Public notice re RSA 7:19-a, II(d)

Pursuant to the requirements of RSA 7:19-a, II(d), notice is hereby given that a pecuniary benefit transaction or transactions which exceed $5,000 has occurred between {the charity} and {name of officer(s)/director(s) and title(s)} in the total amount of {$0.00}, the nature of said transaction or transactions being more particularly described as follows: {description of the transaction(s)}.

ATTEST: {name and address of the organization}

By: _____________________________
{President/Secretary}

Date: _________________