Mail completed form to: 
                                                                                NH Attorney General’s Office 
                                                                                Attn: Charitable Trusts Unit 
                                                                                33 Capitol Street 
                                                                                Concord, NH 03301-6397 

  FORM NHCT-14 
  APPLICATION FOR EXTENSION OF  IMET TO  ILE F NNUAL A EPORTR                

 This application for extension of time must be received by the Charitable Trusts Unit on or before the due date 
  of the entity’s annual report filing and must be accompanied by the $75.00 annual report filing fee.  Checks 
                                 must be made payable to State of New Hampshire 
    
CONTACT INFORMATION OF SUBMITTER          
 Contact Name                                    Title 

 Company Name 

 Contact Telephone Number                        Contact Email Address 

CHARITABLE ENTITY  EQUESTING R    XTENSIONE       
 
You will need your registration number with the NH Charitable Trusts Unit.  If you do not have the number, please review 
the Registered Charities List at https://www.doj.nh.gov/charitable-trusts/documents/registered-charities.pdf to look up the 
entity(ies) registration number. 
    
                                                                                      Check if                   Fiscal 
  Regis. 
              Name of Entity                   Mailing Address                                              new  Month/ 
   No. 
                                                                                      address                    Year End 

                                                                       City     State                            

                                                                                                            □ 

   NHCT-14 (September 2022)          www.doj.nh.gov/charitable-trusts/          charitabletrustsunit@doj.nh.gov 
                                                                                                                             
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