAL FUND RAISING CONSULTANT Payer OUTREACH CALLING INC If you have any questions, please contact! Drawer to terminalld User Please make applleatlon fee check or money: Date 01:13:2015 Please return the completed application for aenewaDepartment of Co Chem? 5250 DO of Consume Amount Due 2' - - 50 00 160 East 300 . Amount Paid $250 an Box 14670 5359255 SaltLake City, Utah - Aprll2010 See Instructions for Professional Fund Raiser, Professional Fund Raising Counsel, Professional Fund Raising Consultant Permit Application Form. PART I: APPLICANTS IDENTIFICATION 1 Applicant?s Name Outreach Calling 2 Other Names that Applicant Uses none 3 Applicant?s Street Address 200 Virginia Street, 8th Floor Street Reno, NV 89501 City State Zip Code Telephone Number 775'322'9992 Facsumile Number 775-332-9991 Contact Person?s Mailing Address clo Copilewtz Canter 310 West 20th Street, Suite 300 Street Kansas City. MO 64108 City State Zip Code Telephone Number Faesnmile Number 3154735009 4 Type of Organization IndIVIdual Partnership leited Liability Company Assoeiation Corporation Jomt Venture Other 5 Contact Person Megan Parker Telephone Number 815-472-9000 6 List the Applicant?s busmess, occupation, or employment for the three (3) year period immediately preceding the date of this application Telemarketing and Fund-Raismg semices PART II: VENDING DEVICEN EN DING DEVICE DECAL 1 Are vending dewcesfdecals to be utilized by Applicant? Yes No If ?yes?, complete this Part If go to Part 2 Indicate type of dewee none .. F. 3 Please explain the ?nancial arrangement With each charitable organization with regards to the vending deVieefdecal HDHB 4 Please indicate the length of time that the vending dewee Will be utilized, the type of vending drawers, and the number of dances utilized for each charitable organization Name of Beginning Expiration Type of Number Charitable Organization Date Date Device of Devices none none none DORE 5. Please list the location(s) of the vending dewce(s). PART CHARITABLE ORGANIZATIONS 1 Please prowde the name and address of each charitable organization utilizmg Applicant?s servmes dungguthis application period. American for Cancer Support, Inc Name Name 32 Nancy Lane. Suite 3 Address Address Knoxwile. TN 31919 City StatefZip Code City StateIZip Code Contract Effective Date- Tm112012 Contract Effective Date Contract Expiration Date amateurs Contract Expiration Date._' Breast Cancer Survivors Foundation, Inc Cancer Fund of America, Inc. Name Name 13351 NE 29m Ava.. Ste 700 2901 Breezawood Lane Address Address Avantura, FL 33189 Knoxville. TN 37921 City StateJZip Code City StateJZip Code Contract Effective Date 9? 5.12019 Contract E?'eetive Date ?1512010 Contract Expiration Date 911 #2015 Contact Expiration Dam 7f14f201? Center for American Homeless Veterans. lnc. Childhood Leukemla Foundation. Inc. Name Name 210 East Broad Street, Suite 202 807 Mantoloklng Rd . Sulte 202 Address Address Falls Church. VA 22046 Brick, NJ 03723 City StatefZip Code City StatefZip Code Contract Effective Date #0312011 Contract Effective Date 31013012 Contract Expiration Date Contract Ettpiration Date 2i'28t2015 Crisis Rsllaf Network, Inc Defeat Diabetes Foundation. Inc Name Name 4601 SW 34th Street, Suite 100 150153rd Avenue, Suite 309 4 ~ue?Address Address Orlando, FL 32311 Madeira Beach, FL 33MB City StatelZip Code City State/Zip Code Contract E?ectl?i? Date. 6l01i?2013 Contract Effective Date momma Contract Expiration Date Contract EXpiration Date 11:30:201 5 2 Attach a copy of all contract agreements with each charitable organization using Applicant?s serVIces NOTE Renewal applications should include copies of current contracts. PART IV: PROFESSIONAL FUND KAISER 1 15 Applicant a Professional Fund Raiser? Yes 1 No If ?yes", complete this Part If go to Part 2 State the purpose of the solicitation and use of the contributions to be solicited for each charitable organ ization General charitable purpose of the Individual organizations. 3 Please check each of the applicable methods by which solicitations Will be conducted and indicate the projected length of time that the solicitation will he conducted for each charitable organization A response such as ?see contract" is not acceptable Method of Dates of Dates of Solici?on Commencement?'ermination Commencement??ennination telephone On-Gomg lYear-Round sell advertismg i? direct mail I sellcoupon i' door-to-door sell other item I special events I other (explain) I show or performance I I 3 Please explain the ?nancial arrangement each charitable organizatlon regards to the vendmg dewcefdeeal 4 Please mdleate the length of tlme that the vending devrce be the type of vending devrce, and the number of devrces utilized for each charitable ergantzatlon Name of Beginning Explratron Type of Number Chantabte Organization Date Date Deuce of Dev1ces "one none 5 Please hat the location(s) of the vending dewee(s} none none PART CHARITABLE ORGANIZATIONS 1 Please provrde the name and address of each chantablo orgamzatton Applicant?s servrces during this period Disabled and Sheriffs Foundatlon, Inc Fire?ghters Support Foundation, Inc Name Name 14304 Hennick Road 40 School Street, Suite 10 Address Address Ste Genevieve, MO 63670 Green?eld. MA 01301 City State/Zip Code City StateIZIp Code Contract Effective Date Tltl1t201n Contract Effective Date ?inmate Contract Expiration Date 63012015 Contract Expiration Date 6:3012015 Healing Heroes Network. Inc. tnternatlonal Union of Police Aaeoclations, AFL-CIO Name Name 31640 US Hig?ray 19H . Suite 2 1549 Ringling . 6th Floor Address Address Palm Harbor. FL 34584 Sarasota, FL 34235 City Stateme Code Ctty Code Contract Effective Date 2i?t?012 Contract Effective Date ?013201? Contract Expiration Date 4J3??tl15 Contract Explranon Date 5130f2015 Wish Network, Inc. Law Enforcement Of?cers Rellef Fund Name Name 4000 Louis Avenue 1549 Ringling 6th Floor Address Address Holiday, FL 34091 Sarasota, FL 34236 City StatefZip Code City StatelZip Code Contract Effectwa Date 440112010 Contract E?-?cctwe Date 2:01:2011 Contract Exptratlon Date 3:31:2015 Contract Expiratmn Date 113112016 Netlonal 1Vietnam Veterans Foundation, Inc Reserve Police Of?cers Aeeoclatlon Name Name 1015 N. Pelham Street BB Roekland Avenue ?Atdd'l?333 Addrhan VA 22304 Yonkers. NY 10705 City StatelZip Code City Statefle Code Contract Effective Date 0101I2010 Contract Effective Date 71012010 Contract Expiration Date 5131 2015 Contract Expiration Date ?30192015 2 Attach a copy of all contract agreements each charitable organization usmg Applicant's senrices NOTE Renewal should include copies of current contracts PART IV: PROFESSIONAL FUND KAISER 1 15 Applicant a Professmnal Fund Raiser? Yes No If ?yes?, complete this Part If go to Part 2 State the purpose of the and use of the GOntl'lbtlIIOI?lS to be solicited for each charitable organization. General charltehle purpose of the individual organizations. 3 Please check each of the applicable methods by which solicitations Will he conducted and indicate the projected tength of tune that the sohcitation be conducted for each charitable organization A response such as "see contr 1s not acceptable Method of Dates of Dates of Soli Comencemen?ennmation Commencementfl?enninm telephone On-Gcing (Year?Round sell advertismg direct mail sell coupon I door-to-door sell other item if special events 4? other (explain) show or performance 1' I 3 Please explaln the ?nancial arrangement and: each charitable orgamzatlon With regards to the vending dewcefdecal 4 Please Indlcate the length of tlme that the vending dewce be the type of vending devrce, and the number of dewces for each charitable organization Name of Expiranon Type of Number Chantable Organizatlon Date Date Devrce of Demons none now none none 5 Please list the ocat10n(s) of the vendmg dewce[s) none none PART CWTABLE ORGANIZATIONS 1 Please prowde the name and address of each charitable organization Applicant?s SCWICBS during application period The Committee For missing Children, Inc. United Breast Cancer Research Soelety. Inc Name Name 934 Stone Mull Run 325 Avenue SE Address Address GA 30046 Washington, DC 20003-1110 City Stateme Code City State/Zip Code Contract E?'cetwe Date 311 $2013 Contract Effectlve Date 531512011 Contract Expiration Date 3114f2018 Contract Expiration Date 5114:2016 Name Name Address Address City StatefZIp Code City StateIZIp Code Contract Effectwe Date Contract Effective Date Contract Expiration Date Contract Explranon Date - 4 Indicate the followmg Information CD?tJ?l'l'll?g the Applicant's revenue and expenses nnticigated dunng the applicatlon period for each cherltable organizatton declared In this application A Name of Charitable Organtzatlon American Associatlon for Cancer Support. Inc. (1) Total amount of eontnbutlons projected to be made as a result :3 1.1?5.000 00 of the (2) Amount of anticipated expenses of the sollmtatton fee Cost of collection 33 1.051500 00 Salaries COMMISSIOHS Other expenses explam (3) Total amount of contnbutrons projected to remain available to this ehantable organtzatlon 11?.500 00 [llne (1) less [we (4) Percentage of total that are projected to remain avarlable to chantable organization 10 [lme (3) dwlded by Into Name of Charitable Orgamzatlon Breast Cancer Survivors Foundation, Inc. (I) Total amount of projected to be made as a result 3 2.400.000 00 of the solloltatlon (2) Amount of anticipated expenses of the sollc?atlon fee Cost of collectlon Salaries Other expenses explain 99-99 2.150.000 00 {739999 (3) Total amount of projected to remain available to 0115 charitable orgamzatlon 240.000 00 [Into less km (4) Percentage of total cono'tbutIons that are projected to remam avarlable to tins chentable organization 10 [line (3) dwrded by lme v? u? -.- 4. Indicate the followmg information concerning the Applicant?s revenue and expenses antieigated during the annlligtion nenod for each charitable organization declared in this application A Name of Charitable Organization Cancer Fund 0? WWII. Inc- (1) Total amount of contributions projected to be made as a result 3 230.000 00 of the solicitation Amount of anticipated expenses of the sollcitation Applicant?s fee 3 Cost of collection 204,700 00 Salaries Commissions Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization 3 25,300 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization 11 [Into (3) divided by line Name of Charitable Organization Center for American Homeless Veterans. Ine . Total amount of contributions projected to be made as a result 1,916,000 00 of the solicitation Amount of anticipated expenses of ?ie solicitation Applicant?s fee 3: Cost ofcolleetlon 1,717,500 00 Salaries Cominissions Other espenscs explain (3) Total amount of contributions prOJECth to remain available to this charttable organization. 191500 00 [line 1) less line (4) Percentage of total contributions that are projected to remain aVailable to this charitable organization 10 [line (3) dwided by line 4 Indicate the followmg mfonnation eoneemmg the Appheant?s revenue and expenses anticipated during the applleatlon penod for each ohantable orgamzanon declared In this application A Name ofCha-Iuable Organizatlon ChildhOOd Faundatlon, Inc (1) Total amount of eontnbutlons prejeeted to be made as a result of the solteltatton (2) Amount of antietpated expenses of the soltettatton Applicant?s fee 3; Cost ofeollectton 35 1231250 00 Salaries 145,000 00 Other expenses 3 explain (3) Total amount of contributions projected to remain available to ohantable organizatton [ltne (1) less line (4) Percentage of total eonntbuuons that are projected to remam available to this charitable orgamzation [lme (3) dwided by line Name of Chantable Organization Cfi?l? Relief Nehnrork, Inc. (1) Total amount of contributions projected to be made as a result of the soliCItatlon Amount of annetpated expenses of the soltettatlon Applicant's fee Cost of collection Salanes Other expenses explain 193 600 OD (3) Total amount of contributions projected to remain available to this ohantable organization [lme (1) less lme (4) Percentage of total coon-[buttons that are projected to rematn available to this charitable organlzatlon [lme (3) clouded by 1111!: 21 750 00 Halal?uh 15 3 22000000 22,000 00 10 ?Vu .. 4 Indicate the followmg information concerning the Applicant?s revenue and expenses an?cigated during the application period for each charitable organization declared in this applicatiow A Name of Charitable Organization Defeat Dlabetee Foundation. 1) Total amount of contributions protected to be made as a result 5 155.000 00 of the solic1tation (2) Amount of anticipated expenses of the solicitation Applicant's fee Cost of collection Salaries 140.250 00 9969699999 Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization 55 24.?50 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization 15 {line (3)dw1ded by line Nam: of Chantablg Organlz?tmn Disabled Police and Sheriffs Foundation, Inc. (1) Total amount of contributions projected to be made as a result 1.100.000 00 of the solwitation Amount of antimpated expenses of the solicitation Applicant?s fee Cost of collection Salaries Other expenses explain 990.000 00 5995635995 (3) Total amount of contributions projected to remain available to this charitable organization 1 10000 00 [line (1) less line Percentage of total contributions that are projected to remain available to 0113 charitable organization 10 [line dmded by line 4 Indicate the information concerning the Applicant's revenue and expenses an?eigated during the anglieation pgnod for each charitable organization declared in this application A Name of Charitable Organization Fim??h?ifs Foundation. Inc- (1) Total amount of contributions projected to be made as a result 4,500,000 00 of the solicitation (2) Amount of antlelpated expenses of the sol iettation Applicant?s fee Cost of collection Salaries Commissions 4,050,000 00 Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization 450,000 00 [line (1) less line (4) Percentage of total eontnhuhons that are projected to remain available to this charitable organization 10 [line (3) dwided by line Name of Charitable Organization Healing Heroes Network. Inc- (1) Total amount of contributions projected to he made as a result 475,000 00 of the solieitation (2) Amount of antielpated expenses of the solieitation Applicant?s fee Cost of collection Salaries Commissions Other expenses explain 427,500 00 5959999969 (3) Total amount of contributions projected to remain available to this charitable organization 4?.500 00 [line (1) less lme (4) Percentage of total contributions that are projected to remain available to this charitable organization 10 [line (3) dwided by line (I ?dd. 4 Indicate the followmg information concerning the Applicant?s revenue and expenses antieigated during the application [Eng for each charitable organization declared in application A Name ofCharitable Organization International Unlon of Police Associations. AFL-CID (1) Total amount of contributions projected to be made as a result 35 2,600,000 00 of the solicitation (2) Amount of antic1pated expenses of the solicitation Applicant?s fee Cost of collection 55 2,3acloon Salaries Other expenses explain Total amount of contributions projected to remain available to this charitable organization 35 260,000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable Organization 10 [line (3) dwided by line Name of Charitable Organ ization Kida WISH "mark. (1) Total amount of contributions to be made as a result 335.000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Other expenses explain 294,800 00 5995999595 (3) Total amount of contributions prejeeted to remain available to this charitable organization 5 40,200 00 [line (1) less line Percentage of total contributions that are projected to remain available to this charitable organization 12 [line (3) dwided by line 4 Intimate the followmg Information concerning the Appheant?s revenue and expenses anticipated dunno. the soulleatron pound for each charitable UTg?l?llZ?IlOl?l declared to this sppheatlon A Name of Charitable Organization Law Enforcement Of?cers Rellef Fund (1) Total amount of contributions projected to be made as a result 3 160.000 00 of the selloutation (2) Amount of anticipated expenses of the soileltatlon Applicant's fee Cost ofoolleotlon 144.000 00 Salaries Commussrons Other expenses 53 exnlaln (3) Total amount of projected to remaln available to ?ne oharltable organization 15 16,000 00 {line (1) less line (4) Percentage of total eontnbunons that are projected to remain avallable to this eharrtable organization 10 by line Name of Chanteble Orgamzanon National Vietnam Veterans Foundation. Inc. (1) Total amount of eontnbutions projected to be made as a result 5.950.000 00 of the solloltsIJon (2) Amount of antrc1pated expenses of the Applicant?s fee Cost ofeolleotlon Salaries Other expenses explain 6.185.500 DD (3) Total amount of contributions projected to remain available to this charitable organlzetson 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable orgamzatton 11 [lrne (3) drwded by lme during the application period for each charitable orgamzahon declared 0115 appltoetton A Name of Chmtable Orgemzatlon. Reserve Police Of?cers Association 4 Indlcate the following mformatton coneernmg the Applicant?s revenue and expenses antieinated (I) Total amount of cone-[buttons projected to be made as a result 3 500.000 00 of the solleltetton (2) Amennt of antlelpated expenses of the sollmtatlon Applleant's fee 3 Cost of collection 5 540,000 00 Salarles Commissions Other expenses explam Total amount of contributions projected to remain available to this ehanteble organization 50.000 00 [line (1) less line Percentage of total that are projected to remsm avalleble to the charitable organization 10 [line (3) dmded by line Name of Charitable Organization The Committee For Children. Inc (1) Total amount of prejected to be made as a result 200.000 00 of the solicitation (2) Amount of antletpeted expenses of the fee Cost of Selanes Other expenses explain 180.000 '00 5999695999 (3) Total amount of contributions projected to remain available to this charitable orgamzatlon 20.000 00 [line (1) less line (4) Percentage of total contributlons that are projected to remain available to 01:5 chantable DYg??IZ?tan 10 [lune (3) dmded by line 16 4 Indicate the followmg information concerning the Applicant's revenue and expenses an?eipat? during the application period for each charitable organization declared in this applleation A Name of Chantahle orgm?mmn United Breast Cancer Research Society. lne (1) Total amount of centributions projected to be made as a result 9 90 of the solieltation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Omer expenses explain Total amount of contributions proJected to remain available to this charitable organization 0 no [line (1) less line (4) Percentage of total contributlons that are projected to remain available to this charitable organization 0 [line dwided by line Name of Charitable Organization Total amount of contnbutions projected to be made as a result 31 of the solicitation (2) Amount of anticipated expenses of the solicitatlon Applicant's fee Cost of collection Salaries Other expenses explain 5555996965} (3) Total amount of contributions projected to remain available to this charitable organization [11116 (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organizatlon [line(3)div1ded by line 5 Are the amounts to be eamed or received by applicant as set forth above based on a flat fee arrangement? Yes No If ?yes", explain the facts that Slipport the reasonableness of the fees to be paid by each charitable organization declared in this application 6 Please prowde the follomng accounting summary for all contributions collected or received withm the calendar year tmmedtately preceding the date of this application Calendar Year 201 4 A Name of Charitable Organization American Association for 330W Support, It?: Total amount of contributions collected or received by Applicant from Utah sources 1,952 01 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [includmg line 1.166.321 DU (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost ofcollection Salaries Other expenses Explain 1.050.138 90 9599599559 Total Eitpenses 1.050.133 so Name of Charitable Organization American Foundation for Disabled Ine (1) Total amount of contributions collected or received by Applicant from Utah sources sec on (2) Total amount of contributions collected or recewed by Applicant from Donors [including line 483,?28 54 (3) Amount of expenses made item or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Commissions Other espenses Explain 7 If applicable, state the total cost of product 435.355 69 Total Expenses 33 435.355 69 {7 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please provide the followmg accounting summary for all contributions collected or received Within the calendar year immediatelyprecedins. the date of this application Calendar Year 201 4 A Name nghal-ltabig Organization Breast Cancer Survivors Foundation. Inc 1) Total amount of contributions collected or received by Applicant from Utah sources 1,200 00 (2) Total amount of contributions collected or received by Applicant from a_l Donors [including line 3 2,397,350 42 (3) Amount of eitpenses made from or the use made of the contributions Collected or received by Applicant. Applicant?s fee Cost of collection Salaries Other expenses Explain 3: 1151615 as 559959 Total Expenses SM Name of Charitable Organization. Cancer Fund ofAmrIca. Inc. 1) Total amount of contributions collected or received by Applicant ?'om Utah sources 5 225 on (2) Total amount of contributions collected or received by Applicant from all Donors [including [me 229,802 59 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant's fee Cost of collection Salaries Other expenses Explain 5599599995 Total Expenses 204,524 31 7 If applicable, state the total cost of product YES -. 5 Are the amounts to be earned or received by applicant as set forth above based on a flat fee arrangement? Yes No If?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared In this applicatlon none 6 Please proyide the followmg accounting summary for all contributions collected or received Within the calendar year immediately preceding the date of this application Calendar Year 201 4 A Name of Charitable Organization Canterfor American Homeless Veterans, Ine (1) Total amount of contributions collected or received by Applicant from Utah sources 1,075 cc (2) Total amount of contributions collected or received by Applicant from a_ll Donors {Includmg line 1,9?1,309 12 (3) Amount of exocnses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Other expenses Explain Total Expenses 21 1,7?4,1?3 21 1396963956? Name of Charitable Organization Childhood Inc (1) Total amount of contributions collected or received by Applicant from Utah sources 11c 00 (2) Total amount of contributions collected or received by Applicant from a_11 Donors [including time 142.202 co (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explam Total Expenses 35 120.371 70 120,8?1 TD 7 If applicable, state the total cost of product 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable orgamzation declared in this application 6 Please the followmg accounting summary for all contributions alleged or recggved Within the calendar year immedtately preceding the date of this application Calendar Year 201 4 A Name of Charitable Organization Ri?e" Network, Inc (1) Total amount of contributions collected or received by Applicant ?'om Utah sources 45 co Total amount of contributions collected or received by Applicant ?-orn g? Donors [including line 217.599 28 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain 195.839 35 Total Expenses 33 195.339 35 Name of Charitable Organization Defeat Dl?b?tes Foundation, Inc (1) Total amount of contributions collected or received by Applicant ?'om Utah sources 3 as no (2) Total amount of contributions collected or received by Applicant from a_l_l Donors [including line 152,121 12 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explatn If applicable, state the total cost of product 145.909 13999559595- Total Expenses 55 145.909 {11 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application. 6 Please prowde the followmg accounting summary for all contributions collected or ?owed Within the calendar gear immediately preceding the date of this application Calendar Year 2014 A Name of Chantable Organizangn Disabled PDIIGB and Sheriffs Foundation. Inc (1) Total amount of contributions collected or received by Applicant from Utah sources 0 00 (2) Total amount of contributions collected or recewed by Applicant from Donors [including line 1,050,220 56 (3) Amount of expenses made from or the use made of the contributions Collected er received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 945,198 50 945.198 SD 9395695969 Name of Charitable Organization Fira?uhi??i Foundallon. Inc (1) Total amount of contributions collected or received by Applicant ?'om Utah sources 1,060 00 (2) Total amount of contributions collected or received by Applicant from a_ l Donors [including line 4,323,954 22 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant's fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 3,891,558 80 3 391 553 30 9593559999 7 If applicable, state the total cost of product 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please prowde the fol lowing accounting summary for all contributions collected or mg'ved Within the calendg year immediately preceding the date of this application' Calendar Year 201 4 A Name of Charitable Organization HWDOS ll?: Total amount of contributions collected or received by Applicant from Utah sources 595 on (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including [me 461.853 36 (3) Amount of cXpenses made from or the use made of the contributions Collected or received by Applicant. Applicant's fee Cost of collection 415568 02 Salaries Other expenses 3; Explain Total Expenses 33 415,563 ?32 Name of Charitable Organization International Union of Police Associations. AFL-CID (1) Total amount of contributions collected or received by Applicant ?'om Utah sources rso no (2) Total amount of contributions collected or received by Applicant from a? Donors [including line 2 537 339 11 (3) Amount of expenses made from or the use made of the contributions Collected or recewed by Applicant Applicant?s fee Cost of collection Salaries CommisSions Other expenses 2,284,055 20 9599999699 Explain Total Expenses 2.284.055 20 7 If applicable, state the total cost of product 3 if, 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes", explam the facts that support the reasonableness of the fees to be paid by each charitable organizatmn declared in this application none 6 Please prowde the followmg accounting summaryr for all contributions in?ected or received Within the calendar vear Immediate?r the date of this application Calendar Year 2014 A Name of Charitable Organization Klde WISH Inc. (1) Total amount of contributions collected or recewed by from Utah sources 200 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 330,926 24 (3) Amount of expenses made from or the use made of the Collected or received by Applicant Applicant?s fee Cost of collectton Salaries Other expenses Explain Total Expenses 291.215 '39 291,215 09 6999999969 Name of Charitable Organization Law Enforcement Officers Relief Fund (1) Total amount of contributions collected or received by Applicant from Utah sources. 522 00 (2) Total amount of contributions collected or received by Applicant from a_l Donors [including line 157,290 92 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant fee Cost of collection Salaries Other expenses Explain Total Expenses 55 141.561 33 1411561 83 HEEHBEBEA 7 If applicable, state the total cost of product 5 Are the amounts to be earned or recewed by applicant as set forth above based on a ?at fee arrangement?? Yes No lf?yes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application 6 Please provnde the followmg accounting summaryr for all contributions collected or received within die calendar year unmedtatelg preceding the date of this application Calendar Year 201 4 A Name of Chantablc Orgamzatlan National Vietnam Veterans Foundation, Inc (1) Total amount of contributions collected or received by Applicant ?orn Utah sources 1,395 Do (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 6.944.949 22 (3) Amount of eXpenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 31 6.181.004 31 5,181,004 81 ?at-35996999 Name of Charitable Organization Reserve Police Of?cers Association (1) Total amount of contributions collected or recewed by Applicant from Utah sources 635 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 5T1,Beo as (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Commissions Other expenses Explain Total Expenses 514.674 89 514.674 39 BEBE-639999 7 If applicable, state the total cost of product 1% 5 Are the amounts to be earned or received by applicant as set fordt above based on a flat fee arrangement" Yes No If ?yes?, explam the facts that support the reasonableness of the fees to be paid by each charitable orgamzatton declared In application. "0'19 6 Please prowde the followmg accounting summary for all contribunons collected or the calendar ear Immediatel recedin the date of this a lication Calendar Year 2014 A Name of Charitable Orgamzatmn The Committee For Children, Inc Total amount of contributions collected or received by Applicant from Utah sources 135 on (2.) Total amount of contributions collected or received by Applicant from Donors [including line 194,759 63 (3) Amount of expenses made from or the use made of the contributions I Collected or received by Applicant Applicant?s fee Cost of collection 175,283 ?1 Salaries Other expenses 23 . Explain Total Expenses? 115,283 ?1 Name of Charitable Organization United Breast Cancer Research Society. Inc. (1) Total amount of contributions collected or received by Applicant from Utah sources 545 00 (2) Total amount of contributions collected or recewed by Applicant from 3311 Donors [includlng line 353,083 13 (3) Amount of eXpenscs made than or the use made of the contributions Collected or received by Applicant Applicant's fee 5 Cost of collection 322,2?4 36 Salaries Other expenses 3 Explain Total Expenses 7 If applicable, state the total cost of product 53 .i 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No lf?ycs?, explain the facts that support the reasonableness of the fees to be paid by each charitable organrzatlon declared to this application 6 Please provide the followmg accounting summary for all collected or received w: the calendar ear 1mmed1atel recedm the te of this a hcatron Calendar Year 2014 A Name of Charitable Organization' Woman to Woman Breast Cancer Feundatlon, Inc Total amount of collected or by Applicant from Utah sources 545 no (2) Total amount of contnbutlons collected er recewed by Applicant from all Donors [Including line 358,083 13 (3) Anmunt of expenses made from or the use made of the contributions Collected or recewed by Applicant Applicant?s fee Cost of collection Salaries Other expenses Explain Total EXpenses 322.274 36 H99 322,274 55 656F199 B. Name of Chantable Organization (1) Total amount of contributtons collected or received by Applicant from Utah sources (2) Total amount of contributions collected or recewed by Applicant from all Donors [Including lme (3) Amount of expenses made from or the use made of the contnbutlons Collected or reserved by fee Cost of collectton Salaries Commissions Other expenses Explain Total Expenses 3 6559595595- 7 If state the total cost of product 7A0 .. PART V: PROFESSIONAL FUND RAISING COUNSEL 0R CONSULTANT I Is Applicant a Professmnal Fund Raismg Counsel or Professmnal Fund Raising Consultant?) Yes No if ?yes?, complete this Part If go to Part VI 2 State the purpose of the plan, management, adVise, counsel or preparation of materials for, or respect to the solicnation and use of the contributions to be solic1ted for each charitable organization 3 Please check each of the applicable methods by which the plan, management, counsel, or preparation of materials be organized or coord mated and the pro] ected length of time of the solicitation for each charitable organization Method of Dates of Solicitation CommencemenUTermmatton consulting planning directingi'scheduling mailings 1? promotional materials 1? other serwces ll (explain) 4 Indicate the followmg information concerning the Applicant?s revenue and expenses anticipated during the application period for each charitable organization declared in this application A Name of Charitable Organization (1) Total amount of fees prejected (2) Total amount of Applicant?s anticipated expenses (3) Total net fees that are pro )ected to be earned or received by Applicant 3 [line (1) less line Name of Charitable Organization (1) Total amount of fees projected (2) Total amount of Applicant?s anticipated expenses 3 (3) Total net fees that are pro Jected to be earned or received by Applicant 3 [line (1) less line 2T 5 Are the amounts to be earned or received by Applicant as set forth above based on a ?at fee arrangement" Yes No If ?yes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared In this application 6 Please provrde the followmg accounting summary for all contributions collected or received by; the Applicant Wltl?lln the calendar vear immediatelv preceding the date of this application A Name of Charitable Organization (1) Total amount of fees earned or received by Applicant 3 (2) Total amount of Applicant?s expenses made from Applicant?s fee List of paxees Amounts Paid 39 Total Expenses (3) Net fees earned or received by Applicant [lme (I) less line Name of Charitable Organization (1) Total amount of fees earned or received by Applicant (2) Total amount of Applicant?s expenses made from Applicant?s fee List of payees Amounts Paid Total Expenses 3 (3) Net fees earned or received by Applicant [lme(1) less line 28 PART VI: HISTORY 1 List all prewous pennits or licenses by state and date of issuance Watered" 2 Has there been any injunction, Judgment, or administrative order by a federal, state, or local agency against the Applicant? Yes No 3 Has the Applicant been contacted of any crime involvmg moral turpitude?? Yes 3] No If ?yes?, please explain in detail including nature of proceeding, date, location and current status Please prowde a copy of the order 4113 4 Has there been any IHJUHCIIOYI, judgment, or administrative order or conwction of any crime involvmg moral turpitude With respect to any of?cer, director, manager, operator, or pnncupal of the Applicant? Yes No lf?yes?, please explain in detail including nature of proceeding, date, location and current status Please provrde a copy of the order nla PART VII: ORGANIZATION IDENTIFICATION I the followmg Information for Applicant?s Registered Agent Greg Lam Name Street Address City State Zip Code Telephone Number Facsnnile Number 2 List the followmg information concerning the Applicant?s partners, prinCIpals, of?cers and directors Name Address Telephone Number "Li 29 PART SOLICITING WITHOUT PERNHT I If this an initial application or a renewal application after the applicant has let Its permn expire, has the apphcantlconducted actiwties regulated by the Charitable Solicitations Act, Utah Code Title I3, Chapter 22, Without being duly registered the DiViSion?7 This includes prowding fund raising, fundraismg counsel or consultant serv1ces, planning, managing, adv151ng,'counseling, consulting, preparing material, or coordinating and scheduling solicitations (including direct mail, telephonic, and email solicitations) on behalf of any charitable organization into the state of Utah []Yes []No 2 If ?yes?, please explain in detail, including the name of the charitable organization, the dates involved, .and the method of the solicitation Not Applicable PART IX: SIGNATURE I ACKNOWLEDGEMENT By Signing this application, the professwnal fund raiser, professmnal fund raismg counsel, or professmnal ?md raising consultant - affirms that this application is complete and not misleading, and acknowledges that fund raismg in Utah not commence until both the charitable organization, its parent foundation, if any, and the professmnal fund raiser or professmnal fund raismg counsel or consultant are registered and In compliance With the Utah Charitable SohCitations Act DATED - In APPLICANT BY -, rv ITS 30 Outreach Attachment referenced question 2 List of Shareholders Damian Muzuam, 100% Shareholder 200 Street, 8th Floor Reno. NV 89501 FEIN 2741915392 Outreach Calling FEIN 27-0915392 Attachment referenced in question in 1 List of Agreements with Chants-Me Oryamzations American Assomation for Cancer Support, Inc 322 Nancy Lane, Su?e 3, Knoxville, TN 37919 Campaign Period 0101-2012 to 06?30?2015 Breast Cancer Survivors Foundation, Inc, 18851 NE 29th Ave Ste 700, Aventura. FL 33180 Campaign Penod 09-15?2010 to 09-14-2015 Cancer Fund of America. Inc 2901 Breezewood Lane, Knoxv?le, TN 3?921 Campaign Penod 07-15-2010 to Center for American Homeless Veterans, Inc 210 East Broad Street, Sune 202, Falls Church, VA 22046 Campaign Period 04-08-2011 to 07-14-2016 Childhood Leukemia Foundation. Inc . 80? Mantoloking Rd 202, Bnck, NJ 08723 Campaign Period 03-01-2012 to 02-28-2015 Relief Network, Inc 4601 SW 34th Street, 100, Odando, FL 32611 Campaign Period 06-01-2013 to 05-31-2018 Defeat Diabetes Foundation, Inc 150 153rd Avenue, Smte 300, Madeira Beach, FL 33708 Campaign Period 11-01-2010 to 11-30-2015 Disabled Police and Sheriffs Foundahon, Inc, 14304 Hennick Rd Ste Genevieve, MO 636?0 Campaign Period 07-01-2010 to 06-30-2015 Fire?ghters Support Foundation, Inc 40 School Street, Soite 10, Green?eld, MA 01301 Campaign Period 07-01-2010 to 06-30-2015 Healing Heroes Network, Inc 31640 US Highway 19N . Suite 2, Palm Harbor, FL 34684 Campaign Period 02?01-2012 to 04-30-2015 International Union of Police Assmiations. AFL-CIO, 1549 Ringling 6th Floor. Sarasota, FL 34236 Campaign Period 07-01-2010 to 06-30-2015 Kids Wish Network, Inc 4060 Lows Avenue, Holiday, FL 34691 Campaign Penod 04-01-2010 to 03-31-2015 Law Enforcement Of?cers Relief Fund, 1549 6th Floor, Sarasota, FL 34236 Campaign Penod 02-01?2011 to 01-31?2016 National Vietnam Veterans Foundation, Inc 1015 Pelham Street, Alexandria, VA 22304 Campaign Period 06-01-2010 to 05-31-2015 Reserve Police Of?cers Assomation. 89 Rockland Avenue, Yonkers, NY10705 Campaign Period 07-01-2010 to 06-30-2015 The Committee For Miaaing Children, Inc 934 Stone Mill Run, Lawrenceville, GA 30046 Campaign Period 03-15-2013 to 03-14-2018 United Breast Cancer Research Seeiety, Inc 325 Avenue SE, Washington, DC 20003-1110 Campaign Penod 05-15-2011 to 05-14-2016 Outreach Calling Attachment referenced ques?on 2 List of Of?cers and Directors Damian Muzlanl, Presrdent 20? Virginia Street. 8th Floor Reno. NV 39501 775?322-9992 FEW 2?-091 5392 Outreach EIN 270915392 Attachment referenced to questron 1 List of Sta tes. Couches, and Crtfes Where Registered Alaska Alaska Department Of Law. 1031 4th Ave . Surte 200, Anchorage. AK 99501 Alabama Consumer Affairs Section. 501 Washington Avenue. Montgomery, AL 36130 Arkansas Consumer Protection 323 Center Street, 200 Tower Bldg. thtle Rock. AR 72201 Califomra Of Chantable 1300 I Street. Surte 101. Sacramento. CA 95814 Colorado Of?ce Of The Secretary Of State. 1700 Broadway. Surte 300. Denver. CO 80290 Connectrcut Public Chantres Unrt. 165 Caprtol Avenue. Hartford. CT 06106 Flonda Of Consumer Sennces. 2005 Apalachee Parkway. Tallahassee. FL 32399 Georgra Of?ce Of The Secretary Of State. 237 Coliseum Dnve. Macon, GA 31217 Hawaii Department of the Atlomey General, 425 Queen Street. Honolulu. HI 96813 Chantable Trust Bureau. 100 Randolph St . 11th Fl Chicago. IL 60601 lndlana Consumer Protection 302 Washington Street. 5th Floor. Indianapolis. IN 46204 Kansas Secretary Of State's Of?ce. 120 10th Ave . 1st Fl. Topeka. KS 66612 Kentucky Consumer Protection 1024 Caprtal Center Dnve. Frankfort. KY 40601 Loursrana Consumer Protecton Section. 1885 3rd Street. Baton Rouge. LA 70802 Massachusetts Publrc Chantres Division. 1 Ashburton Place. Boston. MA 02108 Maryland Chantable Organization 16 Francrs Street. Annapolis. MD 21401 Marne Of?ce of and Regulahon. 35 State House Stahon. Augusta. ME 04333 Michlgan Chantable Trust Sectron. 690 Law Bldg. 525 Ottawa Street. MI 48913 Minnesota Of?ce of the Attorney GeneralfChantIes. 445 Mrnnesota Street. Surte 1200. St Paul. MN 55101 Mrssoun Mrssoun Attorney General. 207 Street. Jefferson City. MO 65102 Of?ce Of The Secretary Of State. 700 North Street. Jackson. MS 39202-3024 North Carolina Secretary Of State. 2 South Salisbury Street. Ralergh. NC 27601 North Dakota Secretary Of State. 600 East Boulevard. Bismarck. ND 58505 New Hampshire Charitable Trusts Unrt. 33 Caprtol Street. Concord. NH 03301 New Jersey Of?ce of Consumer 124 Halsey Street. 7th Floor. Newark. NJ 07101 New Mexico Of?ce of the Attorney General. 111 Lomas . NW. Surte 300. Albuquerque. NM 87102 Columbus. Ohro Chantable License Section. 750 Predmont Road. Columbus. 01 43224 Ohro Charitable Foundation Section. 150 Gay Steet. 23rd Floor. Columbus. OH 43215 Oklahoma Oklahoma Secretary Of State. 2300 Lrncoln . Room 101. Oklahoma Crty. OK 73105 Bureau Of Chantable Organizations. 207 North Of?ce Hamsburg. PA 17120 Rhode Island Charitable Organlzetlon Section. 1511 Pontiac Ave. 69-1. Cranston. RI 02920 South Carolrna Of?ce Of The Attomey General. 1205 Pendleton Street. Ste 525. Columbra. SC 29201 South Dakota Of?ce Of The Attorney General. 500 East Capitol. P161113, 80 57501 Tennessee DIvIsIon Of Chantable 312 Rosa Parks Avenue, 8th Floor. Nashville. TN 37243 Texas Statutory Documents. 1019 Brazos. Austin. TX 78701 Texas Statutory Documents. 1019 Brazos. Austin. TX 78701 Utah Of Consumer Pmtectron. 160 East 300 South. Salt Lake City. UT 45804 Of?ce of Consumer Affarrs. 102 Governor Street. Lower Level. RICthlOf'ld. VA 23219 Vermont Of?ce Of The Attorney General. 109 State Street. Montpelier. VT 05609 Chantable 801 Caprtol Way South. Olympia. WA 98504 Wlsoonsln Department of Financial Institutions. Box 7876. Madison. WI 53707-7876 West Of?ce Of The Secretary Of State, 1900 Kanawha . East. Charleston. WV 25305 a I 411,: 1?1 Swain 1% 11. T: .1 2- STAT TUE 1? . 1311? n" I ~11" 74? Mi. 11?4" 3? - DEPARTMENTOE COMMERCE T. 1 Tim 6 DIVISION (9F CENSUMERTRUTEGTIUN ?3'11' 131? :51? 11? 1*th in '1 a 1 11REGISTRATION .: if 6 - 1.1 ?13" vi? 41 it,? 1? a EFFECTIVE DATE 6 -. ,6 FebruarwlOTZEllQml,? 31' 31' i" I: 1' EXPIRATION 6. ..1annary20, 2016373 - .- A TOM Np? 1:1. I'm: ?111"1? 31221;,- . 6636320,0, SJVIRGINIA STREET ., 31? .r?6 1 - 61.3- *r n- a REFERENCE CLASSIFICATION . 75712248-PFR0 Professmhal Fund Raiser - A . ,6 1 6' .. '11' 11' 11': Direction D1v1510n of Consumer Protectlon man-4. -- STATEMENT THE STATE ?oF UTAH DOES NOT THAT THE INFORMATION THIS CERTIFTCATE IS TRUEi934 ax a .5 . . . State of Utah DEPARTMENT OF COMMERCE DIVISION OF CONSUMER PROTECTION RECEIVED JAN 1 I 2015 PROFESSIONAL FUND RAISER, swarm of PROFESSIONAL FUND RAISING COUNSEL, I PROFESSIONAL FUND RAISING CONSULTANT PERMIT APPLICATION FORM OFFICE USE ONLY Date Issued: 76' Permit Number: 2: 2 3g ZZ Annual Application fee: $250.00 (Non-refundable) Approved: Outreach Calling Applicant?s Name Denied: Expiration: "[50 e/j 11-10-2015 Date of Application Please IndIoate whether thIs Is an applIeanon for an InItIal or renewal INITIAL RENEWAL APPLICATION APPLICATION Please Indleate the type Of applleatlon PROFESSIONAL FUND RAISER . PROFESSIONAL FUND RAISING COUNSEL :artment of Commerce PROFESSIONAL FUND RAISING CONSULTANT -nsmg and Enforcement Sygtem N. OUTREACH CALLING INC If you have any questions, please contact ti Payer Iver ID TerminaliD User ereckmek Please make applIeatlon fee cheek or Inone}r O. Date mm more Please return the completed apphcatlon form F-at Fee 1 - 250. on 250 as 8?50 so Department of Con Dawson Of Consumer I Amount Due 325.3 no 160 EaSt 300 SO Amount Paid 5259 DD Box 146704 Receipt 6290634 Salt Lake Clty, Utah 83-? AprIl 2010 Due date 01l18l2016 See Instructions for Professional Fund Raiser, Professional Fund Raising Counsel, Professional Fund Raising Consultant Permit Application Form. PART I: APPLICANTS IDENTIFICATION 1 Apphcant?s Name Outreach Calling 2 Other Names that Appheant Uses none 3 Street Address 200 Virginia Street. 3th Floor Street Reno, NV 89501 City State Zip Code Telephone Number ?53223992 Number 775-332-9991 Contact Person?s Mallmg Address clo Copllewtz and Canter, 310 West 20th Street. Sunte 300 Street Kansas City, HO 64108 Ctty State th Code T?l?ph?l'l? Number 816-472-9000 Number 816-4?2-5000 4 Type of Orgamzatlon L1nuted Company Assoelatton Corporatlon Jomt Venture Other 5 Contact Person Megan Parker, Legal Telephone Number 816-472-9000 6 the Applicant?s busmess, occupatlon, or employment for the three (3) year pCI'lDd Immediately the date of applicatlon Telemarketing and Fund-relenng semees PART II: VENDING DEVICEN ENDING DEVICE DECAL 1 Are vendmg devreesfdeeals to be ut111zed by Applleant'? Yes No If ?yes?, complete this Part If go to Part 2 Indicate type of devree None 3 Please explatn the financlal arrangement each chantable orgamzatlon regards to the demce/decal None 4 Please the length of tlme that the vendmg deVIce w111 be the type of 1vendmg dewce, and the number of dewces ut1llzed for each charitable organizatlon Name of Explratl on Type of Number Charitable Orgaruzatlon Date Date Dev1ce of Deuces None None None None 5 Please the location(s) of the vendmg dewce(s) None PART CHARITABLE ORGANIZATIONS 1 Please promde the name and address of each charltable organlzatton Applicant?s serwces durmg penod See attachment of Agreements with Charitable Organizations" Name Name Address Address Clty State/21p Code Qty Stateme Code Contract Effectlve Date Contract Explratlon Date Contract Effectlve Date Contract EXPlratlon Date Name Name Address Address C1ty Statef21p Code Qty Statef21p Code Contract Effectlve Date Contract Effective Date Contract Expiration Date Contract Explratlon Date See attachment "Lrst of Agreements with Charitable Orgamzatrons" Name Name Address Address Clty StateIth Code Clty StateIer Code Contract Effectwe Date Contract Effective Date Contract Explratlon Date Contract Explrauon Date Name Name Address Address City StateIth Code Qty StateI21p Code Contract Effectwe Date Contract Effectlve Date Contract Explratton Date Contract Explratlon Date 2 Attach a copy of all contract agreements ?nth each chantable orgamzatnon uslng Apphcant?s serVIces NOTE Renewal should 1nclude comes of current contracts PART IV: PROFESSIONAL FUND RAISER 1 Is Apphcant a Professmnal Fund Ralser" Yes No If ?yes?, complete Part If go to Part 2 State the purpose of the sohcltatlon and use of the to be sohclted for each charltable orgamzatlon General chantable purpose of the organizations 3 Please check each of the apphcable methods by he conducted and 1nd1cate the projected length of tune that the sohcntatlon be conducted for each charitable organizatlon A response such as ?see contract? 15 not acceptable Method of Dates of Dates of CommencementITermmatlon Commencement/Ternananon telephone On-Gomg I Year-Round sell I direct mall I sell coupon I door-to-door I sell other Item I spec1al events I other (explam) I Show or performance I I 4 lndreate the followmg mforrnatton eoneermng the Applicant?s revenue and expenses antieigated during the apphcatlon period for each charitable organizatlon declared 1n tlus applleation A Name of Chantable Organlzatlon Breast Cancer Sunrwors Foundahon, Inc (1) Total amount of eontnbutlons projected to be made as a result 3.500.000 00 of the sohertatlon (2) Amount of antlelpated expenses of the solleltatron Appheant?s fee Cost of colleetlon Salanes Other expenses explam 3,150,000 00 (3) Total amount of eontnbunons projected to remam avarlable to 0115 charltable organization 55 350,000 00 [line (1) less lme (4) Percentage of total COHtl?lbllUO?S that are pro] eeted to remam avallable to ?ne chantable organrzatron 10 [hne (3)d1v1ded by hne Name of Chantable Orgamza?on Center for Amencan Homeless Veterans, Inc (1) Total amount of eontnbutlons projected to be made as a result 3 2,300,000 00 of the sohmtatlon (2) Amount of antralpated expenses of the sohertatlon Applleant?s fee Cost of eolleetlon Salanes Other expenses explam 2,0?0,000 00 5999999999 (3) Total amount of eontnbunons projected to remaln avarlable to ?ne chantable organtzatlon. 230.000 00 [hne (1) less 11m: (4) Percentage of total eontnbutlons that are projected to remain ava?able to the ehantable orgamzatlon 10 [lure (3) d1v1ded by line 4 Indicate the followmg 1nfor1natron the Applicant?s revenue and expenses anticigated durrng the applreation pound for each ehantable organrzatlon declared tlus appheatron A Name ofCharltable Orgamzatron Childhood Leukemra Foundation, Inc (1) Total amount of contnbutlons prejeeted to be made as a result 3 100,000 00 of the (2) Amount of antlelpated expenses of the sohcrtatron Apphcant?s fee Cost of eotleetlon Salanes Other expenses explarn 85,000 00 15995535999 (3) Total amount of prejeeted to remarn avarlable to charitable orgamzatlon 15,000 on [lrne (1) less true (4) Percentage of total oontnbutrons that are projected to remarn avallable to chantable organlzatron 15 {lrne (3) dwrded by km: Name of Charitable Orgamzanon CNSIE R?llef Network, Inc (1) Total amount of contnbutlons projected to be made as a result 15 380.000 00 of the solreltatron (2) Amount of expenses of the solrertatton Applreant?s fee Cost of collection Salarles Other expenses explam 342,000 00 999966-9999 (3) Total amount of eonmbunons projected to remain avallable to 0115 eharrtable organrzatron 38.000 00 [true (1) less hne (4) Percentage of total contributions that are prejeeted to remarn avarlable to charitable organrzatron 1D [lrne (3) dwrded by hne 4 Intimate the followrng mformatron eoneernmg the revenue and expenses anticipated during the apphcatlon ?ned for each ehantable organlzatlon declared 1n appheatlon A Namg of Charitable Orgamzatlon Defeat Diabetes oundatlon, inc (1) Total amount of contnbutrons pro Jeeted to be made as a result 33 125.000 00 of the (2) Amount of antlelpated expenses of the sollcuatlon Applicant?s fee 38 Cost of collection 106.250 Salaries Other expenses 3 explaln (3) Total amount of p10] ected to lemam available to ?ne chantable organlzahon 18,?50 00 [llne (1) less line (4) Percentage of total contl'lbutlons that are projected to remam avarlable to chantable orgamzatlon 15 [hne (3) d1v1ded by lme Name of Chantable Orgamzatron Disabled PDIIOE and Sheriffs Foundation, Inc (1) Total amount of contnbutlons projected to be made as a result 33 1200-000 00 of the sohollatlon (2) Amount of expenses of the sohcuauon Applicant?s fee Cost of collecnon Salanes Other expenses explam 1,080,000 00 6699596959 (3) Total amount of contnbutlons pro; ected to remam available to the oharltable orgamzanon 120,000 00 [lme (1) less hne (4) Percentage of total eontnbutlons that are projected to remain available to this ohantable organlzatlon 10 [line (3)d1v1ded by [me 4 Indlcate the followmg Information concermng the Applicant?s revenue and expenses anticigated dunng me gpgheatl on period for each chantable organization declared 1n appheatlon A Name of Charitable Orgamzatlon. FIFB?ghtars Support Foundation, Inc (1) Total amount of projected to be made as a result 3 5,000,000 00 of the (2) Amount of antlelpated expenses of the sollc1tatron fee Cost of collection Salanes Other expenses explaln 4.500.000 00 6965999966 (3) Total amount of eontnbunons projected to remain avallable to 0115 charttable orgarnzatJon 500,000 00 [km (1) less [we (4) Percentage of total eonmbutlons that are projected to rematn avallable to charltable orgamzatlon 10 [111316 (3)d1v1ded by lrne Name of Charltable Organlzatlon "93""9 ?97?95 Inc (1) Total amount of coninbutlons proleeted to be made as a result 500.000 00 of the sohmtatlon (2) Amount of expenses of the sollcnatlon Apphcant?s fee Cost of collection Salarles Other expenses explam 540.000 00 5969599959 (3) Total amount of contnbutlons pro] eeted to remain evallable to tlus chantable orgamzatlon 3; 50.000 00 [11:16 (1) less line (4) Percentage of total contnbutrons that are projected to remarn available to this chantable olgamzatlon 10 [line (3) dwlded by llne 4 Indicate the following informatlon concermng the Applicant?s revenue and expenses anticipated dunng the applleanon perlod for each charltable organization declared ll'l tlus applicatlon A Name of Charitable Orgaruzatmn Intema?onal of Police Associations, AFL-CIO (1) Total amount of eontnbuttons prejeeted to be made as a result 3: 4.500.000 '30 of the soltmtatlon (2) Amount of ant1e1pated expenses of the solteltatlon fee Cost of collection Salarles Other expenses explam "331413.000 on 9963559556 (3) Total amount of conmbutmns prejected to remain avallable to chantable organlzatlon 450.000 00 [lme (1) less lme (4) Percentage of total contributions that are prolected to remain available to chantable organlzatlon 1'3 [llne (3) d1v1ded by km Name of Chantable Orgamzatton Kids W's? in? (1) Total amount of contnbuttons projected to be made as a result 150.000 00 of the sol1c1tatlon (2) Amount of antrelpated expenses of the solicrtatlon Apphcant?s fee Cost of collectron Salarles Other expenses explam 132.000 00 69159996699 (3) Total amount of contnbutlons prejected to remam avarlable to charltable orgamzatton 16.000 00 [Ime (1) less Ime (4) Percentage of total contnbunons that are prejected to rcrnam avalable to chantable orgamzatlon 12 [Ime (3) clouded by Ime 4 Indicate the followmg information concerning the Applicant?s revenue and expenses anticigated during the application period for each charitable organization declared in this application A Name of Charitable Orgmzatlon Law Emorcement Of?cers Rallaf Fund (1) Total amount of contributions projected to be made as a result 3 300.000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant's fee Cost of collection Salaries Other expenses explain 270,000 00 9599659959 (3) Total amount of contributions to remain available to this charitable orgamzation 30 ,000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable orgamzation 10 [line (3) dwided by line Name ofCharitahle Organization National Vietnam Veterans Foundation, Inc (1) Total amount of contributions projected to be made as a result 35 4,500,000 00 of the solicitation (2) Amount of antieipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Other expenses explain "4,005,000 00 6999996999 (3) Total amount of contributions pro] ected to remain available to this charitable organization 495,000 00 [line (1) less line (4) Percentage of total contributions that are prejected to remain available to this charitable organization 11 [line (3) diVided by line 10 4 Indleate the followmg mfonnanon the revenue and expenses anticipated dunng the penod for each eharttable organlzatlon declared 111 ?ne appheatlon A Name of Charttable Organlzatlon Reserve Police Officers Association (1) Total amount of conmbunons projected to be made as a result 13 550.000 00 of the soltertatlon (2) Amount of expenses of the soltettatton Applteant?s fee Cost of collection Salartes Other expenses explaln 495,000 00 6999699959 (3) Total amount of p1 elected to ternaln avatlable to ?ne charitable orgamzatlon 55,000 00 [ltne less line (4) Percentage of tots} eontnbunons that are projected to remam avatlable to ?an chantable orgamzatton 10 [hue (3) clouded by line Name of Chantable Orgamzanon The Commntee For Children, Inc (1) Total amount of eontnbutlons projected to be made as a result 3 100.000 00 of the sohettanon (2) Amount of annmpated eXpenses of the sollenanon Applicant?s fee Cost of eoileetlon Salanes Other expenses explaln 00 (3) Total amount of contributions prejeeted to remaln avallable to ?ne chantable orgamzauon 3 10.000 00 [km (1)1ess hne (4) Percentage of total contnbutlons that are projected to remam avatlable to 0115 charttable organization 10 [line (3) dmded by lune 4 Indleate the followmg mformatlon eoneemmg the Applicant?s revenue and expenses anticipated durlna the aDDlleatlon for each charitable organizatlon declared In this A Name of Chantable Organlzatlon United Cancer 3?03?? Foundation (1) Total amount of centnbutions projected to be made as a result 900:0? 00 of the solleltatlon (2) Amount of antlelpated expenses of the solleltatlon fee 3 Cost of colleetlon 810.000 00 Salanes Other expenses 5 explam (3) Total amount of pro eoted to remain avallable to 11115 charltable orgamzatlon 90.000 00 [llne (1) less lme (4) Percentage of total eontnbutlons that are ected to remam available to ?ne charltable organizatlon 10 [11ne (3) dwlded by [me 3 Name of Chantable Orgamzatlon Veterans Foundatlon, Inc (1) Total amount of contributlons projected to be made as a result $50-09" ?0 of the sol1e1tatlon (2) Amount of ant1c1pated expenses of the solmtatlon Applmant?s fee 5 Cost of collectIon 45,000 00 Salaries 5 Other expenses 13 explaln (3) Total amount of contnbut1ons proleeted to remain available to chantable orgamzatlon 5.000 00 [hne (1) less lme (4) Percentage of total eontnbutlons that are projected to remam avallable to this charitable orgamzauon 1" [11ne (3) d1v1ded by l1ne 12 5 Are the amounts to be earned or rescued by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be pard by each chantable orgamzatnon declared 1n apphcanon none 6 Please provtde the fOllOWlng accountmg summary for all contnbunons collected or received the calendar year Immedtatelyj precedmg the date of A of Charltablc Organizatlgn Breast Cannot SUWIVOTE Inc (1) Total amount of contnbuttons collected or recewed by from Utah sources 3; 40.0?2 00 (2) Total amount of ons collected or received by from all Donols [Includmg hne 3 3370.033 35 (3) Amount of expenses made from or the use made of the contn buttons Collected or recewed by Applicant Apphcant?s fee Cost of collection Salarles Other expenses Explain Total Expenses 3.033105 02 3,033,075 02 6359686993 Name of Chantable Orgamza?uon Cancer Fund of Ame-"ca. Inc (1) Total amount of contt?lbutlons collected or reserved by Applicant from Utah sources 5: so no (2) Total amount of collected or recewed by from all Donors [moludmg lme 7?2.525 54 (3) Amount of expenses made from or the use made of the contrIbuttons Collected or recewed by Applicant fee Cost of collectton Salarles Other expenses Explain Total Expenses 54-547 ?3 64,54? 73 9999599993 7 If state the total cost of product 3 l6 5 Are the amounts to be earned or recelved by as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explam the facts that support the reasonableness of the fees to be pard by each chantable orgamzatmn declared 1n this 6 Please protude the follomng summary for all conmbutlons collected or received the calendar year precedlng the date of ?ns apphcanon A Name of Chantable Organlzatton Center for American Homeless Veterans, Inc (1) Total amount of contnbutlons collected or received by Applicant from Utah sources 1,865 00 Total amount of collected or received by Applicant from a_ll Donors lme 2,1?5,379 75 (3) Amount of expenses made from or the use made of the contnbutlons Collected or recelved by Apphcant fee Cost of collectlon Salaries Other expenses Explaln 1,951,441 69 $699969? Total Expenses 1.961.441 69 Name of Chantable Organrzanon Childhood Leukemia Foundation, Inc Total amount of contnbutlons collected or recelved by Apphcant from Utah sources 19000 (2) Total amount of collected or recewed by from a_ll Donors [l?ClUdlI?lg line 96.358 20 Amount of expenses made from or the use made of the contn butlons Collected or received by Applicant fee Cost of collectlon Salanes Other expenses Explaln 7 If state the total cost of product 31.904 4? BEBQEGHH Total Expenses 81,904 5 Are the amounts to be earned or by appheant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explatn the facts that support the reasonableness of the fees to be patd by each charitable orgamzatlon declared to apphcatlon none 6 Please prowdc the followmg summary for all contributtons Mected or received w1thm the calendar year Immediately preceding the date of tlus . A Name of Chantable Orgaruzatton 0'15?: Inc. (1) Total amount of collected or recelved by from Utah sources 185 Do (2) Total amount of contnbutlons collected or recetved by from a_ll Donors [Including lme 360.394 44 (3) Amount of expenses made from or the use made of the Collected or reserved by Applleant Applleant?s fee Cost of collechon Salaries Other expenses Explain Total Expenses 5 324.355 00 324,355 00 9965599999 3 Name of Chantable Organizatmn Defeat Diabetes Foundation, Inc (1) Total amount of contnbuttons collected or recelved by from Utah sources 285 00 (2) Total amount of collected or received by from a_ll Donors [mcludmg lme 120.974 26 (3) Amount of expenses made from or the use made of the Collected or recewed by fee Cost of collectton Salanes Other expenses Explain Total Expenses $_1_02.eza 12 99.59596959- 7 If applicable, state the total cost of product 15 \5 5 Are the amounts to be earned or reserved by apphcant as set forth above based on a ?at fee arrangement0 Yes No If ?yes?, explam the facts that support the reasonableness of the fees to be paid by each chantable orgamzatlon declared 111 151115 apphcatlon none 6 Please provrde the followmg accounting summary for all collected or received the calendar year Immediately precedmg the date of this apphcatlon A Name of Chantable Orgamzatron Disabled Pollee and Sheriffs Foundation, Inc (1) Total amount of eonmbutlons collected or resented by Apphcant from Utah sources 285 00 (2) Total amount of conmbutlons collected or by Apphcant from all Donors [includmg [me 1,143,501 49 (3) Amount of expenses made from or the use made of the contnbutrons Collected or recewed by fee Cost of collection Salanes Other expenses Explain 1,0294151 34 6199599151999 Total Expenses $i029.151 34 Name of Chantable Organlzatlon Firefighters support Inc (1) Total amount of collected or recelved by Apphcant from Utah sources 3,406 on Total amount of contnbuttons collected or recelved by Apphcant from a_ll Donors [includmg l1ne 4,343,370 70 (3) Amount of expenses made from or the use made of the contnbutrons Collected or resented by Apphcant Apphcant?s fee Cost of collectlon Salartes Other expenses Explam 7 If applicable, state the total cost of product 4,359,483 B3 baa-seesaw Total Expenses 33 4,359,433 63 3. 5 Are the amounts to be earned or received by apphcant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explam the facts that support the reasonableness of the fees to be pald by each charitable organtzatlon declared to this apphcatton none 6 Please provrde the followmg accountmg summary for all collected or received wuhm the calendat year Immediately precedmg the date of A Name of Charttable Orgamzatton Healing Heroes Network, inc- (1) Total amount of contnbunons collected or recewed by Applicant from Utah sources co (2) Total amount of contnbuttons collected or recewed by Apphcant from _a_ll Donors [mcludmg [me 56?,517 30 (3) Amount ot?expenses made from or the use made of the contnbuttons Collected or received by Applicant Apphcant?s fee Cost of collection Salanes Other expenses Explam 510.?85 5? 6999999969 Total Expenses 510.?65 5? Name of Charitable Organ 123nm International Union of Police Associations, AFL-CIO (1) Total amount of contnbuttons collected or recewed by Applicant from Utah sources 12.?41 00 (2) Total amount of contnbuttons collected or recelved by Apphcant from all Donors [Including Into $m (3) Arnount of expenses made from or the use made of the contnbuttons Collected or recewed by Applicant Applicant?s fee Cost of collection Salartes Comm1ssrons Other expenses Explam 7 If applicable, state the total cost of product 4.019.394 10 EQHBEEHEQ Total Expenses 4.019.894 10 19 5 Are the amounts to be earned or recewed by as set forth above based on a ?at fee arrangement? 1 Yes No If ?yes?, explatn the facts that support the reasonableness of the fees to be pald by each chantable orgaruzatlon declared 1n tlus none 6 Please the followmg accountmg summary for all contributions collected or received the calendar year tunnedtately the date of A Name of Charitable Organizatton Kids Wish Network, Inc (1) Total amount of contnhutlons collected or recewed by Applteant from Utah sources 000 (2) Total amount of contnbutlons collected or recetved by Applicant from all Donors [1nclud1ng hne 3 136.638 99 (3) Amount of expenses made from or the use made of the contn buttons Collected or received by Applicant Appheant?s fee Cost of collectton Salaries Other expenses Explain 120.286 31 99699995% Total Expenses Name of Chm-[table Orgamzatlon Law Enforcement Of?cers RellEl Fund (1) Total amount of collected or recewed by from Utah sources 5 742 no (2) Total amount of contnbutlons collected or rccetved by Applicant from a_l] Donors [Includmg hne amass 56 (3) Amount of expenses made from or the use made of the Collected or recetved by Applicant?s fee Cost of collectlon Salanes Comn'usstons Other expenses Explam 7 If applicable, state the total cost of product 353.116 52 Total Expenses 353.116 52 1% 5 Are the amounts to be eamed or by applicant as set forth above based on a ?at fee arrangement? Yes No If Wes?, explain the facts that support the reasonableness of the fees to be pend by each charltable orgamzatton declared 1n applicatlon none 6 Please prowde the summary for all contnbunons collected or received the calendar year umnednatelx precedlng the date of appheatlon A Name of Chantable Orgamzanon National Vietnam Veterans Foundation, Inc (1) Total amount of contnbutlons collected or recewed by Applicant from Utah sources 605 00 (2) Total amount of contnbunons collected or recelved by Apphcant from all Donors hne 3m (3) Amount of expenses made from or the use made of the contnbunons Collected or received by fee Cost of collecnon Salaries Other expenses Explain 3.901031 Y9 9959699955 Total Expenses 330?,031 1'9 Name of Charitable Orgarnzanon Reserve Police Of?cers (1) Total amount of contributtons collected or recewed by Appheant from Utah sources 305 no (2) Total amount of eontnbutlons collected or rccewed by Applicant from Q1 Donors [Including bus 513,523 53 (3) Amount of expenses made from or the use made of the contnbutlons Collected or recewed by Apphcant fee Cost of collectlon Salaries Other expenses Explaln '1 If state the total cost of product 466.675 T7 Total Expenses 466,675 7? l?l 5 Are the amounts to be earned or recewed by as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explajn the facts that support the reasonableness of the fees to be pald by each chantable orgamzatlon declared to this none 6 Please prowde the followmg summary for all contnbutlons collected or received the calendar year 1mmed1ately precedmg the date of this A Name of Charitable Organizatlon The Committee For Inc (1) Total amount of contnbuttons collected or recelved by Applleant from Utah sources 140 00 (2) Total amount of contributions collected or received by from a_ll Donors [Includlng ltne 97,456 26 (3) Amount of expenses made from or the use made of the contnbutlons Collected or by Appheant Applicant?s fee Cost of collectlon Salaries Other expenses Explam Total Expenses 87.?10 53 37.710 63 999599-966 Name of Charitable Orgamzatton United Cancer Support Foundation Total amount of collected or recewed by from Utah sources 795 on (2) Total amount of conmbutlons collected or received by Appheant from Donors [meludtng lme 857.514 29 (3) Amount of expenses made from or the use made of the contnbutlons Collected or recetved by fee Cost of collecuon Salanes Other expenses Explain Total Expenses 771,762 36 .762 88 $969-$556? 7 If state the total cost of product 7,0 5 Are the amounts to be earned or received by as set forth above based on a ?at fee arrangement" Yes No If ?yes?, explaln the facts that support the reasonableness of the fees to be paid by each chantable orgamzatlon declared 1n none 6 Please prov1de the followmg accountmg summary for all contnbutlons collected or received the calendar year 1mmed1ately precedma the date of A Name of Charltable Orgamzanon Veterans Foundation, Inc (1) Total amount of contnbutlons collected or received by Appl1cant from Utah sources $15 00 (2) Total amount of collected or recelved by from a_ll Donors [Including lme 37.604 25 (3) Amount of expenses made from or the use made of the contnbutlons Collected or by Applleant fee Cost of collecnon $33,843 83 Salanes Other expenses 3; Explam Total Expenses 33.343 83 Name of Chantable Orgamzauon (1) Total amount of contrIbutIons collected or received by from Utah sources (2) Total amount of collected or recelved by from all Donors [Includmg 11ne (3) Amount of expenses made from or the use made of the Collected or recewed by fee Cost of collectlon Salaries Other expenses Explain Total Expenses 9569995999 7 If state the total cost of product 21 5 Are the amounts to be earned or recewed by applicant as set forth above based on a flat fee arrangement? Yes No If ?yes?, '53le the facts that support the reasonableness of the fees to be paid by each chantable orgamzatton declared to applicanon none .- . 6 Please prowde the followmg accounting summaryr for all contnbutlons collected or received the calendar year llIHIl?dlalBlI precedmg the date of this applteatlon A Namg of Charitable Orgamzatton The Committee For Children, Inc (1) Total amount of contributions collected or renewed by Apphcant from Utah sources. 140 on (2) Total amount of contnbutmns collected or recemed by Applicant from a? Donors [Includmg 11m: 97.455 25 (3) Amount of expenses made f1 em or the use made of the contributions Collected or renewed by Apphcant Applleant?s fee Cost of collectton Salaries Other expenses h? Explain Total 31310 5L MW-.- massesaee Name of Chantable Organlmatton Cancer SUPPOH Foundation me_l_ EN 094/] 41mg W90 (and. Supp 0 F?t, Mo Total amount of con unlons co ected or reserved by Appheantp fo om Utah sources T95 00 (2) Total amount of collected or received by Applicant from a_ll Donors lme 857.5_14 29 Amount of expenses made from or the use made of the contnbutmns Collected or resented by Apphcant Applicant?s fee Cost of collectton TT1.T62 Be Salaries Sm Other expenses 3 Explatn Total Expenses ?i If apphcable, state the total cost of product 35 7,0 PART V: PROFESSIONAL FUND RAISING COUNSEL 0R CONSULTANT 1 Is Applicant a Professmnal Fund Counsel or Professmnal Fund Consultant? Yes No If ?yes?, cemplete the Part If go to Part VI 2 State the purpose of the plan, management, adwse, counsel or preparatlon of matenals for, or respect for each chantable orgamzanon 3 Please check each of the methods by the plan, management, adwse, counsel, or preparation of matenals W111 be organlzed or coordlnated and the prolected length of tlme of the sollc1tatlon for each chantable orgamzauon Method of Dates of CommencemenUTenmnatlon I direetmg/schedullng 1' I prowdmg promononal matenals I other serwces (explam) 4 Indlcate the followmg Informatlon concerning the Applicant?s revenue and expenses anticipated during the period for each chantable organlzanon declared In the A Name of Charitable Orgamzatton (1) Total amount of fees projected (2) Total amount of Applicant?s expenses (3) Total net fees that are projected to be earned or recewed by [km (1) less hne Name of Chantable Orgamzatlon (1) Total amount of fees projected (2) Total amount of Apphcant?s ant1c1pated expenses 5 (3) Total net fees that are prejected to be earned or received by Applicant 3% [hne (1) less hne 22 5 Are the amounts to be earned or recelved by Apphcant as set forth above based on a flat fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be pald by each charltable organizatton declared 1n 6 Please prowde the followmg accountmg summary for all contnbutlons collected or received by the Applicant thlun the calendar 1rear Immediate]? Drecedlng the date of this applicatlon A Name of Charltable Organizanon (1) Total amount of fees earned or by (2) Total amount of Apphcant?s expenses made from fee of payees Amounts Pald Total Expenses 36 (3) Net fees earned or recewed by Apphcant [line (1) less line Name of Charltable Organizatron (1) Total amount of fees earned or recelved by Applicant 3 (2) Total amount of Applicant?s expenses made from fee List of payees Amounts Pald Total Expenses 55 (3) Net fees earned or recelved by Applicant :5 [llne less l1ne 23 PART VI: HISTORY all prewous or heenses by state and date of Issuance 2 Has there been any injunetlon, judgment, or order by a federal, state, or local agency agatnst the I Yes No 3 Has the been contacted of any cnme Involvmg moral turprtude" Yes but] No If ?yes?, please eXplam 1n detall 1ncludmg nature of proceeding, date, locatlon and current status Please prowde a copy of the order _m?a 4 Has there been any Injunctlon, Judgment, or order or of any cnme Involvmg moral turpltude reSpect to any of?cer, dlrector, manager, operator, or of the Apphcant" Yes No If ?yes?, please explam 1n detall Includlng nature of proceedlng, date, locatlon and current status Please prowde a copy of the order _nta PART VII: ORGANIZATION IDENTIFICATION Prov1de the followmg mformatlon for Apphcant?s Registered Agent GregLam Name Street Address W103 Clty State Zip Code 416-412-9000 Telephone Number Number 2 List the followmg Informatlon concerning the partners, of?cers and d1rectors Name Address Telephone Number Mchment "List of Shareholders" 24 PART SOLICITING WITHOUT PERMIT I If Is an Inmal application or a renewal application after the applicant has let Its perrmt expire, has the conducted regulated by the Charitable Act, Utah Code Tltle 13, Chapter 22, w1thoutbe1ng duly reglstered the Includes prowdmg fund ralsmg, fundralsmg counsel or consultant serwces, planmng, managlng, adv1smg, counseling, consultmg, preparmg materlal, or coordmatmg and scheduling scholtatlons (meludmg dlrect mall, telephonic, and emall sollc1tatlons) on behalf of any charitable orgamzatron mto the state of Utah Yes No 2 If ?yes?, please explam 1n detall, Includmg the name of the charltable orgamzatron, the dates Involved, and the method of the ot Applicable PART IX: SIGNATURE I ACKNOWLEDGEMENT By th1s the professmnal fund ralser, professmnal ?und ralsmg counsel, or professmnal fund ralsmg consultant - af?rms that is complete and not misleading, and - acknowledges that fund ralsmg 1n Utah w111 not commence untli both the charltable organlzatlon, Its parent foundatlon, If any, and the professwnal fund rmser or professmnal fund ralsmg counsel or consultant are reglstered and comphance With the Utah Charltable Sohcttatlons Act DATED 3/ APPLICANT BY 5' ITS Outreach Calling Attachment referenced question 2 of Shareholders Damian 100% Owner 200 Virginia Street, 8th Floor Reno, NV 89501 FEIN. 27-091 5 392 Outreach Calling FEIN Attachment referenced in question in 1 List of Agreements with Charitable Organizations Breast Cancer SUWIUDTS Foundation, Inc . 18851 NE 29th Ave . Ste 700. Aventura. FL 33180. 908-241-2288 Contract Dates 09-15-2010 to 08-14-2017 Center for American Homeless Veterans. Inc 210 East Broad Street. Suite 202. Falls Church. VA 22048. Contract Dates 04-08-2011 to 0?-14-2018 Leukemia Foundation. . 80? Mantoloking Rd Surte 202. Bnck. NJ 08723. 732-920-8880 Contract Dates 03-01-2012 to 02-28-2018 Crisis Relief Network. Inc 4801 SW 34th Street. Suite 100. Orlando, FL 32811. 40?-280-5100 Contract Dates 06-01-2013 to 05-31-2018 Defeat Diabetes Foundation. Inc . 150 153m Avenue. Smte 300. Madeira Beach. FL 33108. 727-391-5050 Contract Dates 11-01-2010 to 11-30-2018 Disabted Police and Shen?s Foundation. Inc . 207 Ptaza Dr . Ste C. Ste Genevieve. MO 83870. 5?3-880-5501 Contract Dates 07-01-2010 to 08-30-2020 Fire?ghters Support Foundation. Inc . 40 School Street. Surte 8. Green?eld. MA 01301. 413-376-8130 Contract Dates 07-01 -201 0 to 06?30-2020 Healing Heroes Network. Inc . 31840 US Highway 19M . Swte 2. Palm Harbor. FL 34884. 307-781-4318 Contract Dales 02-01-2012 to 04-30-2018 International Union of Police Associations. AFL-CIO. 1549 ngling . 8th Floor. Sarasota. FL 34238. 800-247-118? Contract Dates 0?-01-2010 to 06-30-2016 Wish Network. Inc . 4060 Lotus Avenue. Holiday. FL 34691. 838-918-9004 Contract Dates 04-01-2010 to 03-31-2018 Law Enforcement Of?cers Relief Fund. 1549 Ringling 8th Floor. Sarasota. FL 34238. 941-487-2580 Contract Dates 02-01-2011 to 04-30-2020 National Vietnam Veterans Foundation. Inc . 1015 Petham Street. Alexandria. VA 22304. 800-366-1319 Contract Dates 06-01-2010 to 05-31-2018 Reserve Police Of?cers Assocnatton. 89 Rockland Avenue. Yonkers. NY 10?05. 91136-4097 Contract Dates 0701-2010 to 06-30-2020 The Committee For Missmg Children. Inc . 934 Stone Mill Run. Lawrenceville. GA 30048. 800-525-8204 Contract Dates 03-15-2013 to 03-14-2018 United Cancer Support Foundation. 8?00 Baum Drive. Suite 8. Knoxwlle. TN 37919. 855-822-823? Contract Dates 07-01-2012 to 08-30-2018 Veterans Assistance Foundation. Inc . 312 Supenor Ave. Tomah. WI 54880. 808-3?2-8387 Contract Dates 08-15-2015 to 08-14-2018 Outreach Gamng Attachment referenced queefron 2 List of Officers and threaten: Damian PreSIdent 200 Virginia Street, 8th Floor Reno, NV 89501 775-322-9992 FEW 2 ??09 15392 Outreach Calling FEIN. 2741915392 Attachment referenced in question Vi 1 List of States, Counties, and Cities Where Registered Alaska Alaska Department Of Law, 1031 4th Ave Suite 200, Anchorage, AK 99501 Alabama Consumer Affairs Section, 501 Washington Avenue, Montgomery, AL 36130 Arkansas Consumer Protection Division, 323 Center Street, 200 Tower Bldg, Little Rock, AR 72201 Los Angeles, California Los Angeles Police Commission, 100 West First Street, Ste 147, Los Angeles. C1 90012 California Registry Of Charitable Trusts, 1300 1 Street, Su?e 101, Sacramento, CA 95814 Colorado Of?ce Of The Secretary Of State, 1700 Broadway, Smte 300, Denver, CO 80290 Connecticut Public Charities Unit, 165 Capitol Avenue, Hartford, CT 06106 Florida DiviSIon Of Consumer Services, 2005 Apalachee Parkway, Tallahassee, FL 32399 Georgia Of?ce Of The Secretary Of State, 237 Coliseum Drive, Macon, GA 31217 Hawaii Department of the Attorney General, 425 Queen Street, Honolulu, HI 96813 illinOIs Charitable Trust Bureau, 100 Randolph St, 11th Fl Chicago, IL 60601 indlana Consumer Protection Division, 302 Washington Street, 5th Floor, Indianapolis, IN 45204 Jefferson County, Kentucky Department Of Public Protection, 444 5th, Ste 101, Lomsville, K1 40202 Kansas Secretary Of State's Of?ce, 120 10th Ave 1st Fl, Topeka, KS 66612 Kentucky Consumer Protection Dinion, 1024 Capital Center Drive. Frankfort, KY 40601 Lemaiana Consumer Protection Section, 1885 3rd Street, Baton Rouge, LA 70802 Massachusetts Public Charities DIVISION, 1 Ashburton Place, Boston, MA 02108 Maryland Charitable Organization Divismn, 16 Fransis Street, Annapolis, MD 21401 Maine Of?ce of Licensmg and Regulation, 35 State House Station, Augusta, ME 04333 Michigan Charitable Section, 690 Law Bldg, 525 Ottawa Street, Lansing, MI 48913 Minnesota Of?ce of the Attorney GeneraliCharities, 445 Minnesota Street, 1200, St Paul, MN 55101 Missouri Missouri Attorney General, 207 High Street, Jefferson City. MO 65102 Of?ce Of The Secretary Of State, 700 North Street. Jackson, MS 39202-3024 North Carolina Secretary Of State, 2 South Salisbury Street. Raleigh, NC 27601 North Dakota Secretary Of State, 600 East Boulevard, Bismarck, ND 58505 New Hampshire Charitable Trusts Unit, 33 Capitol Street, Concord, NH 03301 New Jersey Of?ce of Consumer Protection, 124 Halsey Street. 7th Floor, Newark. NJ 07101 New Mexico Of?ce of the Attorney General, 111 Lomas NW, Soite 300. Albuquerque, NM 87102 Columbus. Ohio Chantabte Solicitations License Section, 750 Piedmont Road, Columbus, 01 43224 Ohio Chantalole Foundation Section, 150 Gay Steet, 23rd Floor, Columbus, OH 43215 Oklahoma Oklahoma Secretary Of State, 2300 Lincoln Room 101, Oklahoma City, OK 73105 Bureau Of Chantable Organizations, 207 North Of?ce Budding, Harrisburg, PA 17120 Rhode island Charitable Organization Section, 1511 Pontiac Ave, 69-1, Cranston, RI 02920 South Carolina Of?ce Of The Attorney General, 1205 Pendleton Street. Ste 525, Columbia, SC 29201 South Dakota Of?ce Of The Attorney General, 500 East Capitol, Pierre, SD 57501 Tennessee Diwalon Of Charitable Solicnations, 312 Rosa Parks Avenue, 8th Floor, Nashville, TN 37243 Texas Statutory Documents, 1019 Brazos, Austin, TX 78701 Texas Statutory Documents, 1019 Brazos, Austin, TX 78701 Utah Division Of Consumer Protection. 160 East 300 South, Salt Lake City, UT 45804 Virginia Of?ce of Consumer Affairs, 102 Governor Street, Lower Level, Richmond, VA 23219 Vermont Of?ce Of The Attorney General, 109 State Street, Montpelier, VT 05809 Washington Charitable Solicitation Dwision, 801 Capitol Way South, Olympia, WA 98504 Wisconsm Department of FinanCIal Institutions, Box 7876. Madison. WI 53707-7876 West Virginia Office Of The Secretary Of State, 1900 Kanawha East, Charleston, WV 25305 uL-u I?w va- uw?hwa-e Sean-ltd?! of State 0 Co ratj, Delivered 03 REED 03 30 EM 08/1 SRV 151156373 - STATE OF DELAWARE CERTIFICATE OF AMENDMENT (A CORPORATION WITHOUT CAPITAL STOCK) The corporatwn, Amerlcan Assocaataon for Cancer Support, Inc orgamzed and existing under the laws of the State of Delaware, hereby cam?as as follows (1) That at a meeting a vote of the membcla of the had}; waa taken for and against the amendment to the Cert?icate of Incorporatmn, and Amendment hazing as follows Article Farst shall be deleted 1n 1ts entlrety and replaceiwa?pthe?iollmana - - - FIRST. The name of the Corporatlon lS Unlted Cancer Support Foundatlon (2) That said amendment was duly adopted 1n accordance With the of Sectmn 242 of the General Corporatmn Law of the State of Delaware WWSS WH Lurpuramn has (3956:] tins ceru?caie 10 be algned day of A D. .20 By 193 Autho FOE at Name 1- or Type dazuare W1 ?Z?e first State I, JEFFREY .BULLOCK, SECRETARY OF STATE OF THE STATE cm? DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT COPY OF THE CERTIFICATE OF AMENDMENT OF ASSOCIATION FOR CANCER SUPPORT, CHANGING ITS NAME EROM ASSOCIATION FDR CANCER SUPPORT, TO CANCER SUPPORT 31-13-2015 AT 8 CLOCKA A FILED COPY OF THIS CERTIFICATE HAS BEEN FORWARDED TO THE NEW CASTLE COUNTY RECORDER 0F DEEDS AC Jeffrey Builock Seamtary of Slate AUTHEN TION 2645614 DATE: 4938512 8100 151166373 You may verxfy at corp delawara govfauthver JIVE DATE: EXPIRATION DATE: ISSUED TO: STATE OF UTAH DEPARTMENT OF COMMERCE DIVISION OF CONSUMER PROTECTION PERMIT ?Jld?dap?h ri?e]? January 31, 2017 1' T: January 31, 2013 a? 5 OUTREACH CALLING INC 200 VIRGINIA STREET 8TH FLOOR RENO NV 89501 REFERENCE s3: DETAIMS) Professmnal Fund Ralser ?wmagm D1rector, of Consumer Protection STATEMENT THE STATE OF UTAH DOES NOT WARRANT THAT THE INFORMATION CONTAINED ON THIS CERTIFICATE IS TRUE STATE OF UTAH MAKES NO CERTIFICATION AS TO THE CHARITABLE WORTHINESS OF ANY ORGANIZATION ON WHOSE BEHALF A SOLICITATION IS MADE NOR AS TO THE MORAL CHARACTER OF THE HOLDER OF THE PERMIT $1 4 . 5 rid State of Utah mm DEPARTMENT OF COMIVIERCE AN 9 if 201? DIVISION OF CONSUIVIER PROTECTION DIVISION OF COMEUVER PROFESSIONAL FUND RAISER, PROFESSIONAL FUND RAISING COUNSEL, PROFESSIONAL FUND RAISING CONSULTANT PERMIT APPLICATION FORM OFFICE USE ONLY Date Issued: Permtt Number: Approved: EAR Applicant?s Name Denied: Annual Application fee: $250.00 (Non-refundable) Outreach Calling Expiration: I BI I 8 1 09'281201 6 Date of Application Please Indicate whether ?ns 15 an for an mine! or renewal t] INITIAL RENEWAL APPLICATION APPLICATION Please 1ndIcate the type of PROFESSIONAL FUND RAISER PROFESSIONAL FUND RAISING COUNSEL PROFESSIONAL FUND RAISING CONSULTANT If you have any questtons, please contact the at 530-6601 Please make applleatlon fee check or money order payable to the State of Utah Please return the completed applleatlon form and check or money order to Department of Commerce of Consumer Proteetlon 160 East 300 South Box 146704 Salt Lake Ctty, Utah 84114?6704 Aprtl 2010 See Instructions for Professmnal Fund Raiser, Professional Fund Raismg Counsel, Professmnal Fund Raising Consultant Permit Application Form. PART I: IDENTIFICATION Applicant?s Name Outreach Calling 2 Other Names that Applicant Uses None 3 Applicant?s Street Address 200 Virginia Street, 8th Floor Street Reno, NV 89501 City State Zip Code Telephone Number 7754239992 FaeSimile Number 775-332-9991 Contact Person?s Mailing Address Copilewtz and Canter, Meg-n11 Parker, Legal Assustant Street 310 20th Street, Suite 300. Kansas City, MO 64108 Clty State Zip Code Telephone Number 313-472-9000 FaCSimile Number 4 Type of Organization Partnership Limited Liability Company Assoeiation Corporation Joint Venture Other 5 Contact Person Megan Parker Telephone Number 3154723000 6 List the Applicant?s busmess, occupation, or employment for the three year period immediately preceding the date of this application Telemarketing and Fund-raismg services PART II: VENDING DEVICEIV ENDING DEVICE DECAL 1 Are vending dewcesfdeeals to be utilized by Applicant? Yes No If ?yes?, complete this Part If go to Part 2 Indicate type of dewce None 3 Please explain the ?nancial arrangement With each charitable organization With regards to the vending deVIce/decal None 4 Please indicate the length of time that the vending dewce be utilized, the type ofvending dewce, and the number of dewces utilized for each charitable organization Name of Beginning Charitable Organization Date Date None None No None 5 Please list the location(s) of the vending dev1ce(s) None Expiration Type of Number DeVice of Dev1ces None PART CHARITABLE ORGANIZATIONS I Please prowde the name and address of each charitable organization utilizmg Applicant?s semces during this application period See attachment "List of Agreements with Ch?abte Organizations" Name Name Address Address City Statei?Zip Code City Statei?Zip Code Contract Effective Date Contract Effective Date Contract Expiration Date Contract Expiration Date Name Name Address Address Cit}r StatefZip Code City Statei'Zip Code Contract Effective Date Contract Expiration Date Contract Effective Date Contract Expiration Date See "List of Agreements With Charita?t?gmtions" Name Name Address Address City Statei?Zip Code City StateJ?Zip Code Contract Effective Date Contract Expiration Date Contract Effective Date Contract Expiration Date Name Name Address Address City StatefZip Code City StatefZi Code Contract Effective Date Contract Expiration Date Contract Effective Date Contract Expiration Date 2 Attach a copy of all contract agreements With each charitable organization usmg Applicant?s semees NOTE Renewal applications should include copies of current contracts PART IV: PROFESSIONAL FUND RAISER 1 Is Applicant a Profesmonal Fund Raiser? If ?yes?, complete this Part If go to Part Yes No 2 State the purpose of the solicitation and use of the contributions to be solicited for each charitable organization General charitable purpose of the indwidual organizations 3 Please check each of the applicable methods by which solicitations Will be conducted and indicate the length of time that the solicitation Will be conducted for each charitable organization A response such as ?see contract? is not acceptable Method of Dates of Dates of Solicitation Conunenceinenthermmation Commencementhermination telephone anon-no rear-round selladvertismg i direct mail I sell coupon door?to?door I sell other item special events other (explain) I Show or performance I 4 Indicate the followmg Information concerning the Applicant?s revenue and expenses anticipated durmg the application period for each charitable organization declared In this application A Name 0f Charitable Orgamzatton Breast Cancer Survwors Foundahon, Inc (1) Total amount of projected to be made as a result 00 of the sohcrtatlon (2) Amount of expenses of the sollcuatlon Apphcant?s fee 33 Cost of collection 3,420,000 00 Salaries Other expenses 33 explain (3) Total amount of projected to remam avallable to ?115 charitable orgamzatl on 330,000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain avallable to thus charitable organizatlon 1? [hne (3) duoded by [me 3 Name ofCharItable Organlzatlon Center for American Homeless Veterans, Inc Total amount of projected to be made as a result 532.300.0011 00 of the sollcuatlon (2) Amount of anticipated expenses of the Applicant?s fee 15 Cost of collection 2 070 000 00 Salaries Other expenses explain (3) Total amount of projected to remain available to 11115 charltable orgamzatron 230.000 00 [line (1) less [we (4) Percentage of total contributions that are projected to remam available to 121115 charitable organization [line (3) dwnded by [me 1O 4 Indicate the followmg Information concerning the Applicant?s revenue and expenses antieiggted during the application period for each charitable organization declared in this application A Name of Charitable Organization Childhood Leukemia Foundation, Inc (1) Total amount of contributions projected to be made as a result 100000 00 of the solicitation (2) Amount of anticipated expenses of the solteitation Applicant's fee 3 Cost of collectton Salaries Other expenses 3 explain (3) Total amount of contributions projected to remain available to this charitable organization 3 15 000 00 [line (1) less line (4) Percentage of total contributions that are projected to remain available to this charitable organization 15 B/o [line (3) divided by line Name ofCharitable Organization Relief Network, (1) Total amount of contributions projected to be made as a result 1; 650:000 00 of the solicnation (2) Amount of antiCIpated expenses of the solicnation Applicant?s fee 3 Cost of collection 5W0 Salaries Other expenses 35 exPlain (3) Total amount of contributions projected to remain available to this charitable orgamzation 65,000 00 [line (I) less line (4) Percentage of total that are projected to remain available to this charitable organization 10 ?Vo [line (3) divided by line 1.. 4 Indicate the followmg information concerning the Applicant?s revenue and expenses anticigted during the application period for each charitable organization declared in this application A Name of Charitable Organization Defeat Diabetes (I) Total amount of contributions projected to be made as a result 53 115 000 00 of the solicitation (2) Amount of anticipated cXpenses of the solicitation Applicant?s fee Cost of collection $w Salaries Other expenses 13 explain (3) Total amount of contributions projected to remain available to this charitable organization 1 25$! [line (1) less line (4) Percentage of' total contributions that are projected to remain available to this charitable organization 15 {line diwded by line Name ofCharitable Organization Disabled Police and Sheriffs Foundation. Inc (1) Total amount of contributions projected to be made as a result 3,000,000 00 of the solicitation (2) Amount of anticipated expenses of the solicitation Applicant?s fee Cost of collection Salaries Commismons Other expenses explain 2 700 000 00 Total amount of contributions projected to remain available to this charitable organization 3 300,000 00 [line (I) less Irne Percentage of total contributions that are projected to remain available to this charitable organization 10 [line (3) clouded by line 4 Indicate the followmg information concerning the Applicant?s revenue and expenses antieigated during the apolication p_eriod for each charitable organization declared in this application A Name of Charitable Organization Firefighters Foundatm": (1) Total amount of contributions projected to be made as a result of the solieltation (2) Amount of anticipated expenses of the solicitation Applicant?s fee 33 Cost of collection 35 5,409,990 00 Salaries Other expenses ?3 caplain (3) Total amount of contributions projected to remain available to this charitable organization [line (1) less line (4) Percentage of total cont] ibutions that are projected to remain available to this charitable organization [line (3) dwided by line Name of Charitable Organization Healing Heroes Network, (1) Total amount of contributions projected to be made as a result of the solicitation (2) Amount of antic1pated expenses of the solicitation Applicant's fee Cost of collection Salaries Commissions Other expenses explain 1 170 000 00 (3) Total amount of contributions projected to remain available to this charitable organizattori [line (I) less line (4) Percentage of total contributions that are pro Jected to remain available to this charitable organization [line (3) dwided by line 1,300.09 00 130,000 00 jg ?Vo 4 Indicate the followmg Information concei ning the Applicant?s and expenses anticigated during the application period for each charitable organization declared in this application A aine Df? Charitable Organization International Union of Police Associations, AFL-CID (I) Total amount of contributions projected to be made as a result 33 4,500,000 00 of the solicuation (2) Amount of anticipated expenses of the solicitation Applicant?s fee 5 Cost of collection Salaries Other expenses 5 explain (3) Total amount of contributions projected to remain available to this charitable organization 00 [line (1) less line (4) Percentage of total conti ibutions that are projected to remain available to this charitable organizatlon 10 ?Hi [line (3) dmded by line Name of Charitable Organization Kids "Work. Inc .m (I) Total amoUnt of contributions projected to be made as a result 0 00 of the solicitation (2) Amount of anticipated expenses of the solicuation Applicant?s fee Cost of collection :5 Salaries CommISSions Other expenses explain (3) Total amount of contributions projected to remain available to this charitable organization 33 [line (I) less line (4) Percentage of total contributions that are to remain available to this chaiitable organization 0 [line (3) dwided by line 4 Indicate the followmg Information eoneer the Apphcant?s revenue and exuenses antlelnated durlnsI the pertod for each charitable organizatlon declared In applicatron A Name of Charitable Organization Law Enforcement Of?cers Rallef Fund (1) Total amount of contnbuhons projected to be made as a result 1 400 000 00 of the sohcutatlon (2) Amount of antlelpated expenses of the Applicant?s fee Cost of collection Salanes Other expenses explain 1,260,000 00 69656999159 (3) Total amount of prejeeted to remam avatlable to this chantable organ Izatlon 140,000 00 [l1ne(]) less line (4) Percentage of total eontnbutlons that are projected to remain avallable to the charitable orgamzahon 0 ?Vo [lme (3) dwlded by llne Name of Charitable Orgamzatmn Reserve PDIIGB Of?cers (1) Total amount ofeontnbutlons prcgected to be made as a result 3 750.000 00 ofthe solleltatlon (2) Amount of antletpated expenses of the solicitatlon Applicant?s fee 55 Cost ofeollectlon 591,600 00 Salaries Other expenses explain (3) Total amount of contributions prejeeted to remain available to the charitable orgamzatlon 68 400 00 [line (I) less line (4) Percentage of total that are prOJeeted to remam 9 avallable to ?115 charitable organization [line (3) dmded by llne 4 IndIeate the followmg Information concerning the Appheant?s revenue and expenses anticipated dunno, the appheauon period for each charitable organ Izatlon declared 1n applreatlon A Name ofChantable Organization The Committee For Mlsemg Inc (1) Total amount of contributions projected to be made as a result of the (2) Amount of antletpated eutpenses of the solteltatlon Applicant?s fee Cost of collection Salaries Commussrons Other expenses explaln 36,m_0 eemeemee (3) Total amount of contributions projected to remain available to the charitable organization [line (1) less [we (4) Percentage of total eontnbutrons that are progeeted to remain avatlable to this charitable organization [lune (3) clouded by line Name of Chantable Organization U?lt?d Cancer SUPPOH F?u?datl?? 1) Total amount of contributions projected to be made as a result of the soholtatlon (2) Amount of antrerpated expenses of the solteltatlon Appheant?s fee Cost of colleetlon Salanes Other expenses explain 990,000 00 meow-wee (3) Total amount of contributions prouected to remain avallable to this charitable organ Izauon [line (1) less hne (4) Percentage of total that are projected to remain ava1lable to ehantable organ rzatlon [hue (3) dmded by line ll 3: 40,000 00 4,000 00 10 9/3 3; 1,100,000 00 110 000 00 10 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please prowde the followmg accounting summary for all contributions collected or received Within the calendar year immediately preceding the date of this A Name OfCl'l?l?llablC Organ-mania.? Breast Cancer Foundation, Inc (1) Total amount of contributions collected or received by Applicant from Utah sources 33,182 00 (2) Total amount of contributions collected or received by Applicant from all Donors [Including line 3,723,219 30 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection 3,350,853? 3? Salaries Commissions Other expenses Explain Total Expenses 3.350.397 37 Name of Charitable Organization Center for American Homeless Veterans, Inc (I) Total amount of contributions collected or received by Applicant from Utah sources 3,595,11? (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including [me 2 111,736 56 Amount of expenses made from or the use made of the contributions Collected or reched by Applicant Applicant?s fee Cost of collection Salaries Other expenses Explain Total Expenses 3 1,900,562 99 BEBE 1,900,562 99 WEBB 7 If applicable, state the total cost of product 17/ 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No I i?res?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application nune 6 Please prowde the follouring accounting summary for all contributions collected or received Within the calendar year immechatelv preceding the date of this application A Name ot'Charitable Organization Childhood Leukemia Foundation, Inc (1) Total amount of contributions collected or received by Applicant trom Utah sources 325 00 (2) Total amount of contributions collected or received by Applicant from a? Donors [Including line 96,592.5? (3) Amount of eXpenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of'collection 82,013 93 Salaries Commissions Other expenses Explain Total Expenses 32,018 93 Name of Charitable Organization Crisis Network. Inc (1) Total amount of contributions collected or received by Applicant from Utah soprces 2.1135 ?ll Total amount of collected or received by Applicant from all Donors [including line 594 416 44 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection 15 534 974 80 Salaries Other eXpenses Explain Total Expenses 534 9T4 80 If applicable, state the total cost of product l?b 5 Are the amounts to be earned or received by applicant as set forth above based on a flat fee arrangement? Yes No lt??yes?, explain the facts that support the reasonableness of the fees to be pald by each chantablc orgamzatton declared In this application none 6 Please pl'DVIde the follong accounting summary for all contributlons collected or w1thln the calendar year Immedtately the date of this application A Name of Charltable Organization D?feat Drabetes Inc (I) Total amount of contributions collected or recewed by Applicant from Utah sources 285 00 (2) Total amount collected or received by Applicant from all Donors [meludtng llne 10?,819 20 (3) Amount of expenses made ?om or the use made of the contributlons Collected or recewed by Applicant Applleant?s fee Cost of collection 3 Salarles Other expenses 3 Explain Total Expenses 91 ,646 32 Name of'Charltable Orgamzatton Dlsabled Poltce and Sheriffs Foundation. Inc 1) Total amount of contnbutrons collected or received by Applicant from Utah sources 535 Q0 Total amount of collected or rccewed by Applicant from a? Donors [Includmg llne 2,839,440 20 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collectlon Salaries Commussrons Other expenses Explaln Total Expenses 2:555:496 13 2 555 49618 95999513599 '7 If applicable, state the total cost of product :3 ll 5 Are the amounts to be earned or received by applicant as set forth above based on a flat fee ai?rai?igement?TI Yes No If Wes", explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please provide the followmg accounting summary for all contributions collected or received the calendar year immediately preceding the date of this application A Name of Charitable Organization Support Hit-Initiation. Inc (1) Total amount of contributions collected or received by Applicant ?om Utah sources 3,447 (2) Total amount of contributions collected or received by Applicant from Donors [including line 5,914,266 95 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection 5 5,322,840 25 Salaries Commissions Other expenses Explain Total Expenses 5 322 84;! 26 Name ofCharitable Organization Health?! Heroes NBMOFK. Inc (1) Total amount ofeontributions collected or received by Applicant from Utah sources 1815 00 (2) Total amount of contributions collected or received by Applicant from a_ll Donors [including line 1268,5558 76 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee Cost of collection Salaries Other expenses Explain Total Expenses 1,141,?92 88 1 14?1 T92 88 HWMHEEG 7 If applicable, state the total cost of product \5 5 Are the amounts to be earned or received by appl1cant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable orgamzatlon declared to applicatlon none 6 Please provrde the followmg accounting summary for all collected or received the calendar year Immediately precedma the date of 11113 application A Name 0f Charitable Organizauon lntematlonal Unlorlof Police Associations, Total amount of contnbutlons collected or recewed by Applicant from Utah sources LAW Total amount of contributlons collected or recewed by Apphcant from a? Donors {Including l1ne 4,31?,532 96 (3) Amount of expenses made from or the use made of the Collected or by Applicant Applicant's fee Cost of collection Salaries Other expenses Total Expenses 3 885 524 56 3385,3214 6E5 messages-e Name of Charltable Orgamzatton Network, ll": 1) Total amount of collected or recewed by Apphcant from Utah sources 80 00 (2) Total amount of contribunons collected or received by Applicant from a_ l Donors [:ncludmg lme 15m (3) Amount of eXpenses made ?om or the use made of the Collected or received by fee Cost of collection Salarl es Other expenses Explain Total Expenses 94,669 21 94,669 21 9565956965 7 If applicable, state the total cost of product \Lo 5 Are the amounts to be earned or received by applicant as set forth above based on a ?at fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application none 6 Please prowde the followmg accounting summary for all contributions gnawed or received Withln the calendar year immediately preceding the date of this application A Name of Charitable Organization Lainr Enforcement Of?cers Relief Fund (I) Total amount of contributions collected or received by Applicant from Utah sources 1 779 00 Total amoiJnt of contributions collected or received by Applicant from all Donors [including line 1,327,741 80 (3) Amount of expenses made from or the use made of the contributions Collected or received by Applicant Applicant?s fee 5 Cost of collection 3 1,205,175 80 Salaries '5 Other expenses 5 Explain Total Expenses 1,206,175 80 Name ofCharitable Organization National Vietnam Veterans Foundation, Inc (I) Total amount of contributions collected or received by Applicant from Utah sources 130 00 (2) Total amount of contributions collected or received by Applicant from ad! Donors [including line 2 806 708 00 (3) Amount ofexpenses made from or the use made oftbe contributions Collected or received by Applicant Applicant?s fee 55 Cost ofcollection 2 ?92 .9211 :12 Salaries Other expenses 3 Explain Total Expenses ilmz 7 If applicable, state the total cost of product 5 Are the amounts to be earned or by as set forth above based on a flat fee arrangement? Yes No If ?yes?, eXplam the facts that support the reasonableness of the fees to be paid by each charitable organ tzatlon declared In this application none 6 Please protrude the followmg accounting summary for all contnbuttOns collected or received wuthm the calendar year Immedlatcl?f pr?cedl? the date of tlus application A Name; of Char-[table Organlzauon Reserve POIICE Of?cers (I) Total amount of contribunons collected or recenred by Applicant from Utah sources 965 00 (2) Total amount of contnbuttons collected or recewed by Applicant from a_ll Donors [Includlng line "(59,359 42 Amount of expenses made from or the use made of the contr: buttons Collected or recewed by fee Cost of collection Salarles Other eXpenses Explam 591 (11 {11' Total Expenses 691 017 07 Name nghantable Organizatlon The For Missmg Children. Inc (1) Total amount of contributlons collected or recewed by from Utah sources 11000 (2) Total amount of conu'lbuttons collected or recewed by Applicant from all Donors [Including line 3 35,748 56 (3) Amount of expenses made from or the use made of the contributions Collected or recelved by Applicant?s fee Cost of collection Salaries CommIsSIons Other expenses Explaln 7 If applicable, state the total cost of product 33,073 TU 5969695969 Total Expenses 35 33,9?3 79 1% 5 Are the amounts to be earned or rccewed by applicant as set forth above based on a ?at fee arrangement? Yes No lf?yes", explain the facts that support the reasonableness of'thc fees to be pald by each charttable organlzatlon declared to application 6 Please prowde the followmg summary for all gljjected or received the calendar year Immedlately grecedtng the date of A Name of Charitable Organtzatton Cancer Foundatmn Total amount of contnbuhons collected or received by Applicant from Utah sources 5 492 00 Total amount of contributions collected or recewed by Applicant from a_ll Donors [Includtng line 33 1 037 205 50 (3) Amount of expenses made from or the use made of the contributlons Collected or recelved by Applicant?s fee 3 Cost of collectlon Salaries Other expenses 53 Explain?? Total EXpenses Name of Charitable Organization Veterans ASSN-tame Foundation. Inc (1) Total amount of collected or recezved by Applicant from Utah sources 0' 00 (2) Total amount of contributions collected or recewetl by Applicant from a_ll Donors [Including hne 91 Amount of expenses made from or the use made of the contnbuttons Collected or received by Apphcant Applicant?s fee 33 Cost ofcollectmn 41 1 328 7'2 Salaries Other expenses :3 Explain Total Expenses 41 11323 72 7 If applicable, state the total cost of product 101 PART V: PROFESSIONAL FUND RAISING COUNSEL 0R CONSULTANT 1 Is Applicant a Professmnal Fund Ralsmg Counsel or Professmnal Fund Ratsmg Consultant? Yes No If ?yes?, complete Part If go to Part VI 2 State the purpose of the plan, management, advnse, counsel or preparation of materials for, or respect to the and use of the contnbutlons to be for each charitable organizatton Not A 3 Please check each of the applicable methods by the plan, management, adtnse, counsel, or preparanon of materials be organized or coordinated and the pr?ject?d length of t1me of the for each chantable organtzatlon Method of Dates of Soltmtatlon CommencementlTermtnatton planmng prowdmg promottonal materials 1? other serVIces (explain) 4 Indicate the followmg 1nformat10n concermn the Applicant?s revenue and expenses anticipated during the application pertod for each charitable organtzatton declared In this application A Name of Charitable Organization (1) Total amount of fees (2) Total amount of Applicant?s expenses 33 (3) Total net fees that are pro ected to be earned or recewed by Applicant [line (1) less llne Name of Chantable Orgamzatlon (1) Total amount of fees prejected (2) Total amount of Applicant?s expenses (3) Total net fees that are prejected to be earned or recelved by [lme (1) less ltne 5 Are the amounts to be earned or received by Applicant as set forth above based on a flat fee arrangement? Yes No If ?yes?, explain the facts that support the reasonableness of the fees to be paid by each charitable organization declared in this application 6 Please provrde the followmg accounting summary for all contributions collected or received by the Applicant Wltl'lln the calendar year immediately preceding the date of this application A Name of Charitable Organization 1) Total amount of fees earned or received by Applicant (2) Total amount of Applicant?s expenses made from Applicant?s fee List of payees Amounts Paid Total Expenses 35 (3) Net fees earned or received by Applicant [line (1) less line 3 Name of Charitable Organization (1) Total amount of fees earned or received by Applicant 3; (2) Total amount ot?Applicant?s expenses made from Applicant?s fee List of payees Amounts Paid Total Expenses (3) Net fees earned or received by Applicant 55 [line (1) less line PART VI: HISTORY 1 List all pennits or licenses by state and date of Issuance 2 Has there been any Judgment, or administrative order by a federal, state, or local agency against the Applicant? Yes No 3 Has the Applicant been eonwcted of any crime involvmg moral turpitude?? Yes No If ?yes?, please explain in detail including nature of proceeding, date, location and current status Please prowde a copy of the order nifa 4 Has there been any injunction, Judgment, or administrative order or conwetion of any crime involvmg moral turpitude With respect to any of?cer, director, manager, operator, or of the Applicant? Yes No If ?yes?, please explain in detail including nature of proceeding, date, location and current status Please prowde a copy of the order nta PART VII: ORGANIZATION IDENTIFICATION Provrde the followmg information for Applicant?s Registered Agent Greg Lam Name Street Address MO 64103 City State Zip Code MD Telephone Number Fac5imile Number 2 List the followmg information concerning the Applicant?s partners, princ1pals, of?cers and directors Name Address Telephone Number PART SOLICITING WITHOUT PERMIT I If ?115 Is an mlt1al applicatton or a renewal alter the has let 1ts perrmt expire, has the applicant conducted regulated by the Charitable Solicitations Act, Utah Code Tltle 13, Chapter 22, Wlth?ut belng duly regtstered With the This Includes fund ralsmg, fundralsmg counsel or consultant serVIces, planning, managing, consulting, preparing material, or coordinating and scheduling sollc1tatlons (Including direct mall, telephonic, and ematl on behalf of any charitable orgamzanon Into the state of Utah Yes No 2 If ?yes?, please explam In detail, Including the name of the chantable organization, the dates Involved, and the method of the sollc1tatlon Not Applicable PART IX: SIGNATURE 1' ACKNOWLEDGEMENT By this application, the professmnal fund raiser, professmnal fund counsel, or professmnal fund ralsmg consultant - af?n?ns that thIs application 15 complete and not misleading, and - acknowledges that ?md ralsmg In Utah not commence ll?tll both the charitable organization, its parent foundation, If any, and the professional fund ratser or profesSIonal fund rat s1 ng counsel or consultant are registered and In compliance With the Utah Chantable Act i DATED A /l 1 APPLICANT BY yarn- -..- Precident 23 Outreach Calling Attachment referenced question VI 2 List of Shareholders Damian Mumam. 100% Owner 200 Virginia Street, 8th Floor Reno, NV 89501 FEIN 27-091 5392 Outreach Calling FEIN 2?-0915392 Attachment referenced in question in 1 List of Agreements wi?i Charitable Organrzations Breast Cancer Survivors Foundation, Inc 18851 NE 29th Ave Ste 700, Aventura, FL 33180, 908-241-2288 Campaign Period 09-15-2010 to 09?14-201 7" Center for American Hometess Veterans, Inc 210 East Broad Street. Suite 202, Falls Church, VA 22046, 703-237-8980 Campaign Period 05?18-201 1 to 0744-201? Childhood Leukemia Foundation, Inc 80? Mantoloking Rd Surte 202, Brick, NJ 08?23, 332-920-8860 Campaign Period 03-05-2012 to 02-28-201? Crisis Relief Network. Inc . 4601 SW 341h Street, Smte 100, Orlando, FL 32811, 407-290-5100 Campaign Period 06212013 to 05-31-2018 Defeat Diabetes Foundation, Inc 150 153ml Avenue, Surte 300, Madeira Beach, FL 33708, 727-391-5060 Campaign Period 11-01-2010 to 11-30-201? Disabled Police and Sheriffs Foundation, Inc 20? Plaza Dr, Ste C, Ste Genevieve, MO 636?0, 5?3~880?5501 Campaign Period 08-05-2011 to 06-30-2020 Firefighters Support Foundation, Inc 40 School Street, Surte 8, Greenfield, MA 01301, 413-37'6-8130 Campaign Period 07-01-2010 to 06-30-2020 Healing Heroes Network, Inc, 31640 US Highway 19N Suute 2, Palm Harbor, FL 34684, 727-?81-4376 Campaign Period 02-03-2012 to 04-30-201? lntemational Union of Police Associations, AFL-CID, 1549 Ringling 6th Floor, Sarasota, FL 34236, 800-24??48?2 Campaign Period 07-01-2010 to 06-30-2019 Kids Wish Network, Inc 4060 Loms Avenue, Holiday, FL 34691, 888?918-9004 Campaign Period 04-01-2010 to 03-31-2018 Law Enforcement Of?cers Relief Fund, 1549 Ringling 61h Ioor, Sarasota, FL 34236, 941-48??2560 Campaign Period 04-15-2011 to 12-31 -2020 National Vietnam Veterans Foundation, Inc 1015 Pelham Street, Alexandria, VA 22304, 800-366-1319 Campaign Period 05-14-2011 to 09-01-2016 Contract Terminated Early Reserve Police Officers Association, 18 Garden Place, Derby, CT 06418, 914-376-4097 Campaign Period 10-10-2010 to 06-30-2020 The Committee For Missing Children, Inc . 934 Stone Mill Run, Lawrenceville, GA 30046, 800-525-8204 Campaign Period 04-19-2013 to 03-14-2018 United Cancer Support Foundation, 6700 Baum Drive, Sluts 8, Knoxville, TN 37919, 855-622-623? Campaign Period 07-24-2012 to 06-30-201? Veterans Foundation, Inc, 312 Superior Ave, Tomah, WI 54660, 603-3?2-8387 Campaign Period 04-04-2016 to 12-31-2016 Contract Terminated Early Outreach Calling A?achment mfemnced questmn 2 List of O?icers and Directors Damian Muzram, Presudent 200 Virginia Street, 8th Floor Reno, NV 89501 FEW 2?-0915392 Outreach Calling FEIN 27-0915392 Attachment referenced in question If! 1 List of States, Counties, and Cities Where Registered Alaska Alaska Department Of Law, 1031 4th Ave Smte 200, Anchorage, AK 99501 Alabama Consumer Affairs Section, 501 Washington Avenue, Montgomery. AL 36130 Arkansas Consumer Protection DIVISIOD, 323 Center Street, 200 Tower Bldg. Little Rock, AR 72201 Los Angeles, California Los Angeles Police Commissmn, 100 West First Street, Ste 147, Los Angeles, C1 90012 California Registry Of Charitable Trusts, Box 903447, Sacramento. CA 94203-4470 Colorado Office Of The Secretary Of State, 1700 Broadway, Suite 300, Denver, CO 80290 Connecticut Public Charities Unit, 165 Capitol Avenue, Hartford, CT 06106 Florida Divismn Of Consumer Semices, 2005 Apalachee Parkway, Tallahassee, FL 32399 Georgia Of?ce Of The Secretary Of State, 2 Martin Luther King Jr Dr SE, ste 820, Macon, GA 31217 Hawaii Department of the Attorney General, 425 Queen Street, Honolulu, HI 96813 illin0is Charitable Trust Bureau, 100 Randolph St 11th Fl Chicago. IL 60501 Indiana Consumer Protection Division, 302 Washington Street, 5th Floor, Indianapolis, IN 46204 Jefferson County, Kentucky Department Of Public Protection, 444 5th, Ste 101, Loursville, K1 40202 Kansas Secretary Of State's Office, 120 10th Ave Fl, Topeka, KS 66612 Kentucky Consumer Protection DIVISIOH, 1024 Capital Center Drive, Frankfort, KY 40601 Consumer Protection Section, 1885 3rd Street, Baton Rouge, LA 70802 Massachusetts Public Charities Division, 1 Ashburton Place, Boston, MA 02108 Maryland Charitable Organization Division, 16 FranCIs Street, Annapolis, MD 21401 Maine Office of Licensing and Regulation, 35 State House Station, Augusta, ME 04333 Michigan Charitable Trust Section, 690 Law Bldg, 525 Ottawa Street, Lansing, MI 48913 Minnesota Office of the Attorney GenerallCharities, 445 Minnesota Street, 1200, St Paul, MN 55101 Missouri Missouri Attorney General, 207 High Street, Jefferson City, MO 65102 MISSISSIDPI Office Of The Secretary Of State, 125 8 Congress Street, Jackson, MS 39201 North Carolina Secretary Of State, 2 South Salisbury Street, Raleigh, NC 27601 North Dakota Secretary Of State, 600 East Boulevard, Bismarck, ND 58505 New Hampshire Charitable Trusts Unit, 33 Capitol Street, Concord, NH 03301 New Jersey Office of Consumer Protection, 124 Halsey Street, 7th Floor, Newark, NJ 07101 New Mexico Office of the Attorney General, 111 Lomas . NW, State 300, Albuquerque, NM 87102 Columbus, Ohio Charitable License Section, 750 Piedmont Road, Cotumbus, 01 43224 Ohio Charitable Foundation Section, 150 Gay Steet, 23rd Floor, Columbus, OH 43215 Oklahoma Oklahoma Secretary Of State, 421 NW 13th St, SUite 210, Oklahoma City, OK 73103 Bureau Of Charitable Organizations, 207 North Of?ce Budding, Harrisburg, PA 17120 Rhode Island Charitable Organization Section, 1511 Pontiac Ave, 89-1, Cranston, RI 02920 South Carolina Of?ce Of The Attorney General, 1205 Pendleton Street, Ste 525, Columbia, SC 29201 South Dakota Office Of The Attorney General, 500 East Capitol, Pierre, SD 57501 Tennessee Division Of Charitable SoIiCItations, 312 Rosa Parks Avenue, 8th Floor, Nashville, TN 37243 Texas Statutory Documents, 1019 Brazos, Austin, TX 78701 Texas Statutory Documents, 1019 Brazos, Austin, TX 78701 Utah DivISion Of Consumer Protection, 160 East 300 South, Salt Lake City, UT 45804 Virginia Of?ce of Consumer Affairs. 102 Governor Street, Lower Level, Richmond, VA 23219 Vermont Of?ce Of The Attorney General, 109 State Street, Montpelier, VT 05609 Washington Charitable Solicitation Division, 801 Capitol Way South, Olympia, WA 98504 Wisconsin Department of FinanCial Institutions, Box 7879, Madison, WI 53703-7879 West Virginia Office Of The Secretary Of State. 1900 Kanawha East, Charleston, WV 25305