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> Community Benefits Guidebook
> Guidelines for the Preparation of the Community Benefits Plan COMMUNITY BENEFITS PLAN - REPORTING FORM
Department of the Attorney General, Charitable Trusts Unit 33 Capitol Street Concord, NH 03301-6397 Telephone: 603-271-3591
APPLICATION FOR EXTENSION OF TIME TO FILE COMMUNITY BENEFITS PLAN This application for extension of time must be received on or before the due date of the community benefits plan in order to be accepted. NAME OF ORGANIZATION: ________________________________________ CURRENT ADDRESS:_____________________________________________ STATE REGISTRATION NUMBER:___________________________________ COMPLETE THE FOLLOWING I REQUEST AN EXTENSION OF TIME UNTIL:__________________________ DATE OF FISCAL YEAR BEGINNING:_________________________________ REASON FOR EXTENSION (attach additional sheets if necessary): Date:____________________ By:____________________________ Title:___________________________ FAILURE TO FILE THE COMMUNITY BENEFITS PLAN WITH THE ATTORNEY GENERAL IN A TIMELY MANNER MAY RESULT IN COURT ACTION AND THE IMPOSITION OF CIVIL PENALTIES OF UP TO $1,000 PER VIOLATION PLUS ATTORNEYS FEES AND COSTS (RSA 7:32-g III) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FOR CHARITABLE TRUST UNIT USE ONLY: Request granted and report due on: _______________ Request denied: ______ Copy mailed to organization on ___________________. |
