N.J. Admin. Code § 17:28-3.3 - Application form; unaffiliated charitable agency
(a) The
Campaign Manager shall prepare an application form for unaffiliated charitable
agencies wishing to participate in the Campaign.
(b) In addition to the completed application
form, the applicant must certify:
1. With
respect to the requirements set forth in N.J.S.A N.J.S.A. 52:14-15.9c 7(a),
15.9c7(b) and 15.9c7(c), an Internal Revenue Service Letter of Determination or
other proof from the Internal Revenue Service that the applicant:
i. Is exempt from Federal income tax under
section 501(c)(3) of the Internal
Revenue Code;
ii. Qualifies for tax
deductible contributions under section 170(b)(1)(A)(vi) or (viii) of the
Internal Revenue Code; and
iii. Is
not a private foundation as defined in section
509(a) of the Internal
Revenue Code;
2. With
respect to the requirements set forth at
N.J.S.A.
52:14-15.9c7 e or CRI 200 or CRI 1501, which
demonstrate that the agency raised, in each of its two fiscal years preceding
its application to participate in a Campaign, at least $ 7,500 from individual
citizens of New Jersey;
3. A copy
of the agency's Internal Revenue Service form 990 signature page, revenue page,
and expense page for each of the agency's two fiscal years preceding its
application;
4. Documentary
evidence that the agency is registered or exempt from registration pursuant to
the provisions of Title 15 of the Revised Statutes or Title 15A of the New
Jersey Statutes and the Charitable Registration and Investigation Act,
N.J.S.A.
45:17A-18 et seq.;
5. A statement affirming that the agency is
currently in full compliance with the Charitable Registration and Investigation
Act, N.J.S.A. 45:17A-18 et seq. and
implementing rules at N.J.A.C. 13:48 and has been for the fiscal year preceding
and to the date when its application is submitted;
6. A copy of the agency's annual report (or
other document that fully describes the agency's activities and accomplishments
and provides the names of chief administrative personnel) for each of the
agency's two fiscal years preceding its application unless the agency is not
required to submit an audit to the Division of Consumer Affairs in order to
remain in compliance with the Charitable Registration and Investigation Act,
N.J.S.A.
45:17A-18 et seq.
i. Certification that the organization was
audited in accordance with generally accepted accounting principles by an
independent certified public accountant. Each agency not required to submit an
audit to the Division of Consumer Affairs in order to remain in compliance with
the Charitable Registration and Investigation Act,
N.J.S.A.
45:17A-18 et seq., in the agency's two fiscal
years preceding its application must certify that they can provide financial
statements signed by an authorized officer;
7. A statement affirming that the agency
provides health, welfare, or human care services within New Jersey, and a
description of the services; and
8.
A statement affirming that the agency provides health, welfare or human care
services within New Jersey, and a description of the services; and
(c) The application may also
require any general background information of the applicant charitable agency,
which may aid the State Treasurer or Steering Committee in determining an
agency's eligibility.
(d) Those
wishing to submit an application can do so electronically or by downloading a
copy from the New Jersey Employee Charitable Campaign website or contacting the
Campaign Manager's office for the local unit of government. Applications may be
submitted electronically.
(e) An
unaffiliated charitable agency, that was found eligible by the State Treasurer
to participate in the Campaign immediately prior to the Campaign being applied
for, shall be required only to submit its most recent information, which shall
specifically update the requirements of (b) above.
(f) Unaffiliated charitable agencies found
eligible to participate in the campaign under (e) above, shall be required to
notify the State Treasurer of any change in the agency's status under the
Internal Revenue Code of 1986 and of any new officers or bylaw within 45 days
of such change.
Notes
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