VETERANS ORGANIZATION SOLICITOR'S QUARTERLY REPORT
A solicitor that raises more than $5000 for a veterans organization during a calendar quarter, must file the following report with the secretary of state at the end of that calendar quarter. A filing fee of $50.00 must accompany this report.
(Please print or type. Use additional sheets if necessary.) _____________Quarter *** Please indicate which quarter you are reporting. 1st: January - March 3rd: July - September 2nd: April - June
4th: October - December
1. Solicitor's name: ___________________________________________________________________________________
Address: ___________________________________________________________________________ ___________________________________________________________________________________ Telephone number: (_________) ____________________________ 2. The name and address of the veteran's organization is as follows: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 3. The gross amount raised for the veterans organization was _______________________________ 4. The amount paid to the veterans organization was ______________________________________
Form #3506
5. The name and address of the person representing the veterans organization to which the amount was paid is as follows: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
Executed the ____________ day of ____________________________, __________.
____________________________________________ (Solicitor's Signature) ____________________________________________ (Printed Name & Title)
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Mail this report and the $50.00 filing fee to:
Secretary of State
Statutory Documents Section
P. O. Box 13550
Austin, TX 78711-3550