CHICAGO June 22. 2016
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.
The American Society for the Prevention of Cruelty to Animals (ASPCA)
July 1,2016-December 31, 2016 Citywide
The Cure It Foundation Inc. July 22-23,2016 Citywide
Illinois State Council
Knights of Columbus Charities, Inc. September 16 - 18, 2016 Citywide
Institute for International Cooperation and Development d/b/a One World Center Michigan
July 1-3, 2016 Citywide
The Nature Conservatory
July 1,2016- December 31,2016 Citywide
Having had the same under advisement, begs leave to report and recommend that your Honorable Body pass the Order Transmitted Herewith
This recommendation was concurred in by ^aviva voce vote^
of members of the committee with _dissenting voters);— ~"
Respectfully submitted
(signedWyT^ CAxo —^_
Chairman '
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:
The American Society for the Prevention of Cruelty to Animals (ASPCA)
July 1, 2016 - December 31, 2016 Citywide
The Cure It Foundation Inc. July 22 - 23,2016 Citywide
Illinois State Council
Knights of Columbus Charities. Inc. September 16-18,2016 Citywide
Institute for International Cooperation and Development d/b/a One World Center Michigan
July 1-3,2016 Citywide
The Nature Conservatory
July 1,2016- December 31,2016 Citywide
Edward M. Burke
<3~A_ y
Alderman, 14th Ward
PERMIT NO. 2016-17
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2016-17
GROUP NAME: The American Society for the Prevention of Cruelty to Animals (ASPCA)
ADDRESS: 424 E. 92nd Street, New York, NY 10128
TELEPHONE NUMBER: 212-876-7700
CONTACT PERSON: Hailey Render
DATE WRITTEN REQUEST WAS RECEIVED: June 3, 2016
SOLICITATION DATE: July 1, 2016 thru December 31,2016
CITY COUNCIL DATE: June 22, 2016
COMPLETION OF FILE DATE:
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: June 22, 2016
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
COMMENTS:
City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.committeeonfinahce.org
Alderman Edward M. Burke Chairman
June 22, 2016
Alicia Meulensteen VP, Direct Response
The American Society for the Prevention of Cruelty to Animals (ASPCA) 424 E. 92nd Street New York, NY 10128
Dear Ms. Meulensteen:
The City of Chicago has granted your organization a "Tag Day" permit for charitable solicitation on the public way. Pursuant to Chapter 10-8-150 of the Municipal Code of the City of Chicago, each organization must file with the Committee on Finance, a statement of all receipts and disbursements made from such charitable solicitation. This report is to be sent to the Committee on Finance no later than sixty (60) days after your organization has solicited funds.
The Municipal Code provides for a fine up to $500.00 per day for any organization which violates the Charitable Solicitation Ordinance.
Please include permit number 2016-17 on all correspondence directed to the Committee on Finance regarding your "Tag Day". Be certain to reference permit number 2016-17 on the statement of receipts and disbursements that your organization will file with the Committee.
Very truly yours,
Edward M. Burke Chairman
Committee on Finance
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Cc: Hailey Render
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APPLICATION FOR CITY OF CHICAGO CHAMT^«p .K API JCTTATION PERMIT
(Please neatfy print or type In necessary in answering any question, please attach
additional sheet*.)
Name of organization: The American Society For The Prevention Of Cruelty to Animals (ASPCA)
Address: 424 E. 92nd Street, New York, New York 10128 Telephone Number: 212-876-7700
Use tho space below to Bit names, current posttioni, residence addresses and telephone numbers of tha officers in the organization:
PLEASE SEE ATTACHMENT #1
List the date and approximate location^) of solicitation:
Julyl, 2016-December 31, 2016
- II - . | 1 J_m m - ¦ - . .
Approximately how many parsons will be engaged in the solicitation? 10-12
Extriaitt Ota methods vour organisation wID use to soUeit funds:
'Face to Face Fundraising campaign on the street. Our agent, DialogueDirect will generate commitments and increase the public awareness of the charitable efforts of The ASPCA.
Hat your organization ever been allowed to solicit funds in prior yean in the City of Chicago? If so, when?
N/A
Include the following with your application:
A cony of the registration statement filed with the Attorney General of the State of IttnoJs; or exemption issued by the Attorney General ofthe State eflDhiolB. ptaasa sea attachment #3
A eopy of the tag, badge, emblem or other token (if any) which win be distributed as part of the solicitation, or which will be used by yo&r organization in Hs solititatiim. please see attachment*}
Please include any other relevant information which wooid essitt th« Committee on Finance in reviewing this application. Pleeae see attachment #6
Code of Practice for DialogueDirect Fundraisers
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 Title VPTb ^-f-^-g^mStDate k [1 ^
Signature Title Date
Signature Title Date,.
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 thc subject organization on City premises for the 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 of the subject organization has read and voluntarily signs the hold hannless agreement and waiver of liability and indemnity agreement.
Signature of organization officer
Date7 7
Hay18-i6 04:37pa Froa-
OFFICE OF THE ATTORNEY GENERAL
May 16,2016 OF ILLINOIS
Lisa Mactigon
ATTORNEY GENERAL-
AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
424 EAST 92ND ST NEW YORK, NY 10128
RE: RE: Statu* of AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS under ihe Illinois C haritable Laws
co*
Dear Registrant:
Ihis letter is pursuant k> your request that the Attorney General confirm the status of AMERICAN SOCIETY FOR THE FREVENTION OF CRUELTY TO ANIMALS under The Charitable Organization Laws.
This organisation is currently isgistered with the Attorney General's Charitable Trust and
Solicitations Bureau as CO* is current in the tiling of its financial reports, having
filed its report for the period ended C eeember 31,2014. Please lei us know if you require further information.
Si icerely,
Tt kiyah Martin Bames,Compliance Officer
Charitable Trusts Bureau
1C 0 West Randolph Streei, 1 lih Floor
Cliicago, Illinois 60601
Telephone: (312)814-2595
PERMIT NO. 2016- 19
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2016-19
GROUP NAME: The Cure It Foundation
ADDRESS: 88 West Schiller, Suite 1505, Chicago, IL 60610
TELEPHONE NUMBER: 773-339-6600
CONTACT PERSON: Jason Canner
DATE WRITTEN REQUEST WAS RECEIVED: March 9, 2016/May 30, 2016 1
SOLICITATION DATE: July 22, 2016 thru July 23, 2016
CITY COUNCIL DATE: June 22,2016
COMPLETION OF FILE DATE:
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: June 22,2016
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
COMMENTS:
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City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.committeeonfinance.org
Alderman Edward M. Burke Chairman
Telephone 312-744-3380
June 22, 2016
Jason Canner
The Cure It Foundation
88 West Schiller, Suite #1505
Chicago, IL 60610
Dear Mr. Canner:
The City of Chicago has granted your organization a "Tag Day" permit for charitable solicitation on the public way. Pursuant to Chapter 10-8-150 of the Municipal Code ofthe City of Chicago, each organization must fde with the Committee on Finance, a statement of all receipts and disbursements made from such charitable solicitation. This report is to be sent to the Committee on Finance no later than sixty (60) days after your organization has solicited funds.
The Municipal Code provides for a fine up to $500.00 per day for any organization which violates the Charitable Solicitation Ordinance.
Please include permit number 2016-19 on all correspondence directed to the Committee on Finance regarding your "Tag Day". Be certain to reference permit number 2016-19 on the statement of receipts and disbursements that your organization will file with the Committee.
Very truly yours,
Edward M. Burke Chairman
Committee on Finance
EMB/mmm Enclosure Cc: Tristan
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
Name Uf Organization:-f We. Cor«_ \\ •Cou.\^ov,VorAddress: g>g \jo __ckA\e.r & XL,
Telephone Number: f-j-y^ 3^(^06
Use the space below to list names, current positions, residence addresses and telephone numbers ofthe officers in the organization:
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_ 01CV^-^' eve ~v*.\vy f»vi. M&V*'*' List the date and approximate location(s) of solicitation:
Approximately how many persons will be engaged in the solicitation?
IO- \Z.
Explain the methods your organization will use to solicit funds:
S Brace. l^ArX, VhJoch: O (T\ow
Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when? . »
NO
Include thc 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 ofthe 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 wpuld assist the Committee on Finance in reviewing this application. '
f.re up ck Coc^
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 ofthe subject organization on City premises for the 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
lie
Date
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.)
Date
Signature
Signature
INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OH 45201
Emolover.Identification Number:
THE CURE IT FOUNDATION INC C/O MICHAEL T HOGDELET PC 10749 WINTERSET DRIVE ORLAND PARK, IL 60467
17053357333011
Contact Person: REGINA M PARKER
Contact Telephone Number: (877) 829-5500
Accounting Period Ending: December 31
Public Charity Status: 170(b)(1)(A)(vi)
Form 990 Required: Yes
Effective Date of Exemption: November 10, 2011
Contribution Deductibility: Yes
Addendum Applies: No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a public charity under the Code section(s) listed in the heading of this letter.
Please see enclosed Publication 4221-PC, compliance Guide for 501(c)(3) Public Charities, for some helpful information about your responsibilities as an exempt organization.
Letter 947 (DO/CG)
Illinois Department of Revenue
Office of Local Government Services ffjm^Wj Sales Tax Exemption Section, 3-520 WM'&WyJ 101 W. Jefferson Street '^i_tw-' Springfield, Illinois 62702
217 782-8881
September 7, 2012
CURE IT FOUNDATION INC MICHAEL T HUGUELET PC 10749 WINTERSET DR ORLAND PARK IL 60467
We have received your recent letter; and based on the information you furnished, we believe
CURE IT FOUNDATION INC of
ORLAND PARK, IL is organized and operated exclusively for charitable purposes.
Consequently, sales of any kind to this organization are exempt from the Retailers' Occupation Tax, the Service Occupation Tax (both state and local), the Use Tax, and the Service Use Tax in Illinois.
We have issued your organization the following tax exemption identification number:
I. To claim the exemption, you must provide this number to your suppliers when purchasing tangible personal property for organizational use. This exemption may not be used by individual members of the organization to make purchases for their individual use.
This exemption will expire on October 1, 2017, unless you apply to the Illinois Department of Revenue for renewal at least three months prior to the expiration date.
Office of Local Government Services Illinois Department of Revenue
STS-49 (R-2/98) IL-492-3456 U-0000040
-2-
THE CURE IT FOUNDATION INC
We have sent a copy of this letter to your representative as indicated in your power of attorney.
Sincerely,
Lois G. Lerner
Director, Exempt Organizations
Letter 947 (DO/CG)
OFFICE OF THE ATTORNEY GENERAL
May 16, 2016 STATE OF ILLINOIS
Lisa Madigan
ATTORNEY GENERAL
THE CURE IT FOUNDATION INC.
427 BELOIT AVE FOREST PARK, IL 60130
RE: RE: Status of THE CURE IT FOUNDATION INC. under the Illinois Charitable Laws
con
Dear Registrant:
This letter is pursuant to your request that the Attorney General confirm the status of THE CURE IT FOUNDATION INC. under the Charitable Organization Laws.
This organization is currently registered with the Attorney General's Charitable Trust and
Solicitations Bureau as CO# is current in the filing of its financial reports, having
filed its report for the period ended December 31,2014. Please let us know if you require further information.
Takiyah Martin Barnes,Compliance Officer
Charitable Trusts Bureau
100 West Randolph Street, 11th Floor
Chicago, Illinois 60601
Telephone: (312)814-2595
PERMIT NO. 2016
OMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER:
Illinois State Council Knights of Columbus Charities, Inc.
ADDRESS: 17308 Valley 1 Drive, Tinley Park, IL 60487
TELEPHONE NUMBER: 708-203-2277
CONTACT PERSON: Ted Glaser
DATE WRITTEN REQUEST WAS RECEIVED: June 2, 2016
SOLICITATION DATE: t — ¦ ¦ ¦ .... .... September 16-18,2016
¦
-
CITY COUNCIL DATE: June 22, 2016
COMPLETION OF FILE DATE:
STATEMENT OF RECED?TS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: June 22, 2016
VIOLATION (S~)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
COMMENTS:
City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.committeeonfmance.org
Alderman Edward M. Burke Chairman
June 22, 2016
Mr. Ted Glaser
Illinois State Council Knights of
Columbus Charities, Inc. 17308 Valley Drive Tinley Park, IL 60487
Dear Mr. Glaser:
The City of Chicago has granted your organization a "Tag Day" permit for charitable solicitation on the public way. Pursuant to Chapter 10-8-150 of the Municipal Code of the City of Chicago, each organization must file with the Committee on Finance, a statement of all receipts and disbursements made from such charitable solicitation. This report is to be sent to the Committee on Finance no later than sixty (60) days after your organization has solicited funds.
The Municipal Code provides for a fine up to $500.00 per day for any organization which violates the Charitable Solicitation Ordinance,
Please include permit number 2016-16 on all correspondence directed to the Committee on Finance regarding your "Tag Day". Be certain to reference permit number 2016-16 on the statement of receipts and disbursements that your organization will file with the Committee.
Very truly yours,
Edward M. Burke Chairman
Committee on Finance
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APPLICATION FOR CITY OF CHICAGO CHAR1TITABLE 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
2. Use the space below to list names, Current positions, residence, addresses and telephone numbers ofthe officers in the organization:
President: William L Doerfler, e, Morris, IL 60450-1254
Vice President Stephen G Mann, ii, Springfield, IL 62704-5203
Secretary: Theodore Stites, Jr, II Lane, O'Fallon, IL 62269-6623
Treasurer: Frank J Schwartz Jr,1 i Drive, Plainfield, IL 60544
List the date and approximate location(s) of solicitation?
September 16,17,18,2016
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? f 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.)
President
May. 17. 2016
|1010|-13-15 05:14pm ' Fran'
OFFICE OF THE ATTORNEY GENERAL
April 13, 2016 -S'I'ATK OF ILLINOIS
Lisa Madigan
j ATfORN f Y t IN' k KM.
ILLINOIS STATE COUNCIL K. OF C CHARITIES INC PO BOX 681 KANKAKEE.IL 60901
RE: R£: Sxatus of ILLINOIS STAT £ COUNCIL K. OF C. CHARITIES INC under the Illinois Charitable Laws
CO#
Dear Regisirant:
This letter is pursuant to your request lhat the Attorney General confirm the status of ILLINOIS STATE COUNCIL K. OF C. CHARITIES INC under the Charitable Organization Laws.
This organization is currently n gislered with the Attorney General's Charitable Trust and
Solicitations Bureau as CO is current in the filing of its financial reports, having
filed its report for the period ended June 30,2015. Please let us know if you require further information.
Sii cerely,
Ta ;iyah Martin Bames.Compliance Officer
Ch writable Trusts Bureau
lOi) Wesi Randolph Street, 1 hh Floor
Ch ca^o, Illinois 60601
Te ephone: (312)814-2595
Illinois State Council Knights of Columbus
OFFICE OF STATE ADVOCATE
Stephen G Mann
433 Armor Road
Springfield, Illinois 62704-5203
217-546-0243-Res
217-741-1159-Cell
Pqksqm4179@yahoo.com
City of Chicago c/o Finance Department 121 North La Salle Street Chicago, Illinois 60602
To whom it my Concern:
Illinois State Council K of C Charities, Inc. is covered under the State Council's General Liability Insurance Policy as an additionally insured". Our councils will be participating in our annual ID drive on September 16-18, 2016 commonly known as the "Tootsie Roll Drive" which will be covered under our general liability insurance which is for $2 million dollars (See Attached current Policy) with an additional $1 million umbrella.
The Illinois State Council General Liability Policy is renewed annually on a July 1 through June 30th basis. A new policy for the next renewal period will not be issued by our insurance carrier until July 1 at the earliest.
As soon as our new policies are written, a renewed policy will be issued to the City of Chicago and automatically sent to you for this event. Until that time, our old policy and limits is attached for your reference.
We hope this will satisfy your requirements for this permit to be processed and allow our councils to hold this collection date.
As soon as the proclamation from the new governor is received, this also will be forwarded to you under separate cover
Sincerel
Stephen G. Mann Attachment
Lead Me, Guide Me, Lord
PERMIT NO. 2016-20
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2016-20
GROUP NAME: Institute for International Cooperation and Development Michigan d/b/a One World Center
ADDRESS: 56968 Dailey F load, Dowagiac, MI 49047
TELEPHONE NUMBER: 269-591-0518
CONTACT PERSON: Mary Burke
DATE WRITTEN REQUEST WAS RECEIVED: June 15, 2016
SOLICITATION DATE: July 1,2016 thru July 3, 2016
CITY COUNCIL DATE: June 22, 2016
COMPLETION OF FILE DATE:
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: June 22, 2016
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
COMMENTS:
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City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.committeeonfinance.org
Alderman Edward M. Burke Chairman
June 22, 2016
Mary Burke
Institute for International Cooperation and Development Michigan d/b/a One World Center 56968 Dailey Road Dowagiac, MI 49047
Dear Ms. Burke:
The City of Chicago has granted your organization a "Tag Day" permit for charitable solicitation on the public way. Pursuant to Chapter 10-8-150 of the Municipal Code of the City of Chicago, each organization must file with the Committee on Finance, a statement of all receipts and disbursements made from such charitable solicitation. This report is to be sent to the Committee on Finance no later than sixty (60) days after your organization has solicited funds.
The Municipal Code provides for a fine up to $500.00 per day for any organization which violates the Charitable Solicitation Ordinance.
Please include permit number 2016-20 on all correspondence directed to the Committee on Finance regarding your "Tag Day". Be certain to reference permit number 2016-20 on the statement of receipts and disbursements that your organization will file with the Committee.
Very truly yours,
Edward M. Burke Chairman
Committee on Finance
EMB/mmm Enclosure Cc: Tristan
I
APPLICATION FOR CITY OF CHICAGO CHARITABLE SOLICITATION PERMIT
(Please neatly print or type. In necessary in answering any question, please attach
additional sheets.)
iiO^Tinrrt foil p^rt^A^T/o^/fL c^oftP-AT/o^
Name of organization: /t/v/p DWtLop^t^T typfq OaJ£ ^°/2sU) CiA/r^c MtcHK,*.
Address: VAtlZY Cca^ac t Ail. Y?*V7
Telephone Number: Zb ^ - ^ 9 / -
Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
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Approximately how many persons will be engaged in the solicitation?
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?
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Include thc 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 thc 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.
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Chicago Information for Item #2 - IICD Michigan:
Officers and Board of Directors:
Eva Horsboel Nielsen - President
Avenue Chicago IL bUbz6 Phone:
Line Henriksen
: - Conr
Taylor, Ml 48180 Phone::
Pia Joegensen
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: aryland. 20904
Elisabeth Axelsen 56968 Dailey Road Dowagiac Ml 49047
Principal Salaried Executive: Anne K. Wendelboe
Custody of Funds: Anne K. Wendelboe
Fund Raising: Laura Banos
Signing Checks: Anne K. Wendelboe; Laura Banos
Distribution of Funds: Anne K. Wendelboe
Anne K. Wendelboe 56968 Dailey Road Dowagiac, Ml 49047
Custody of Financial Records: Anne K. Wendelboe
Addresses: Laura Banos
56968 Dailey Road Dowagiac, Ml 49047
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.
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 of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Signature of organization officer
Date
Name of organization
PERMIT NO. 2016-18
COMMITTEE ON FINANCE CHARITABLE SOLICITATION TAG DAY REQUEST FORM AND ROUTE SHEET
PERMIT NUMBER: 2016-18
GROUP NAME: The Nature Conservatory
ADDRESS: 4245 North Fairfax Drive, Suite 100, Arlington, VA 22203
TELEPHONE NUMBER: 703-226-1874
CONTACT PERSON: Hailey Render
DATE WRITTEN REQUEST WAS RECEIVED: June 14, 2016
SOLICITATION DATE: July 1,2016 through December 31,2016
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CITY COUNCIL DATE: June 22, 2016
COMPLETION OF FILE DATE:
STATEMENT OF RECEIPTS AND DISTRIBUTION RECEIVED:
DATE PERMIT LETTER WAS SENT TO ORGANIZATION: June 22,2016
VIOLATION (S)
COMMITTEE LETTER SENT:
COMPLY RECEIVED:
COMMENTS:
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City of Chicago
Committee on Finance City Hall • Room 302 • 60602 www.comtnitteeonfinance.org
Alderman Edward M. Burke Chairman
June 22, 2016
Mr. Lori Ridgeway
The Nature Conservatory
4245 North Fairfax Drive, Suite 100
Arlington, VA 22203
Dear Ms. Ridgeway:
The City of Chicago has granted your organization a "Tag Day" permit for charitable solicitation on the public way. Pursuant to Chapter 10-8-150 of the Municipal Code of the City of Chicago, each organization must file with the Committee on Finance, a statement of all receipts and disbursements made from such charitable solicitation. This report is to be sent to the Committee on Finance no later than sixty (60) days after your organization has solicited funds.
The Municipal Code provides for a fine up to $500.00 per day for any organization which violates the Charitable Solicitation Ordinance.
Please include permit number 2016-18 on all correspondence directed to the Committee on Finance regarding your "Tag Day". Be certain to reference permit number 2016-18 on the statement of receipts and disbursements that your organization will file with the Committee.
Very truly yours,
Edward M. Burke Chairman
Committee on Finance
EMB/mm Enclosure Cc: Hailey Render
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: The Nature Conservancy-
Address: 4245 N. Fairfax Dr., Suite 100, Arlington, VA 22203 Telephone Number: (703)841-4848
Use the space below to list names, current positions, residence addresses and telephone numbers of the officers in the organization:
See attached.
List the date and approximate location(s) of solicitation:
July 1, 2016 - December 31, 2016 See attached.
Approximately how many persons will be engaged in the solicitation?
Approximately 30.
Explain the methods your organization will use to solicit funds:
Street canvassing and face-to-face fundraising
Has your organization ever been allowed to solicit funds in prior years in the City of Chicago? If so, when?
September 17, 2012-December 31, 2012; January 15, 2013 -March 31, 2013; September 30, 2015 - December 31, 2015;
January 1, 2 016 - June 30, 2016.
Include thc 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. see attached
A copy of the tag, badge, emblem or other token (if any) which will be distributed as part ofthe solicitation, or which will be used by your organization in its solicitation, see attached
Please include any other relevant information which would assist the Committee on Finance in reviewing this application.
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.)
Title Date^H
Signature_
Signature_
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.
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 of the subject organization has read and voluntarily signs the hold harmless agreement and waiver of liability and indemnity agreement.
Name of organization
Signature of organization officer SAepVu>A HfivKAX ^ C&h
Date
Board of Directors
Fiscal Year 2016
THE NATURE CONSERVANCY 4245 North Fairfax Drive, Suite 100, Arlington, VA 22203
[Same address for all individuals listed below]
;. :!" position>^ „ , ' " " ''MEMBER NAME TERM DATES
President & CEO Mark R. Tercek Jul 17, 2008 coterminous with CEO position
Chairman Craig 0. McCaw Sep 24, 2010 - Max Term: Oct 2019
Vice Chair James E. Rogers Feb 2, 2012 - Max Term: Oct 2021
Treasurer Joseph H. Gleberman Dec 18, 2012 - Max Term: Oct 2022
Secretary Shona L. Brown Feb 4, 2011 - Max Term: Oct 2020
David Blood Aug 16, 2010 - Max Term: Oct 2019
Steven Denning Oct 19, 2007 - Max Term: Oct 2017
William Frist Jun 19, 2015 - Max Term Oct 2024
Jane Lubchenco Oct 10, 2014 - Max Term: Oct 2023
Jack Ma Apr 16, 2010 - Max Term: Oct 2019
Claudia Madrazo Oct 11, 2013 - Max Term: Oct 2022
Thomas J. Meredith Jul 16, 2009 - Max Term: Oct 2018
Thomas S. Middleton Oct 19, 2007 - Max Term: Oct 2016
Ana M. Parma Jun 20, 2013 - Max Term: Oct 2022
Stephen Polasky Jan 30, 2009 - Max Term: Oct 2018
Vincent Ryan Jun 19, 2015 - Max Term Oct 2024
Brenda Shapiro Jun 19, 2015 - Max Term Oct 2024
Thomas J. Tierney Oct 19, 2007 - Max Term: Oct 2016
Moses Tsang Jan 28, 2010 - Max Term: Oct 2019
Frances A. Ulmer Mar 17, 2011 - Max Term: Oct 2020
P. Roy Vagelos Dec 18, 2012 - Max Term: Oct 2022
Ying Wu Jun 19, 2015 - Max Term Oct 2024
Jul-20-i5 01:00pm Fron-
OFFICE OF THE ATTORNEY GENERAL
STATK OK ILLINOIS
Lisa Madigan
NATURE CONSERVANCY 4245 N. FAIRFAX DR. SUITE 100
ARLINGTON, Va 22203
RE: RE: Status of NATURE CONSERVANCY under the Illinois Charitable Laws COi
j
Dear Registrant:
This letter is pursuant to your request thai the Attorney General confirm ihe status of NATURE CONSERVANCY under the Charitable Organization Laws.
This organization is currentlv registered with the Attorney General's Charitable Trust
and Solicitations Bureau as CO t is current in the filino. of its financial reports,
having filed its report for the period ended June 30, 2014. Please let us know if you require further information.
Takiyah Martin Barnes, Compliance Officer
Charitable Trusts Bureau
100 West Randolph Street, 1 Ith Floor
Chicago, Illinois 6060]
Telephone: (312) 814-2595