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STATE OF CALIFORNIA                                                                                                                                                                                                                                           DEPARTMENT OF JUSTICE
RRF-1                                                                                                                                                    PAGE 1 of 5
(Rev. 09/2017)
MAIL TO:                                                                                                                                         (For Registry Use Only)
Registry of Charitable Trusts             ANNUAL REGISTRATION RENEWAL FEE REPORT 
P.O. Box 903447 
Sacramento, CA 94203-4470                   TO ATTORNEY GENERAL OF CALIFORNIA 
  
STREET ADDRESS:                                                 Sections 12586 and 12587, California Government Code 
1300 I Street                                                   11 Cal. Code Regs. sections 301-306, 309, 311, and 312 
Sacramento, CA 95814                      Failure to submit this report annually no later than four months and fifteen days after the end of the 
(916) 210-6400                            organization's accounting period may result in the loss of tax exemption and the assessment of a 
                                          minimum tax of $800, plus interest, and/or fines or filing penalties. Revenue & Taxation Code section 
WEBSITE ADDRESS: 
www.oag.ca.gov/charities                    23703; Government Code section 12586.1.  IRS extensions will be honored. 

                                                                                                Check if:
Name of Organization                                                                                     Change of address
                                                                                                         Amended report
List all DBAs and names the organization uses or has used

Address (Number and Street)                                                                     State Charity Registration Number

City or Town, State, and ZIP Code                                                               Corporation or Organization No.

Telephone Number                                                E-mail Address                  Federal Employer ID No.
                              ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301-307, 311, and 312) 
                                                                  Make Check Payable to Department of Justice 
  Gross Annual Revenue                         Fee              Gross Annual Revenue                         Fee  Gross Annual Revenue                                 Fee 
                                                                                                                    
  Less than $25,000                                           0 Between $100,001 and $250,000   $50               Between $1,000,001 and $10 million         $150 
  Between $25,000 and $100,000              $25                 Between $250,001 and $1 million $75               Between $10,000,001 and $50 million         $225 
                                                                                                                  Greater than $50 million                               $300
PART A - ACTIVITIES
              For your most recent full accounting period (beginning             /           /   ending              /       /                   ) list: 
  
                   Gross Annual Revenue $                           Noncash Contributions $                                  Total Assets $
               
                              Program Expenses $                                             Total Expenses $
 
PART B - STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT
Note:         All questions must be answered. If you answer "yes" to any of the questions below, you must attach a separate page  
              providing an explanation and details for each "yes" response.  Please review RRF-1 instructions for information required.                  Yes                                                                                                                       No
1.    During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any 
       officer, director or trustee thereof,either directly or with an entity in which any such officer, director or trustee had any financial interest?
2.    During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds?

3.    During this reporting period, were any organization funds used to pay any penalty, fine or judgment?

4.    During this reporting period, were the services of a commercial fundraiser, fundraising counsel for charitable purposes, or commercial 
       coventurer used? 

5.    During this reporting period, did the organization receive any governmental funding?

6.    During this reporting period, did the organization hold a raffle for charitable purposes? 

7.    Does the organization conduct a vehicle donation program?
8.    Did the organization conduct an independent audit and prepare audited financial statements in accordance with  
       generally accepted accounting principles for this reporting period?
9.    At the end of this reporting period, did the organization hold restricted net assets, while reporting negative unrestricted net assets?

I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and  
belief, the content is true, correct and complete, and I am authorized to sign.

              Signature of Authorized Agent                                    Printed Name                                    Title                     Date



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STATE OF CALIFORNIA                                                                                                                                                                                                                                           DEPARTMENT OF JUSTICE
RRF-1                                                                                                                      PAGE 2 of 5
(Rev. 09/2017)

                                                  Office of the Attorney General 

                                                  Registry of Charitable Trusts 

                                                           Privacy Notice 

                                               As Required by Civil Code § 1798.17  

              Collection and Use of Personal Information. The Attorney General's Registry of Charitable Trusts 
              (Registry), a part of the Public Rights Division, collects the information requested on this form as 
              authorized by the Supervision of Trustees and Fundraisers for Charitable Purposes Act (Gov. Code § 
              12580 et seq.) and regulations adopted pursuant to the Act (Cal. Code Regs., tit. 11, §§ 300-316). The 
              Registry uses the information in the administration and enforcement of the Act, including to register, 
              renew, or update your organization's registration or to prepare reports pursuant to the Act. The Attorney 
              General may also use the information for additional purposes, including in support of investigations and 
              law enforcement actions, providing public access to information as required by the Act (Gov. Code §§ 
              12587, 12587.1, 12590), and making referrals to other law enforcement agencies. Any personal 
              information collected by state agencies is subject to the limitations in the Information Practices Act and 
              state policy. The Department of Justice's general privacy policy is available at www.oag.ca.gov/
              privacy-policy. 
                
              Providing Personal Information. All the personal information requested in the form must be provided. 
              An incomplete submission may result in the Registry not accepting the form, and cause your 
              organization to be out of compliance with legal requirements to operate in California. 
                
              Access to Your Information. The completed form is a public filing that will be made available on the 
              Attorney General's website at www.oag.ca.gov/charities pursuant to the public access requirements of 
              the Act. You may review the records maintained by the Registry that contain your personal information, 
              as permitted by the Information Practices Act. See below for contact information. 
                
              Possible Disclosure of Personal Information. In order to process the applicable registration, renewal, 
              registration update, application, or report, we may need to share the information on this form with other 
              government agencies. We may also share the information to further an investigation, including an 
              investigation by other government or law enforcement agencies. In addition, the information is available 
              and searchable on the Attorney General's website. 
                
              The information provided may also be disclosed in the following circumstances: 
                
                           ·With other persons or agencies where necessary to perform their legal duties, and their use of    
                            your information is compatible and complies with state law, such as for investigations or for  
                            licensing, certification, or regulatory purposes; 
                
                           ·To another government agency consistent with state or federal law. 
                
              Contact Information. For questions about this notice or access to your records, contact the Registrar of 
              Charitable Trusts, 1300 I Street, Sacramento, CA 95814 at rct@doj.ca.gov or (916) 210-6400. 




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  STATE OF CALIFORNIA                                                                                                                                                                                                                                                     DEPARTMENT OF JUSTICE
  RRF-1 Instructions                                                                                                  Page 3 of 5
  (Rev. 09/2017)
  
MAIL TO:                                    INSTRUCTION FOR FILING 
Registry of Charitable Trusts ANNUAL REGISTRATION RENEWAL FEE REPORT 
P.O. Box 903447 
Sacramento, CA 94203-4470          TO ATTORNEY GENERAL OF CALIFORNIA 
(916) 210-6400                     Section 12586 and 12587, California Government Code 
                                   11 Cal. Code Regs. section 301-306, 309, 311 and 312 
WEBSITE ADDRESS:                                                
www.oag.ca.gov/charities                    (FORM RRF-1)

The purpose of the Annual Registration Renewal Fee Report (Form RRF-1) is to assist the Attorney General's Office with early 
detection of charity fiscal mismanagement and unlawful diversion of charitable assets.

WHO MUST FILE A FORM RRF-1? 
  
Every charitable nonprofit corporation, unincorporated             A copy of IRS Form 990, 990-PF, 990-EZ, or 1120 as filed 
association or trustee holding assets for charitable purposes      with IRS, together with all attachments and schedules, must 
that is required to register with the Attorney General's Office is be filed with the Attorney General's Registry of Charitable 
also required to annually file Form RRF-1, even if the             Trusts, together with Form RRF-1. Organizations whose 
corporation does not file Form 990s annually or is on extended     revenue falls below the threshold for filing IRS Form 990-EZ 
reporting with the Internal Revenue Service.  Only those           shall file Form RRF-1 with the Registry, together with a 
charitable entities and trustees required by law to register with  treasurer's report (CT-TR-1) sufficient to identify and account 
the Attorney General are required to file Form RRF-1. Entities     for revenue, assets and disbursements. [See instructions for 
exempt from the filing requirement include:                        Form CT-TR-1.]  
                                                                     
(1)  a government agency,                                          EXTENSIONS FOR FILING 
                                                                     
(2)  a religious corporation sole,                                 Extensions of time for filing Form RRF-1 will be allowed if an 
                                                                   organization has received an extension from the Internal 
(3)  a cemetery corporation regulated under Chapter                Revenue Service for filing the IRS Form 990, 990-PF, 990- 
  12 of Division 3 of the Business and Professions Code,           EZ, or 1120. An organization shall file both forms (RRF-1 and 
  
                                                                   IRS Form 990, 990-PF, 990-EZ, or 1120) with the Registry of 
(4)  a political committee defined in Section 82013 of the  
                                                                   Charitable Trusts at the same time, together with (1) the 
  California Government Code which is required to and 
                                                                   applicable renewal fee; and (2) a copy of all requests to IRS 
  which does file with the Secretary of State any statement 
                                                                   for an extension and, where approval of the extension is not 
  pursuant to the provisions of Article 2 (commencing with 
                                                                   automatic, a copy of each approved extension request.  IT IS 
  Section 84200) of Chapter 4 of Title 9, 
                                                                   NOT NECESSARY TO SEND A COPY OF THE EXTENSION 
(5)  a charitable corporation organized and operated primarily  REQUEST PRIOR TO FILING THE REPORT. 
  as a religious organization, educational institution or            
  hospital,                                                        ANNUAL REGISTRATION RENEWAL FEE 
                                                                     
(6)  a health care service plan that is licensed pursuant to       All registrants must include with Form RRF-1 the appropriate 
  Section 1349 of the Health and Safety Code and reports           registration renewal fee based on the registrant's gross annual 
  annually to the Department of Managed Health Care,               revenue (reported as total revenue on Form 990, 990-PF, or 
                                                                   990-EZ) for the preceding fiscal year, as follows: 
(7)  corporate trustees which are subject to the jurisdiction of     
  the Commissioner of Financial Institutions of the State of       Gross Annual Revenue                       Fee 
  California or to the Comptroller of Currency of the United         
  States. However, for testamentary trusts, such trustees          Less than $25,000                              0 
  should file a copy of a complete annual financial                Between $25,000 and $100,000               $25 
  summary which is prepared in the ordinary course of              Between $100,001 and $250,000              $50 
  business. See Probate Code sections 16060-16063.                 Between $250,001 and $1 million            $75 
                                                                   Between $1,000,001 and $10 million       $150 
WHAT TO FILE                                                       Between $10,000,001 and $50 million      $225 
                                                                   Greater than $50 million                           $300 
ALL REGISTRANTS, regardless of  the amount of total                  
revenue, must file Form RRF-1 with the Attorney General's          NOTE: A REGISTRATION FEE IS NOT DUE WITH AN 
Registry of Charitable Trusts no later than four months and        AMENDED REPORT FOR ANY REPORT PERIOD IN 
fifteen days after the organization's accounting period ends       WHICH A FEE HAS ALREADY BEEN PAID UNLESS AN 
(May 15 for calendar year filers).                                 AMENDED REPORT CHANGES THE AMOUNT OF THE 
                                                                   FEE DUE.



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STATE OF CALIFORNIA                                                                                                                                                                                                                                                     DEPARTMENT OF JUSTICE
RRF-1 Instructions                                                                                                  Page 4 of 5
(Rev. 09/2017)

STATE CHARITY REGISTRATION NUMBER                                 Total Assets - Are resources owned by the charity which have 
                                                                  current or future economic value that can be measured.  For 
The State Charity Registration Number is the Charitable Trust     charities reporting to the IRS it is the amount reported in IRS 
(CT) number assigned to an organization by the Registry of        Form 990, Part X, line 16, column (B);  IRS Form 990-EZ, Part 
Charitable Trusts at the time of registration. If you do not know II, line 25, column (B); and IRS Form 990-PF, Part II, line 16, 
the organization's State Charity Registration Number, you 
                                                                  column (B). 
may look it up using the Registry Search feature on the 
                                                                    
Attorney General's website at www.oag.ca.gov/charities. If 
                                                                  Program Expenses - Are expenses incurred by the 
you are unable to locate the State Charity Registration 
                                                                  organization to further its exempt purposes. For charities 
Number, leave that line blank and Registry staff will insert the 
                                                                  reporting to the IRS it is the amount reported in IRS Form 990, 
number when it is received in the Registry of Charitable 
                                                                  Part IX, line 25, column (B); IRS Form 990-EZ, Part III, line 
Trusts. 
                                                                  32; and IRS Form 990-PF, Part 1, line 24. If you are not 
  
                                                                  required to file Form 990, 990-EZ, nor 990-PF with the IRS 
OTHER IDENTIFICATION NUMBERS                                      because total annual revenue was under $50,000, and are 
                                                                  instead filing the required Form CT-TR-1, leave Program 
The corporation number is a seven-digit number assigned by        Expense blank.   
the Office of the Secretary of State and is stamped on the          
organization's articles of incorporation.                         Total Expenses - Are all expenses paid or incurred by the 
                                                                  organization including program expenses, fundraising 
The organization number is a seven-digit number assigned by       expenses, employee salary & wages, accounting, 
the Franchise Tax Board for non-corporate entities.               depreciation, management and administrative expenses.  For 
                                                                  charities reporting to the IRS it is the amount reported in IRS 
The Federal Employer Identification Number is a nine-digit        Form 990, Part IX, line 25, column (A); IRS Form 990-EZ, Part 
number assigned by the Internal Revenue Service.                  1, line 17; and IRS Form 990-PF, Part 1, line 26. 
                                                                    
The following will assist you in responding to the questions on 
                                                                  PART B       
Form RRF-1: 
                                                                    
                                                                  PART B, QUESTION #1 
PART A 
                                                                  If “yes,” provide the following information on the attachment: 
  
Provide the beginning and ending dates of the most recent full 
                                                                  1) Full name of the director, trustee, or officer involved and 
accounting period (Month/Day/Year). An accounting period 
                                                                     position with the organization. 
may be by calendar year (ex: 01/01/2016-12/31/2016) or by           
fiscal year (ex: 07/01/2016-06/30/2017).                          2) Nature of the transaction, e.g., loan to director, contract 
                                                                     with officer's business, etc. 
For each amount, report only whole dollars without rounding         
(e.g., $100.99 should be reported as $100).                       3) Attach a copy of the board of directors' meeting minutes 
                                                                     authorizing the transaction. 
Gross Annual Revenue - is the amount earned and received            
during the current year and it includes all contributions, gifts, 4) Include, if applicable, the date of transaction; purpose of 
grants, investment income, membership dues, program                  transaction; amount of the loan or contract; interest 
service revenues and other revenue.  For charities reporting         rates; repayment terms; balance due; type of collateral 
to the IRS it is the amount reported as total revenue on IRS         provided; copy of contract, loan or other agreement; 
Form 990, Part 1, line 12; IRS Form 990-EZ, Part 1, line 9;          amount paid to director, trustee, or officer for the period; 
IRS Form 990-PF, Part 1, line 12.                                    evidence of other bids received related to the 
                                                                     transaction. 
Noncash Contributions - Are noncash donations made to a             
charity.  Common examples are donations of food, clothing, 
                                                                  PART B, QUESTION #2 
equipment, pharmaceutical and medical supplies.  Noncash          If “yes,” provide the following information on the attachment: 
contributions exclude contributions made by cash, check,            
electronic funds transfer, debit card, credit card, or payroll    1) Nature, date, amount of loss, and parties involved. 
deduction. For charities reporting to the IRS it is the amount      
reported to the IRS Form 990, Part VIII, line 1g.                 2) Description of the steps the organization took to recover 
                                                                     the loss.  Attach a copy of any police and/or insurance 
                                                                     report.  
                                                                    
                                                                  3) Description of the procedures the organization         
                                                                     implemented to prevent a recurrence of the situation. 
                                                                   



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STATE OF CALIFORNIA                                                                                                                                                                                                                                                     DEPARTMENT OF JUSTICE
RRF-1 Instructions                                                                                                 Page 5 of 5
(Rev. 09/2017)

PART B, QUESTION #3                                               PART B, QUESTION #9 
If “yes,” provide the following information on the                "Restricted assets" are assets the charity holds that may be 
   attachment:                                                    used only for a specific purpose. The restriction may come 
1)   Description of the fine, penalty, or judgment and the        from the governing documents, a condition imposed by the 
   circumstances that resulted in the payment, together           donor, or the solicitation that led to the donation. Examples 
   with the name and title of the person(s) responsible and       of restrictions are endowment funds, building funds, gifts for 
                                                                  specific purposes, and fiscally-sponsored projects. For 
   why the payment was made with the organization's 
                                                                  organizations filing the IRS Form 990, refer to the Balance 
   funds. 
                                                                  Sheet. If the line reporting unrestricted net assets is a 
  
                                                                  negative number, and either or both of the lines reporting 
2)   Name of the organization or government agency                temporarily restricted or permanently restricted net assets 
   that issued the fine, penalty or judgment, the                 are positive number(s), answer "yes." 
   amount and date of payment.                                      
                                                                  If “yes,” provide the following information on the attachment: 
3)   Copies of all communications with any governmental             
   agency regarding the fine, penalty, or judgment.               1) A written statement confirming that all restricted funds 
                                                                     were used consistent with their restricted purpose, and 
4)   Description of procedures the organization                      explaining why unrestricted net assets were negative 
   implemented to prevent a reoccurrence of the fine,                at the end of the reporting period, and 
   penalty, or judgment.                                            
                                                                  2) Proof of directors' and officers' liability insurance 
PART B, QUESTION #4                                                  coverage. Please include a cover note stating 
If “yes,” provide an attachment listing the name, mailing            "confidential" when submitting the proof of insurance.  
address, telephone number, and e-mail address of each               
commercial fundraiser, fundraising counsel, or commercial           
coventurer.                                                       SIGNATURE 
                                                                    
PART B. QUESTION #5                                               A signature of an authorized agent is required. An 
If “yes,” provide an attachment listing the name of each          authorized agent may be the president or chief 
funding source, the name of the agency, mailing address,          executive officer, treasurer or chief financial officer of a 
contact person, and telephone number. Do not submit IRS           public benefit corporation; or a trustee if the 
Schedule B as a response to this question. The required           organization is a trust; or other authorized agent of the 
attachment must be made available for public viewing.             organization. Signatures do not need to be original 
                                                                  inked signature. Copies or electronic signatures are 
PART B, QUESTION #6                                               acceptable.  
If “yes,” provide an attachment listing the date of each raffle.    
                                                                    
PART B, QUESTION #7 
If “yes,” provide an attachment describing whether the 
vehicle donation program is operated by the charity or a 
commercial fundraiser, together with the name, mailing 
address, telephone number and e-mail address for each 
commercial fundraiser. 
   
PART B, QUESTION #8 
If you received over $2 million in total revenue, as reported 
on IRS Form 990, 990-PF or 990-EZ, audited financial 
statements using generally accepted accounting principles 
are required. Audit must be conducted by independent 
certified public accountant in conformity with generally 
accepted auditing standards. You may deduct from total 
revenue grants and contracts for services with governmental 
entities for which the governmental entity requires an 
accounting of how grant funds were spent (to the issuing 
government entity).






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