Back     FAQ    Contact
Make your own free website on Tripod.com
NonProfit Non Profit Corporation California FTB 3500 FormBack     FAQ    Contact

Click on the Business license, Corporation, Tax Ids or  DBA / FBN Below to Select State First

FTB 3500 Exemption Application Part Two:  Receipts and Expenses Statement

NOTE: THIS FORM IS ABSOLUTELY NECESSARY. IF YOU HAD ANY FINANCIAL ACTIVITY">Back     FAQ    Contact NonProfit Non Profit Corporation California FTB 3500 FormBack     FAQ    Contact
FTB 3500 Exemption Application Part Two:  Receipts and Expenses Statement

NOTE: THIS FORM IS ABSOLUTELY NECESSARY. IF YOU HAD ANY FINANCIAL ACTIVITY, WE NEED THIS FORM COMPLETED AND A FINANCIAL BALANCE SHEET.   IF YOU HAD NO CURRENT OR PAST FINANCIAL ACTIVITY, WE NEED A PROJECTED BUDGET.  (JUST USE THE FORM BELOW TO GIVE US AN IDEA OF WHAT THE BUDGET WILL BE - YOU CAN USE THE MINIMUM OR MAXIMUM EXPENSE OR INCOME FIGURES - IT IS UP TO YOU AND IT IS ONLY A PROJECTED BUDGET.

Please be as Complete as Possible: this information is required.   You may substitute your own receipts and expenses statement, or statements, but the details must be complete as indicated in this statement. Failure to provide complete financial information may  result in denial of the exemption application.

For each year exempt status is requested, provide the financial information represented in the statement below.

If you have had financial activities for less than one year, provide a financial statement for the period of activities, and a projected budget for the entire first year.

If this is your first year of operation, and/or you have no prior financial activity, provide a proposed budget for the entire first year of  operation. The proposed budget should be based on your most reasonable expectations. . . . . . . . . . . . . . .

* EmailFTB 3500 Exemption Application PART TWO    
Corp Name 
ReceiptsCurrent Year

 

Three Preceding Years for each Year in Existence

Example   (2000       ,          2001,                               2002,)

Totals
     
 

Grants

      

Contributions received

      

Fundraising

      
Membership income
Nonmembership income (R&TC Section 23701g)
Other business income
Gross investment income
Gross royalty income
Gross rental income
Gross receipts from admissions
Gross receipts from commissions
Gross receipts from sale of merchandise .
Gross receipts from services provided
Gross receipts from furnishing of facilities
Gain or loss from sale of capital assets
Other income (attach sheet itemizing each type)
TOTAL RECEIPTS
      
EXPENSES
Fundraising
Contributions, gifts, grants, and similar amounts paid
Disbursements to or for member benefit
Compensation of officers
Compensation of directors
Compensation of trustees
Rental income
Other salaries and wages
Occupancy (rents)
Other (including all operational and administrative
expenses – attach sheet) .
TOTAL EXPENSES

Excess of receipts over expenses

      

In order to avoid losing your info, If you have problems submitting your form, ( for example you get a message: "oops!  must be a tripod website" ) after you receive the oops message, just click the "back" button and complete the missing information - if you still receive an oops message,  you may want to just print the completed form and mail it to:

xkr essex, inc 2911 e. vista st. #C long beach, ca 90803

 


Note: After you submit this form, You will be Re - directed to a Confirmation Page

Then to:

ANOTHER  Payment  Web Site  --   "Merchant America"