CHICAGO September 11, 2013
To the President and Members of the City Council:
Your Committee on Finance having had under consideration one (1) order authorizing five (5) applications for City of Chicago Charitable Solicitation (Tag Day) permits.
- Alpha Gamma Delta - Chicago Northwest Suburban Alumnae
- Illinois State Council Knights of Columbus Charities, Inc.
- Misericordia Heart of Mercy Center
- The Sierra Club
- St. Mary of Providence
having had the same under advisement, begs leave to report and recommend that your Honorable Body pass the ordinance(s)/order(s) transmitted herewith.
This recommendation was concurred in by (&jva voce voti
of the members of the committee with dissenting vote(s)).
Respectfully submitted
(signed'
Document No.
REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO
Ordered, that the Committee on Finance is hereby authorized and directed to issue charitable solicitation (tag day) permits to the following organizations:
- Alpha Gamma Delta - Chicago Northwest Suburban Alumnae Club
September 14, 2013 Citywide
- Illinois State Council Knights of Columbus Charities, Inc. September 20-22, 2013
Citywide
- Misericordia Heart of Mercy Center April 25-26, 2014
Citywide
- The Sierra Club
September 16, 2013 through December 31, 2013 Citywide
- St. Mary of Providence September 26-28, 2013 Citywide
This order shall take effect and be in fopze^om and after its passage.
Edward M. Burke Alderman, 14,hWard
Document No.
REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO
PERMIT NO. 2013 - 25-
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: |
2013-25 |
GROUP NAME: |
Alpha Gamma Delta - Chicago Northwest Suburban Alumnae Club |
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ADDRESS: 8710 N. Merid |
ian St., Indianapolis, IN 46260 |
TELEPHONE NUMBER: |
317-663-4200 |
CONTACT PERSON: |
Sarah Hughes |
DATE WRITTEN REQUEST WAS RECEIVED: August 8, 2013 |
SOLICITATION DATE: |
September 14, 2013 |
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CITY COUNCIL DATE: |
September 11, 2013 |
COMPLETION OF FILE DATE: |
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STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: |
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DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11, 2013 |
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VIOLATION (S) |
COMMITTEE LETTER SENT: |
COMPLY RECEIVED: |
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COMMENTS: |
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08/15/2013 17:41 8475373611 A PLUS MARKETING PAGE 01/03
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
- Name of organization: /\lPMA &a^hA i^S^Tr^
Address: STo K/. MePii»^ st Telephone Number: 3, n ^ 3 r ^^OQ
- Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
5Pr&\fr hhJ&t+£$ ^5/^^T-37 0 S. LAtc&. f*tie.e.?rfTL- too??
- List the date and approximate location(s) of solicitation:
- Approximately how many persons will be engaged in the solicitation? JgQ
- Explain the methods your organization will use to solicit funds:
- Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? a/0
- Include the following with your application:
-
- A copy ofthe registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General ofthe State of Illinois.
- A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
- Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
PAGE
2013 17:41
8475373611
A PLUS MARKETING
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Signature f^O^Ju^ i hiljOoL Title VP-M^/w^A^Dfltc &"/^-/3
Signature, ^WgMAr K ijoilkfU Title SjUU\jJOTL^ Date P'K't3
Date
Title
Signature
PAGE 03/03
A PLUS MARKETING
08/15/2013 17:41 8475373611
HOLD HARMLESS AGREEMENT
1. The undersigned officer on behalf ofthe subject organization agrees to
defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
2. The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
3. The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Name of organization
T-771 P.01/02 F-075
Aug-06-!3 02:40pm From-
Fax Transmission
Charitable Trusts and Solicitations Bureau 100 W. Randolph Street, 11* Floor Chicago, IL 60601-3175 Phone: (312) 814-2595 Fax: (312) 814-2596
To: Gay Kelly &at*: 8/672013
Fax 773-342-1513 Pages: (2) including cover page
From: Takiyah Martin-Barnes Compliance Officer
Direct: 312-814-5840
Subiect Letter of Good Standing CQ# 01041174
COMMENTS
This FAX may contain attorney-client, attorney work product or other privileged and/or confidential information. This FAX js intended only for the use of the individual for vvhom or entity to which it is addressed. If you have received this FAX in error, please notify the sender at The above telephone number and destroy his FAX. If you arc not the intended recipit-ni, you are hereby notified that any retcniion or dissemination of this FAX and/or the information il contains is strictly prohibited.
ORIGINAL (check one) X WILL WILL NOT BE SENT BY MAIL
'06-13 02:40pm
From-
T-771 P.02/02 F-075
August 6, 2013
OFFICE OF THE ATTORNEY GENERAL
STATE OF ILLINOIS
Lisa Madigan
alpha Gamma delta foundation, inc.
8710 N. MERIDIAN ST. INDIANAPOLIS, IN 46260
RE: R£: Status of ALPHA GAMMA DELTA FOUNDATION, INC. under the Illinois Charitable Laws CO# 0X041174
Dear Registrant:
This letter is pursuant to your request that the Attorney General confirm the status of ALPHA GAMMA DELTA FOUNDATION, INC. under the Chariiable Organization Laws.
This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01041174. It is current in the filing of its financial reports, having filed its report for the period ended May 31, 2012. Please let us know if you require further information.
Sincerely,
Takiyah Martin Baroes.CompIiance Officer
Charitable Trusts Bureau
100 West Randolph Street, 11th Floor
Chicago, Illinois 60601
Telephone: (312)814-2595
PERMIT NO. 2013-26
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: |
2013-26 |
GROUP NAME: |
Illinois State Council Knights of Columbus Charities, Inc. |
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ADDRESS: 187 S. Indiana Ave., 3rd Floor, Kankakee, IL 60901 |
TELEPHONE NUMBER: |
815-935-2262 |
CONTACT PERSON: |
Donald C. Kinyon |
DATE WRITTEN REQUEST WAS RECEIVED: August 8,2013 |
SOLICITATION DATE: |
September 20-22, 2013 |
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CITY COUNCIL DATE: |
September 11, 2013 |
COMPLETION OF FILE DATE: |
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STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: |
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DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11, 2013 |
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VIOLATION (S) |
COMMITTEE LETTER SENT: |
COMPLY RECEIVED: |
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COMMENTS: |
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APPLICATION FOR CITY OF CHICAGO CHARITITABLE SOLICITATION PERMIT
c/o Finance Department 121 N La Salle Street Chicago, Illinois 60602
(Please neatly print or type. If necessary in answering any question, please attach other sheets.)
1. Name of Organization: ILLINOIS STATE COUNCIL K OF C CHARITIES, INC. Address: 187 S Indiana Ave, 3rd Floor, PO Box 681, Kankakee, Illinois 60901 Telephone Number: 815-935-2262
- Use the space below to list names, Current positions, residence, addresses and telephone numbers of the officers in the organization:
President: Donald C Kinyon, Jr, 3056 Lincoln Park Dr, Galesburg, IL 61401,309-344-3924 Secretary: William L Doerfler, 1275 Trend Drive, Morris, IL 60450-1254 Treasurer: Theodore Stites, Jr, 138 Hodgens Mill Lane, O'Fallon, IL 62269-6623
- List the date and approximate location(s) of solicitation?
September 20 21,22. 2013
Locations vary-Most ofthe selected areas are in the Chicago Downtown Area (see attached list)
- Approximately how many persons will be engaged in the solicitation? 400
- Explain the methods your organization will use to solicit finds:
Canister donations on selected street corners and in front of selected buildings
- Was your organization ever allowed to solicit funds in prior years in the City of Chicago? If so, when?
We have been collecting funds for many years with formal approval received since 2005
7. Include the following with your application:
- ) A copy of the registration statement filed with the Attorney General of the State of Illinois: or exemption issued by the Attorney General of the State of Illinois.
- ) A facsimile of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
Our members will be wearing collection aprons which identify them and the cause for our collections: "Helping people with Intellectual Disabilities". These aprons are bright yellow with iridescent orange printing and a reflective strip per your regulation. We do not collect on the streets after sunset.
a.) Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
APPLICATION MUST BE RECEVED) BY THE COMMITTEE ON FINANCE NO LATER. THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, OFFICER(S) OF THE ABOVE ORGANIZATION, VERIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Signature Date July 9.2013
President
Signature
Date:
July 9,2013
Vice President
CHICAGO CORNERS To be Reserved, your Selection MUST be reported to Intellectual Disabilities Chairman,
CORNERS |
COUNCIL # | CHAIRMAN |
PHONE# |
DATE(S) |
01 St. Peter's Church front |
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02 Clark & Madison |
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03 Wabash & Madison |
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04 Wacker & Adams |
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05 Wacker & Jackson |
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06 LaSalle& Jackson |
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07 LaSalle & Jackson |
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08 State & Madison |
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09 Board of Trade |
1 i |
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10 State & Chicago |
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11 State & Washington |
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12Wabash & Washington |
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13 Wabash & Lake |
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14 Franklin & Madison |
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15 Michigan & Huron |
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16 Wacker & Madison |
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17 Michigan & Erie |
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18 Clark & Washington |
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19 Michigan & Ohio 20 1C Station Prudential 21 1C Station-S Water St. |
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- - -■ |
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1CHICAGO September 11, 2013 To the President and Members of the City Council: Your Committee on Finance having had under consideration one (1) order authorizing five (5) applications for City of Chicago Charitable Solicitation (Tag Day) permits.
- Alpha Gamma Delta - Chicago Northwest Suburban Alumnae
- Illinois State Council Knights of Columbus Charities, Inc.
- Misericordia Heart of Mercy Center
- The Sierra Club
- St. Mary of Providence
having had the same under advisement, begs leave to report and recommend that your Honorable Body pass the ordinance(s)/order(s) transmitted herewith. This recommendation was concurred in by (&jva voce voti of the members of the committee with dissenting vote(s)). Respectfully submitted (signed' Document No. REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO Ordered, that the Committee on Finance is hereby authorized and directed to issue charitable solicitation (tag day) permits to the following organizations:
- Alpha Gamma Delta - Chicago Northwest Suburban Alumnae Club
September 14, 2013 Citywide
- Illinois State Council Knights of Columbus Charities, Inc. September 20-22, 2013
Citywide
- Misericordia Heart of Mercy Center April 25-26, 2014
Citywide
- The Sierra Club
September 16, 2013 through December 31, 2013 Citywide
- St. Mary of Providence September 26-28, 2013 Citywide
This order shall take effect and be in fopze^om and after its passage. Edward M. Burke Alderman, 14,hWard Document No. REPORT OF THE COMMITTEE ON FINANCE TO THE CITY COUNCIL CITY OF CHICAGO PERMIT NO. 2013 - 25- COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET PERMIT NUMBER:2013-25GROUP NAME:Alpha Gamma Delta - Chicago Northwest Suburban Alumnae ClubADDRESS: 8710 N. Meridian St., Indianapolis, IN 46260TELEPHONE NUMBER:317-663-4200CONTACT PERSON:Sarah HughesDATE WRITTEN REQUEST WAS RECEIVED: August 8, 2013SOLICITATION DATE:September 14, 2013CITY COUNCIL DATE:September 11, 2013COMPLETION OF FILE DATE:STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11, 2013VIOLATION (S)COMMITTEE LETTER SENT:COMPLY RECEIVED:COMMENTS: 08/15/2013 17:41 8475373611 A PLUS MARKETING PAGE 01/03 APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT (Please neatly print or type. In necessary in answering any question, please attach additional sheets.)
- Name of organization: /\lPMA &a^hA i^S^Tr^
Address: STo K/. MePii»^ st Telephone Number: 3, n ^ 3 r ^^OQ
- Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
5Pr&\fr hhJ&t+£$ ^5/^^T-37 0 S. LAtc&. f*tie.e.?rfTL- too??
- List the date and approximate location(s) of solicitation:
- Approximately how many persons will be engaged in the solicitation? JgQ
- Explain the methods your organization will use to solicit funds:
- Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? a/0
- Include the following with your application:
-
- A copy ofthe registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General ofthe State of Illinois.
- A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
- Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
PAGE 2013 17:41 8475373611 A PLUS MARKETING APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION. I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.) Signature f^O^Ju^ i hiljOoL Title VP-M^/w^A^Dfltc &"/^-/3 Signature, ^WgMAr K ijoilkfU Title SjUU\jJOTL^ Date P'K't3 Date Title Signature PAGE 03/03 A PLUS MARKETING 08/15/2013 17:41 8475373611 HOLD HARMLESS AGREEMENT 1. The undersigned officer on behalf ofthe subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations. 2. The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way. 3. The officer of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement. Name of organization T-771 P.01/02 F-075 Aug-06-!3 02:40pm From- Fax Transmission Charitable Trusts and Solicitations Bureau 100 W. Randolph Street, 11* Floor Chicago, IL 60601-3175 Phone: (312) 814-2595 Fax: (312) 814-2596 To: Gay Kelly &at*: 8/672013 Fax 773-342-1513 Pages: (2) including cover page From: Takiyah Martin-Barnes Compliance Officer Direct: 312-814-5840 Subiect Letter of Good Standing CQ# 01041174 COMMENTS This FAX may contain attorney-client, attorney work product or other privileged and/or confidential information. This FAX js intended only for the use of the individual for vvhom or entity to which it is addressed. If you have received this FAX in error, please notify the sender at The above telephone number and destroy his FAX. If you arc not the intended recipit-ni, you are hereby notified that any retcniion or dissemination of this FAX and/or the information il contains is strictly prohibited. ORIGINAL (check one) X WILL WILL NOT BE SENT BY MAIL '06-13 02:40pm From- T-771 P.02/02 F-075 August 6, 2013 OFFICE OF THE ATTORNEY GENERAL STATE OF ILLINOIS Lisa Madigan alpha Gamma delta foundation, inc. 8710 N. MERIDIAN ST. INDIANAPOLIS, IN 46260 RE: R£: Status of ALPHA GAMMA DELTA FOUNDATION, INC. under the Illinois Charitable Laws CO# 0X041174 Dear Registrant: This letter is pursuant to your request that the Attorney General confirm the status of ALPHA GAMMA DELTA FOUNDATION, INC. under the Chariiable Organization Laws. This organization is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01041174. It is current in the filing of its financial reports, having filed its report for the period ended May 31, 2012. Please let us know if you require further information. Sincerely, Takiyah Martin Baroes.CompIiance Officer Charitable Trusts Bureau 100 West Randolph Street, 11th Floor Chicago, Illinois 60601 Telephone: (312)814-2595 PERMIT NO. 2013-26 COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET PERMIT NUMBER:2013-26GROUP NAME:Illinois State Council Knights of Columbus Charities, Inc.ADDRESS: 187 S. Indiana Ave., 3rd Floor, Kankakee, IL 60901TELEPHONE NUMBER:815-935-2262CONTACT PERSON:Donald C. KinyonDATE WRITTEN REQUEST WAS RECEIVED: August 8,2013SOLICITATION DATE:September 20-22, 2013CITY COUNCIL DATE:September 11, 2013COMPLETION OF FILE DATE:STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11, 2013VIOLATION (S)COMMITTEE LETTER SENT:COMPLY RECEIVED:COMMENTS: APPLICATION FOR CITY OF CHICAGO CHARITITABLE SOLICITATION PERMIT c/o Finance Department 121 N La Salle Street Chicago, Illinois 60602 (Please neatly print or type. If necessary in answering any question, please attach other sheets.) 1. Name of Organization: ILLINOIS STATE COUNCIL K OF C CHARITIES, INC. Address: 187 S Indiana Ave, 3rd Floor, PO Box 681, Kankakee, Illinois 60901 Telephone Number: 815-935-2262
- Use the space below to list names, Current positions, residence, addresses and telephone numbers of the officers in the organization:
President: Donald C Kinyon, Jr, 3056 Lincoln Park Dr, Galesburg, IL 61401,309-344-3924 Secretary: William L Doerfler, 1275 Trend Drive, Morris, IL 60450-1254 Treasurer: Theodore Stites, Jr, 138 Hodgens Mill Lane, O'Fallon, IL 62269-6623
- List the date and approximate location(s) of solicitation?
September 20 21,22. 2013 Locations vary-Most ofthe selected areas are in the Chicago Downtown Area (see attached list)
- Approximately how many persons will be engaged in the solicitation? 400
- Explain the methods your organization will use to solicit finds:
Canister donations on selected street corners and in front of selected buildings
- Was your organization ever allowed to solicit funds in prior years in the City of Chicago? If so, when?
We have been collecting funds for many years with formal approval received since 2005 7. Include the following with your application:
- ) A copy of the registration statement filed with the Attorney General of the State of Illinois: or exemption issued by the Attorney General of the State of Illinois.
- ) A facsimile of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
Our members will be wearing collection aprons which identify them and the cause for our collections: "Helping people with Intellectual Disabilities". These aprons are bright yellow with iridescent orange printing and a reflective strip per your regulation. We do not collect on the streets after sunset. a.) Please include any other relevant information which would assist the Committee on Finance in reviewing this application. APPLICATION MUST BE RECEVED) BY THE COMMITTEE ON FINANCE NO LATER. THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION. I/WE, OFFICER(S) OF THE ABOVE ORGANIZATION, VERIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.) Signature Date July 9.2013 President Signature Date: July 9,2013 Vice President CHICAGO CORNERS To be Reserved, your Selection MUST be reported to Intellectual Disabilities Chairman, CORNERSCOUNCIL # | CHAIRMANPHONE#DATE(S)01 St. Peter's Church front02 Clark & Madisoni03 Wabash & Madison04 Wacker & Adams05 Wacker & Jacksoni06 LaSalle& Jackson07 LaSalle & Jackson08 State & Madisonj09 Board of Trade1 i10 State & Chicago 11 State & Washington 12Wabash & Washington13 Wabash & Lake14 Franklin & Madison15 Michigan & Huron16 Wacker & Madison17 Michigan & Erie18 Clark & Washington19 Michigan & Ohio 20 1C Station Prudential 21 1C Station-S Water St. - - -■- 22 LaSalle & Washington |
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23 Monroe & Wacker |
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24 Madison & Wacker |
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25 Board of Trade (east) |
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26 Canal & Jackson 27 Blue Cross Bldg. S Water |
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28 I C Randolph & Mich 29 Museum Campus 31 Union Station |
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32 Madison & Michigan |
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33 State & Randolph |
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34 State & Randolph |
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36 State & Monroe |
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37 State & Van Buren |
i i i |
38 Michigan & Congress |
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39 Michigan & Jackson |
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40 Michigan & Van Buren |
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41 Wabash & Van Buren |
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42 Clark & Van Buren |
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43 Dearborn & Van Buren i |
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44 "Navy Pier |
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08/20/2013
PERMITNO/2013^-27
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: |
2013-27 |
GROUP NAME: |
Misericordia Heart of Mercy Center |
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ADDRESS: 6300 N. Ridge Boulevard, Chicago, IL 60660 |
TELEPHONE NUMBER: |
773-973-6300 |
CONTACT PERSON: |
Sr. Rosemary Connelly |
DATE WRITTEN REQUEST WAS RECEIVED: August 8,2013 |
SOLICITATION DATE: |
April 25-26, 2014 |
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CITY COUNCIL DATE: |
September 11, 2013 |
COMPLETION OF FILE DATE: |
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STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: |
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DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11,2013 |
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VIOLATION (S) |
COMMITTEE LETTER SENT: |
COMPLY RECEIVED: |
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COMMENTS: |
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APPLICLATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT (Please neatly print or type. If necessary in answering any questions, please attach other sheets.)
- Name of organization: Misericordia Heart of Mercy Center
Address: 6300 North Ridge Boulevard, Chicago, EL 60660 Phone Number: 773-973-6300
- Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
PLEASE SEE ATTACHED SHEET
- List the date and approximate location(s) of solicitation: Friday, April 25 and Saturday, April 26, 2014. Misericordia would like to place volunteers at as many locations as possible (street corners, banks, train stations, shopping areas) throughout the City of Chicago.
- Approximately how many persons will be engaged in the solicitation? 10,000.
- Explain the methods your organization will use to solicit funds: Our
volunteers will stand at street corners, in front of banks, train stations, shopping malls/areas soliciting donations and passing out bags of Jelly Belly candy and a tag explaining Misericordia and its work. Typical donations are coins and single dollars.
- Was your organization ever allowed to solicit funds in prior years in the City of Chicago? If so, when? Yes. April 1987, '88, '89, March of 1990, April '91, '92, '93, '94, '95, '96, '97, '98, '99, 2000, '01, '02, '03, '04, '05, '06, '07, '08, '09, '10, '11, '12, and April 26 and 27, 2013.
- Include the following with your application:
-
- A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois.
- A facsimile of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
- Please include any other relevant information which would assist the Committee on Finance in reviewing this application. Misericordia Heart of Mercy Center exists to provide happy, challenging lives to children and adults with mental disabilities. It is a nonprofit organization.
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATER THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS ARE TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Date: 1 -10 - Q
Signature: Aa^X^ ^CHUw<^ /Ufa Sister Rosemary Connelly, ft.SJvl. /
Title: Executive Director
Signature. ' MaaA f^j $1 )^H^^U Date. 7- (d-ft
Margaret A. Murphy J 7
Title: Corporate Secretary
MISERICORDIA'S BOARD OF DIRECTORS
President
Father Michael Boland The Catholic Charities 126 N. Desplaines Avenue Chicago, IL 60606 Phone: 312-655-7460 Appointed in 1996
Treasurer & General Manager
Sister Rosemary Connelly, R.S.M. Misericordia
6300 North Ridge Avenue Chicago, IL 60660 Phone: 773-273-4179 Appointed in 1970
Secretary
Ms. Margaret Murphy Misericordia
6300 North Ridge Avenue Chicago, IL 60660 Phone: 773-273-4175 Appointed in 1984
Director
Mr. John L. Dyer
Peter Shannon & Co.
6412Joliet Rd., Ste. 1
La Grange Highlands, IL 60525-4662
Phone: 708-482-3000
Appointed in 2005
Director
Mr. Rob Figliulo SPR, Inc.
233 S. Wacker Drive, Suite 3330 Chicago, IL 60606 Phone: 312-756-1760 Appointed in 2005
Director
Mr. Daniel Houlihan Daniel Houlihan & Assoc., Ltd. Ill W. Washington, Suite 1440 Chicago, IL 60602 Phone: 312-372-6255 Appointed in 1998
Director
Mr. Patrick E. Mahoney Mahoney, Crowe & Goldrick P.C. 36 South Wabash, Suite 1300 Chicago, IL 60603 Phone: 312-782-4554 Appointed in 2003
Director
Mr. Robert Soudan Lock Up Development 800 Frontage Road Norrhfield, IL 60093 Phone: 847-441-7760 Appointed in 2007
5/25/2010
OFFICE OF THE ATTORNEY GENERAL
February 20,2013 STATE OF Illinois
Lisa Madigan
Al Ii>HNEYL£MERaL
MISERICORDIA HOME C/O SHAWN DEPA 6300 N. RIDGE ROAD CHICAGO, IL 60660
RE: RE: Status of MISERICORDIA HOME under the Illinois Charitable Laws CO# 01040984
Dear Registrant:
This letter is pursuant to your request that the Attorney General confirm the status of MISERICORDIA HOME under the Charitable Organization Laws.
This organi2ation is currently registered with the Attorney General's Charitable Trust and Solicitations Bureau as CO# 01040984, and has received a religious exemption from filing annual reports with our office. Please let us know if you require further information. Please let us know if you require further information.
Sincerely,
Takiyah Martin Barnes, Compliance Officer
Charitable Trusts Bureau
100 West Randolph Street, 11th Floor
Chicago, Illinois 60601
Telephone: (312)814-2595
File Number 1585-835-4
To all to whom these Presents Shall Come, Greeting:
I, Jesse White, Secretary of State of the State of Illinois, do hereby certify that I am the keeper of the records ofthe Department of Business Services. I certify that
MISERICORDIA HOME, A DOMESTIC CORPORATION, INCORPORATED UNDER THE LAWS OF THIS STATE ON FEBRUARY 04, 1921, APPEARS TO HAVE COMPLIED WITH ALL THE PROVISIONS OF THE GENERAL NOT FOR PROFIT CORPORATION ACT OF THIS STATE, AND AS OF THIS DATE, IS IN GOOD STANDING AS A DOMESTIC CORPORATION IN THE STATE OF ILLINOIS.
In Testimony Whereof, i hereto set
2012
my hand and cause to be affixed the Great Seal of the State of Illinois, this 17TH day of FEBRUARY AD.
SECRETARY OF STATE
PERMIT NO: 2013"-28 "
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: |
2013-28 |
GROUP NAME: |
The Sierra Club |
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ADDRESS: 85 Second Street, San Francisco, CA 94105 |
TELEPHONE NUMBER: |
415-977-5500 |
CONTACT PERSON: |
Angie Coleman-Levy |
DATE WRITTEN REQUEST WAS RECEIVED: August 8, 2013 |
SOLICITATION DATE: |
September 16, 2013 through December 31, 2013 |
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CITY COUNCIL DATE: |
September 11,2013 |
COMPLETION OF FILE DATE: |
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STATEMENT OF RECEIPTS AND DISTRIBUTION ./ RECEIVED: |
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DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11, 2013 |
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VIOLATION (S) |
COMMITTEE LETTER SENT: |
COMPLY RECEIVED: |
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COMMENTS: |
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APPUCftTION FOR CITY OF CHICAGO fflAKTTAHLE SOUCITAJICH PERMIT
(Please neatly print or type. If necessary in answering any question, please attach other sheets.)
Name of organization: 'Si&ffA Club
Telephone Number: 5 ^7"?- $%00
Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
/Wye CoWu/c -U.H
List the date and approximate location(s) of solicitation?
- l2-/ll/l? Ckuy#f X///W/>.
Approximately how many persons will be engaged in the solicitation? 1j "^0 Explain the methods your organization will use to solicit funds:
Was your organization ever allowed to solicit funds in prior years /ct^
in the City of Chicago? If so, when? tf[} j^^^ H/fa<i ~
- Include the following with your application:
-
- A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General of the State of Illinois.
- A facsimile of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
- Please include any other relevant information which would assist the Coimittee on Finance in reviewing this application.
APELICMTONS MUST BE RECEIVED BY THE CCMMTTTEE ON FINANCE NO LATER THAN 30 DAYS FRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICAnON.)
SIERRA CLUB BUSINESS EIN: 94-1153307 California Corp. No.: C0021559
CORPORATE OFFICERS May 2013 - May 2014
Michael Brune Executive Director Residence Address:
1125 High St. Alameda, CA 94501 Business Address:
85 Second Street, Second Floor San Francisco, CA 94105 Ph: (415) 977-5500
Laura Hoehn Assistant Secretary Residence Address:
1115 South Willson Avenue Bozeman, MT 59715 Business Address: 85 Second Street, Second Floor San Francisco, CA 94105 Ph: (415) 977-5500
Adrienne Frazier Assistant Secretary Residence Address:
3260 Gough Street, Apt 105 San Francisco, CA 94123 Business Address: 85 Second Street, Second Floor San Francisco, CA 94105 Ph: (415) 977-5500
Phil Eager Assistant Secretary Residence Address:
650 Delancey Street, #220 San Francisco, CA 94107 Business Address: 85 Second Street, Second Floor San Francisco, CA 94105 Ph: (415) 977-5500
Revised 5/20/13
SIERRA CLUB FEIN: 94-1153307
BOARD OF DIRECTORS
David A. Scott President
Residence: 300 E. North Broadway Street Columbus, OH 43214-4114 H: (614) 670-5278
Spencer Black Vice-President
Residence: 5742 Elder PI. Madison, WI 53705-2516 H: (608) 233-0317
Lane E. Boldman Secretary
Residence: 114 Woodford Drive Lexington, KY 40504-1106 H: (859) 252-3422
Donna Buell Treasurer
Residence: 2608 Manhattan Blvd. Spirit Lake, IA 51360-7546 H: (507) 350-0321
Susana Reyes Fifth Officer
Residence: 2700 E Chevy Chase Dr Glendale, CA 91206-1818 H: (818) 242-8589
Loren Blackford
Residence: 53 W 68,h St New York, NY 10023 H:(212) 724-7479
Jim Dougherty
Residence: 709 3"'St., SW Washington, DC 20024-3103 H: (202) 488-1140
MAY 2013 - MAY 2014 Larry Fahn
Residence: 145 Kipling Dr. Mill Valley, CA 94941 H: (415) 388-9125
Charles Frank
Residence: 25 Lakeview Terrace Highland Park, IL 60035-5041 H: (847) 433-8874
Jessica Helm
36 Fern Rd.
Rocky Point, NY 11778-8849 W: (631)219-6449
Aaron Mair
PO Box 2562
Albany, NY 12220-0562
H: (518) 355-2925
Robin Mann
Residence: 266 Beechwood Dr Bryn Mawr, PA 19010-1203 H: (610) 527-4598
Chris Warshaw
Residence: 241 Hurley St. Apt. 5 Cambridge, MA 02141 C: (617) 733-4991
Liz Walsh
Residence: 7717 Waterhouse Dr. El Paso, TX 79912-6903 H: (915) 342-7630
Rob Wilder
Residence: 2240 Encinitas Blvd Encinitas, CA 92024-4345 H: (760) 634-3675
HOLD HARMLESS AGREEMENT
- The undersigned officer on behalf ot* the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability., damage or cost which the City may incur due to the presence of volunteers ofthe subject organization on City premises for tne purpose of charitable solicitations.
- The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
- The officer ofthe subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Name of organization
Date
Signature of organization officer
10-8-130
USE OF PUBLIC WAYS AND PLACES
the public ways within any zone of quiet established in accordance with this chapter, is hereby declared to be a nuisance, and is hereby prohibited. (Prior code § 36-7)
ARTICLE II. CHARITABLE SOLICITATION
10-8-080 Permit required.
No person shall solicit or collect contributions of funds for charitable purposes upon any portion of the public way without first having obtained a permit for 3uch purpose from the committee on finance.
(Prior code § 36-8; Added. Coun. J. 12-18-84, p. 12004)
10-8-090 PermitIssuance requirements.
No permit for solicitation of charitable contributions on the public way shall be issued to any person unless such person is either (a) a benevolent, philanthropic, patriotic or eleemosynary organization registered and in good standing with the Attorney General of the State of Illinois under "An Act to regulate solicitation and collection of funds for charitable purposes, providing for violations thereof, and making appropriations therefor," effective July 26, 1963, as amended; or (b) an organization exempt from compliance with said Act pursuant to section 3 thereof, as amended.
(Prior code § 36-9; Added. Coun. J. 12-18-84, p. 12004)
10-8-100 Application.
Application for a charitable solicitation permit shall be made on a form issued by committee on finance. The application shall include the name, addresB and telephone number of the soliciting organization; proof of registration and good standing, or proof of initial registration and exemption as described in Section 10-8-090(b) of thiB code, issued by the Attorney General of the State of Illinois; the names, residence addresses and telephone numbers of the officers of the organization; the dates and locations of the solicitation; the approximate number of persons engaging in the solicitation; a description or facsimile of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation; and such other information as the committee on finance may require. Application for a charitable solicitation permit shall be made no less
than 30 days before the commencement of the solicitation. The application shall be signed and verified by at least one officer of the organization. (Prior code § 36-10; Added. Coun. J. 12-18-84, p. 12004)
10-8-110 ApplicationCommittee action.
The committee on finance shall review each application for a charitable solicitation permit at the first meeting following filing of the application. The committee may continue the hearing on an application if additional proceedings are necessary to determine the applicant's compliance with the requirements of this chapter. If all requirements have not been met, the committee shall deny the application and shall notify the applicant of its decision and the grounds therefor. Notice of the denial shall be sent by mail, addressed to the applicant at the address stated in the application. All decisions of the committee shall be reported to the city council at the next regular meeting thereof. (Prior code § 36-11; Added. Coun. J. 12-18-84, p. 12004)
10-8-120 Date and location conflictsPreference given when.
If more than one organization applies for a permit to solicit charitable contributions on the same date and at the same location, the committee on finance shall resolve the conflict. Preference shall be given to organizations whose fundraising activities are well recognized, so as to promote the efficiency and coordination of such activities. Any organization which has engaged in solicitation of charitable contributions on the public way in the same manner and at the same approximate time of year for five consecutive years shall be permitted to select its dates one year in advance of actual solicitation. The committee may offer alternate dates and/or sites as a means of resolving conflicts. (Prior code § 36-12; Added. Coun. J. 12-18-84, p. 12004)
10-8-130 Permit legend.
A charitable solicitation permit shall bear the legend "City of Chicago Charitable Solicitation Permit" and shall state the name of the organization to which it is issued and the dates and places of the permitted solicitation. Each permit shall be sequentially numbered to indicate the year of its issuance and the number of permits then outstanding. Each permit shall be signed by the chairman of the committee on finance.
(Prior code § 36-13; Added. Coun. J. 12-18-84, p. 12004)
T10:9
10-8-140
CHICAGO MUNICIPAL CODE
10-8-140 Display of information.
Each person who engages in the solicitation of charitable contributions on the public way shall display on his person a tag or card no smaller than two inches by four inches, indicating the name of his organization to which the permit is issued, the facsimile of the permit may be used instead of the tag or card. Each charitable organization must supply those persons soliciting on city streets on their behalf with reflective vests, unless the organization restricts the hours of their solicitation from 8:00 a.m. to 4:00 p.m.
(Prior code § 36-14; Added. Coun. J. 12-18-84, p. 12004; Amend Coun. J. 9-10-97, p. 52407)
10-8-150 Statement to be filed.
Each organization which receives a charitable solicitation permit pursuant to chapter shall, within 60 days after the completion of the activities conducted under the permit, file with the committee on finance a statement of all receipts and disbursements from such activities.
(Prior code § 36-15; Added. Coun. J. 12-18-84, p. 12004)
10-8-160 Committee on financeRule adoption.
The committee on finance may adopt rules and regulations consistent with the provisions of this chapter governing the solicitation of charitable contributions on the public way. The rules and regulations that have been adopted by the committee on finance are as follows:
1) The charitable organization must be registered with the Charitable Trust Division of the Illinois Attorney General's office as a not-for-profit corporation. 2.) Prior to issuance of the permit the charitable organization must sign an agreement whereby the organization agrees to indemnify and hold harmless the city, its officers, employees and agents from any and all claims, suits or damages arising from their use ofthe public way to solicit funds. Prior to all soliciting the charitable organization must furnish the committee on finance with an original certificate of insurance evidencing that the organization has procured commercial liability insurance or the equivalent for bodily injury, personal injury and property damage for the dates on which the organization will be soliciting. The City of Chicago is to be named as an additional insured, without recourse or right of contribution for any liability aris-
ing from these services. 3.) Persons under the age of 16 shall be prohibited from soliciting on city streets. 4.) Soliciting on city streets will be allowed only at intersections where vehicles must come to a complete stop and only when those vehicles have come to a complete stop.
- Prior to issuance of the permit the charitable organization must sign an agreement whereby the organization agrees to indemnify and hold harmless, the city, its officers, employees and agents from any and all claims, suits or damages arising from their use of the public way to solicit funds.
- Prior to soliciting the charitable organization must furnish the committee on finance with an original Certificate of Insurance evidencing that the organization has procured commercial liability insurance or the equivalent for bodily injury, personal injury, and property damage for the dates on which the organization will be soliciting. The City of Chicago is to be named as an additional insured, without recourse or right of contribution for any liability arising from these services. Upon receipt of the Certificate of Insurance the committee on finance will place the certificate on file with the risk manager in the department of finance.
- Persons under the age of sixteen shall be prohibited from soliciting on city streets.
- Soliciting on city streets will be allowed only at intersections where vehicles must come to a complete stop and only when those vehicles have come to a complete stop.
(Prior code § 36-16; Added. Coun. J. 12-18-84, p. 12004; Amend Coun. J. 9-10-97, p. 52407; Amend Coun. J. 4-29-98, p. 66277)
10-8-170 ViolationPenaltyCorporation counsel to institute action.
Any person who violates any provision of this chapter relating to solicitation of charitable contributions on the public way shall be fined not more than $500.00. Each day that a violation is committed shall be considered a separate and distinct offense. Any charitable organization that violates any provision of this chapter relating to solicitation of charitable contributions, on the public way shall have their privileges suspended for a period of one year. Any charitable organization that violates any provision of this chapter a second time shall have their privileges suspended for a second year. Any charitable organization that violates any provision
T10:10
10-8-230
USE OF PUBLIC WAYS AND PLACES
of this chapter a third time shall be prohibited from soliciting charitable contributions on the public way. The corporation counsel, upon learning of violations of the provisions of this chapter relating to solicitation of charitable contributions of the public way, may institute an action in the appropriate court to seek an injunction against such violation in addition to the fines authorized by this section. (Prior code § 36-17; Added. Coun. J. 12-18-84, p. 12004; 1-23-85, p. 12746; Amend Coun. J. 9-10-97, p. 52407)
ARTICLE III. REQUIREMENTS AND RESTRICTIONS
10-8-180 Snow and ice removal.
Every owner, lessee, tenant, occupant or other person having charge of any building or lot of ground in the city abutting upon any public way or public place shall remove the snow and ice from the sidewalk in front of such building or lot of ground.
If the sidewalk is of greater -width than five feet, it shall not be necessary for such person to remove snow and ice from the same for a space wider than five feet.
In case the snow and ice on the sidewalk shall be frozen so hard that it cannot be removed without injury to the pavement, the person having charge of any building or lot of ground as aforesaid shall, within the time specified, cause the sidewalk abutting on the said premises to be strewn with ashes, sand, sawdust, or some similar suitable material, and shall, as soon thereafter as the weather shall permit, thoroughly clean said sidewalk.
The snow which falls or accumulates during the day (excepting Sundays) before four p.m. shall be removed within three hours after the same has fallen or accumulated. The snow which falls or accumulates on Sunday or after four p.m. and during the night on other days shall be removed before ten a.m.
(Prior code § 36-19)
10-8-190 Liability for civil damages.
Any person who removes snow or ice from the public sidewalk or street, shall not, as a result of his acts or omissions in such removal, be liable for civil damages. This section does not apply to acts or omissions amounting to wilful or wanton misconduct in such snow or ice removal. (Prior code § 36-20)
10-8-200 Loading and unloading from alleys.
Every building which faces or abuts upon a public alley where freight, goods and other commodities are loaded or unloaded through rear doors onto and from any vehicle, shall be equipped with a movable, rolling, folding or collapsible platform, so that such vehicle may stand parallel with the building from which said loading or unloading is done; provided, however, that whenever it may not be practical lo load or unload any vehicle when thus placed in a parallel position to any building by reason of large, bulky, unwieldy or cumbersome freight, goods, or other commodities required to be loaded or unloaded, such vehicle may then be placed in a crosswise or cross-alley position.
Whenever the work of loading or unloading such freight, goods or other commodities onto or from any vehicle from such platform is completed, such movable, rolling, folding or collapsible platform shall be removed into the building from which the loading or unloading was done. (Prior code § 36-21)
10-8-210 House moving.
No owner of any building or contractor for its removal shall permit the same to be or remain in any of the public ways or the public grounds of the city for any time longer than may be specified in the permit of the commissioner of buildings. Every 24 hours such building shall so remain in any such public way or public grounds shall constitute a separate and distinct offense. (Prior code § 36-22)
10-8-220 Conveying loose materials.
Any person who shall transport upon any public way crushed stone, sand, gravel, sawdust, ashes, cinders, lime, tanbarks, shavings, wastepaper, ice, mortar, earth, rubbish, manure or other loose material likely to sift, fall or be blown upon the public way, shall convey the same in tight wagon boxeB, and in case the same fall or become scattered in any public way, such person shall cause such fallen substance to be forthwith removed. (Prior code § 36-23)
10-8-230 Overloading vehicles.
No person shall overload or cause to be overloaded any cart, trucks, wagon, or other vehicle in such a manner that the contents or any part thereof shall be scattered in any public way or other public place in the city. It shall be the duty of every person in charge, possession or control of any cart, truck,
T10:ll
Form AG990-IL
Revised 3/05
PMT#
AMENDED \okM*L
ILLINOIS CHARITABLE ORGANIZATION ANNUAL REPORT
Attorney General LISA MADIGAN State of Illinois Charitable Trust Bureau, 100 West Randolph
11 th Floor, Chicago, Illinois 60601 CO # 01-009,616
AMT
INIT
94-4
Federal ID #
Are contributions to th"
Report for the Fiscal Period: Beginning 1 / 1 / 2011
& Ending 12 / 31 / 2011
; tax deductible? □ Yes H No
Check all items attached:
0 Copy of IRS Return Hokochock* El Audited Financial Statements payabfto gj Copy of Form IFC
m $15.00 Annual Report Filing Fee BunauFund a $100.00 Late Report Filing Fee
MO DAY YR
Date Organization was created: 6 / 17 / 1892
LEGAL NAME Sie MAIL
ADDRESS 85 Second Street, 2nd Floor
"MS DURlfv-
iUTION ""AM SE
MEMBERSHIP DL
city, STATE San Fran-'"-' CA 94105 ZIP CODE
AK:
- - - ^>F ALL h
SF)
Calculate item.ll.K) first;' H) will be IX25b(6rang'e!figureab6ve)'minuS'
-
- public cor
- GOVERNMENANTf
- OTHER REVENUES
- TOTAL REVENUE, INCOME AND CONTRIBUTIONS RECEiv .1 (ADD O
- SUMMARY OF ALL EXPENDITURES DURING THE YEAR:
H) OPERATING CHARITABLE PROGRAM EXPENSE
I) EDUCATION PROGRAM SERVICE EXPENSE
J) TOTAL CHARITABLE PROGRAM SERVICE EXPEI
J1) JOINT COSTS ALLOCATED TO PROGRAM SERVICES (INCLUDED IN J)
K) GRANTS TO OTHER CHARITABLE ORGANIZATIONS
IX1a:+. IX3a^
L) TOTAL CHARITABLE PROGRAM SERVICE EXPENDITURE (ADD J & K)
M) MANAGEMENT ANO GENERAL EXPENSE N) FUNDRAISING EXPENSE
O) TOTAL EXPENDITURES THIS PERIOD (ADD L, M, & N)
III. SUMMARY OF ALL PAID FUNDRAISER AND CONSULTANT ACTIVITIES:
(Attach Attorney General Report of Individual Fundraising Campaign- Form IFC. One for each PFR ) PROFESSIONAL FUNDRAISERS:
P) TOTAL AMOUNT RAISED 8Y PAID PROFESSIONAL FUNDRAISERS
74,878,222
A) $
Year-end amounts
22,668,649
- ASSETS
- 1
>K) $
52,209,573
|
PERCENTAGE |AMOUNT |
Ofc ' P)S 94,008,244 |
|
10,517 |
% |
F)$ 4,571,986 |
100% |
G>$ 98.590.747 |
|
|
|
H>S 80.551,108 |
|
l) $ |
% |
J)$ 80,551,108 |
|
|
L) $
1,094,790
M) $
5,156,100
81,645,898
N) $
5,260,582
k.
O) $
92,062,580
%
100 %
100 %
57.
530,258
Q) TOTAL FUNDRAISERS FEES AND EXPENSES
R) NET RECEIVED BY THE CHARITY (P MINUS Q=R) PROFESSIONAL FUNDRAISING CONSULTANTS:
S) TOTAL AMOUNT PAID TO PROFESSIONAL FUNDRAISING CONSULTANTS
T) $
IV. COMPENSATION TO THE (3) HIGHEST PAID PERSONS DURING THE YEAR:
T) name, title: See IRS Form 990 Part VII Section A for compensation information
U) $
U) NAME. TITLE:
V) $
V) NAME, TITLE:
V. CHARITABLE PROGRAM DESCRIP7\OH:charitable program p highest by $ expenoed) cooe categories W) description. See IRS Form 990 Part III
List on back side of instructions
CODE
W)#
X) #
X) DESCRIPTION:
Y) #
Y) DESCRIPTION
Sierra Club Officers 8/1/13
List names, current positions, residence addresses and telephone numbers ofthe officers in the Sierra Club:
- David Scott, 2013-2014 Sierra Club President 614.263.4902
300 E North Broadway Street
Columbus, OH 43214-4114
RESIDENCE- Columbus, Ohio
CURRENT MEMBER SINCE: 1990, Life Member
OCCUPATION: Public Interest Attorney
- Spencer Black. 2013-2014 Sierra Club Vice President 608.233.0317
5742 Elder PI
Madison, Wl 53705-2516
RESIDENCE: Madison, Wisconsin
CURRENT MEMBER SINCE: 1975
OCCUPATION: Wisconsin state legislator (1985-2011) (retired)
3 Lane Boldman, 2013-2014 Sierra Club Secretary 859.552.1173 lancboldiSk'arthlink net 114 Woodford Drive Lexington, KY 40504-1106 RESIDENCE: Lexington, Kentucky CURRENT MEMBER SINCE: 1993, Life Member. OCCUPATION: Communications Manager and Environmental Activist
- Donna Buell, 2013-2014 Sierra Club Treasurer H- 712 337.9429
W: 712.336.2103
buclldonnafrt;iTit'.coiri
2608 Manhattan Blvd.
Spirit Lake, IA 51360-7546
RESIDENCE: Spirit Lake, Iowa
CURRENT MEMBER SINCE: 2004
OCCUPATION: Environmental Activist. Attorney
- Susana Reyes, 2013-2014 Sierra Club Fifth Officer M: 818.242.8589
W 818.254.5427
2700 E Chevy Chase Dr
Glendalc. CA 91206-1818
RESIDENCE: Glendale. California
CURRENT MEMBER SINCE: 1999
OCCUPATION: Director of Human Resources
PERMIT NO. 2013-29
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: |
2013-29 |
GROUP NAME: |
St. Mary of Providence |
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ADDRESS: 4200 N. Austin Avenue, Chicago, IL 60634 |
TELEPHONE NUMBER: |
773-545-8300 |
CONTACT PERSON: |
Sr. Florine Licavoli |
DATE WRITTEN REQUEST WAS RECEIVED: August 30, 2013 |
SOLICITATION DATE: |
September 25-27, 2013 |
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CITY COUNCIL DATE: |
September 11, 2013 |
COMPLETION OF FILE DATE: |
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STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED: |
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DATE PERMIT LETTER WAS SENT TO ORGANIZATION: September 11, 2013 |
|
VIOLATION (S) |
COMMITTEE LETTER SENT: |
COMPLY RECEIVED: |
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COMMENTS: |
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3127448817
2/4
09:23:04a.m. 08-30-2013
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
- Name of organization: St. Mary of Providence
Address: 4200 N. Austin Ave.
Chicago, IL 60634 Telephone Number: 773-545-8300
- Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in tbe organization:
Sr. Rita Butler President 4200 N. Austin Ave, 60634 773-545-8300
Sr. Patricia McCaffety V-P 4200tN. Austin Ave, 60634 773-545-8300
Sr. Noreen Franzina Dir. 4200 N. Austin Ave, 60634 773-545-8300
List the date and approximate Iocation(s) of solicitation: September 26, 27, & 28, 2013
Downtown Area: Daley Center, Michigan Ave., St. Peter's, & various locations
Approximately how many persons will be engaged in the solicitation? 20-25
- Explain the methods your organization will use to solicit funds:
Our volunteers will stand at designated sites with cans to solicit donations, and in return give the donors a Have-A-Heart tag.
- Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when?
Yes, since 1995.
- Include the following with your application:
-
- A copy of the registration statement filed with the Attorney General of the State of Illinois; or exemption issued by the Attorney General ofthe State of Illinois.
- A copy of the tag, badge, emblem or other token (if any) which will be distributed as part of the solicitation, or which will be used by your organization in its solicitation.
- Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
3127448817
3/4
09:23:20a.m. 08-30-2013
APPLICATIONS MUST BE RECEIVED BY THE COMMITTEE ON FINANCE NO LATE THAN 30 DAYS PRIOR TO THE COMMENCEMENT OF THE SOLICITATION.
I/WE, THE OFFICER(S) OF THE ABOVE NAMED ORGANIZATION, CERTIFY THAT THE INFORMATION FURNISHED IN THIS STATEMENT AND ALL ATTACHED SHEETS IS TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE. (NOTE: AT LEAST ONE OFFICER OF THE ORGANIZATION MUST SIGN AND VERIFY THIS APPLICATION.)
Signature ^,^^1^ A/^^Tifle ilk r/fab- Date/^^
Signature Title Date_
Signature Title Date
3127448817
08-30-2013
09:23:32 a.m.
HOLD HARMLESS AGREEMENT
The undersigned officer on behalf of the subject organization agrees to defend, indemnify, save and hold harmless the City of Chicago for any loss, liability, damage or cost which the City may incur due to the presence of volunteers of the subject organization on City premises for the purpose of charitable solicitations.
2.
The subject organization assumes full responsibility for risk of bodily injury, death or property damage due to the negligence of the subject organization or otherwise resulting from conduct or activity related to the participation in charitable solicitation on the public way.
The officer ofthe subject organization has read and voluntarily signs the hold hannless agreement and waiver of liability and indemnity agreement.
St. Mary of Providence
Date
Name of organization
Page 1 of 1
CORP/LLC - File Detail Report
1
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SR PATRICIA ANN MC CAIT-ERTY
4200 N AUSTIN AVE
CHICAGO
60634
08/29/2013
Entity Name
Status
Entity Type
Incorporation Date (Domestic)
Agent Name
Agent Street Address Agent City Agent Zip
Annual Report Filing Date
Old Corp Name
ST MARY OF PROVIDENCE File Number
ACTIVE
CORPORATION Type of Corp
10/07/1968 State
Agent Change'Date
President Name & Address Secretary Name & Address Duration Date For Year
11/04/1994 - ST MARY OF PROVIDENCE SCHOOL
49091109
NOT-FOR-PROFIT ILLINOIS
04/17/2012
PERPETUAL 2013
(One Certificate per Transaction)
9/2/2013
Department of the Treasury
infernal Revenue Service P.O. Box 2508 Cincinnati, OH 45201
Date: June 27, 2012
Person to Contact:
Roger Meyer ID# 0110429
United States Conference of Catholic Bishops
3211 4th Street, NE Washington, DC 20017-1194
Toll Free Telephone Number:
877-829-5500
Employer Identification Number:
53-0196617
Group Exemption Number:
0928
Dear Sir/Madam:
This responds to your June 26, 2012, request for information regarding the status of your group tax exemption.
Our records indicate that you were issued a determination letter in March 1946, that you are currently exempt from federal income tax under section 501(c)(3) ofthe Internal Revenue Code, and are not a private foundation within the meaning of section 509(a) of the Code because you are described in sections 509(a)(1) and 170(b)(1 )(A)(i).
With your request, you provided a copy of the Official Catholic Directory for 2012, which includes the names and addresses ofthe agencies and instrumentalities and the educational, charitable, and religious institutions operated by the Roman Catholic Church in the United States, its territories, and possessions that are subordinate organizations under your group tax exemption. Your request indicated that each subordinate organization is a non-profit organization, that no part ofthe net earnings thereof inures to the benefit of any individual, and that no substantial part of their activities is for promotion of legislation. You have further represented that none of your subordinate organizations is a private foundation under section 509(a), although all subordinates do not all share the same sub-classification under section 509(a). Based on your representations, the subordinate organizations in the Official Catholic Directory for 2012 axe recognized as exempt under section 501(c)(3) ofthe Code under GEN 0928.
Donors may deduct contributions to you and your subordinate organizations as provided in section 170 ofthe Code. Bequests, legacies, devises, transfers, or gifts to them or for their use are deductible for federal estate and gifts tax purposes if they meet the applicable provisions of section 2055, 2106, and 2522 ofthe Code.
Subordinate organizations under a group exemption do not receive individual exemption letters. Most subordinate organizations are not separately listed in Publication 78 or the EO Business Master File. Donors may verify that a subordinate organization is included
in your group exemption by consulting the Official Catholic Directory, the official subordinate listing approved by you, or by contacting you directly. IRS does not verify the inclusion of subordinate organizations under your group exemption. See IRS Publication 4573, Group Exemption, for additional information about group exemptions.
Each subordinate organization covered in a group exemption should have its own EIN. Each subordinate organization must use its own EIN, not the EIN ofthe central organization, in all filings with IRS.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely,
Cindy Thomas
Manager, Exempt Organizations Determinations
for the Year of Our Lord
GIVING STATUS OF THE CATHOLIC CHURCH AS OF JANUARY 1, 2013
THE UNITED STATES, PUERTO RICO, THE VIRGIN ISLANDS, AGANA, CAROLINE AND MARSHALL ISLANDS, AND FOREIGN MISSIONARY ACTIVITIES.
'Ihe mfornumoi! contained in this Diiectoiy is derived from reports surimiucci to ihe puhlishers by the ecclesiittlical authorities ol' the eounti ics
concerned, and neither tlie publishers nor the ecclesiastical authorities a.isumc responsibility I'or any enors oi omissions.
P.J. KENEDY & SONS
Fubli:>he:s of the Holy Apostolic Sec
1 inquiiies caii: 908-67:-.-1000. or wiiie: ?00 Council Drive. Suite 2C0O, Beikeley }!ei-!ht>. NJ 07922 To place an cider call. 1 -800-173-7020
CHICAGO (CUD
27G
CATHOLIC CHURCH IN THE U.S.
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