Title: 501©(3) Pledge Form - GOTV Georgia
Original CoS Document (slug): 501-c-3-pledge-form-gotv-georgia
Login Required to view? No
Attached File: COSF_YEN_Ask_-_Prospects_-_4.pdf
Created: 2020-12-21 18:50:18
Updated: 2021-12-21 19:00:00
Published: 2020-12-21 02:00:00
Converted: 2025-04-14T19:59:09.296733671
Convention of States Foundation (COS Foundation) is registered as a section 501©(3) non-profit organization. Contributions to Convention of States Foundation
are tax-deductible to the full extent permitted by law. Convention of States Foundation respects the wishes of its donors to keep their identities confidential.
COSF YEN
5850 San Felipe Street, Suite 575 ⚫ Houston, TX 77057 ⚫ ConventionofStates.org ⚫ 512-487-5525
CALIFORNIA – Citizens for Self-Governance DBA Convention of States Foundation’s audited financial statement is available upon request to Citizens for Self-Governance.
100 percent of your gift may be deducted under Federal and State income tax laws. FLORIDA – A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION
MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE 1-800-435-7352 (800-HELP-FLA) WITHIN THE STATE. REGISTRATION DOES
NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. Florida registration number CH38736. GEORGIA – Upon request Citizens for Self-
Governance DBA Convention of States Foundation will provide a full and fair description of this and its other programs, and a financial statement or summary.
MARYLAND – A copy of Citizens for Self-Governance DBA Convention of States Foundation’s current financial statement is available upon request to Citizens for Self-
Governance, 5850 San Felipe, Suite 575, Austin, TX 78701. For the cost of copies and postage, documents and information submitted under the Maryland Solicitations
Act are available from the Maryland Secretary of State, State House, Annapolis, MD 2140, (410) 974-5534. MINNESOTA – 100 percent of your gift may be deducted as
a charitable contribution under Federal and State income tax laws. MISSISSIPPI – The official registration and financial information of Citizens for Self-Governance DBA
Convention of States Foundation may be obtained from the Mississippi Secretary of State’s office by calling 1-888-236-6167. Registration by the Secretary of State does
not imply endorsement. NEVADA – Citizens for Self-Governance DBA Convention of States Foundation provides communication, education, and training on matters
related to self-governance. Contributions may be tax deductible under section 170© of the Internal Revenue Code. SelfGovern.com. NEW JERSEY – INFORMATION
FILED WITH THE ATTORNEY GENERAL CONCERNING THIS SOLICITATION AND THE PERCENTAGE OF CONTRIBUTIONS RECEIVED BY CITIZENS FOR SELF-GOVERNANCE DBA
CONVENTION OF STATES FOUNDATION DURING THE LAST REPORTING PERIOD THAT WERE DEDICATED TO THE ORGANIZATION’S EXEMPT PURPOSES MAY BE OBTAINED
FROM THE ATTORNEY GENERAL OF THE STATE OF NEW JERSEY BY CALLING (973) 504-6215 AND IS AVAILABLE ON THE INTERNET AT
http:%%//%%www.njconsumeraffairs.gov/ocp/charities.htm. REGISTRATION WITH THE ATTORNEY GENERAL DOES NOT IMPLY ENDORSEMENT. NEW YORK – Upon request, a
copy of Citizens for Self-Governance DBA Convention of States Foundation’s last annual report filed with the Attorney General is available from Citizens for Self-
Governance or from the New York State Attorney General’s Charitable Bureau, Attn: FOIL Officer, 120 Broadway, New York, NY 10271. NORTH CAROLINA – Financial
information about this organization and a copy of its license are available from the State Solicitation Licensing Branch at (888) 830-4989 (within North Carolina) or (919)
807-2214 (outside of North Carolina). The license is not an endorsement by the State. PENNSYLVANIA – The official registration and financial information of Citizens
for Self-Governance DBA Convention of States Foundation may be obtained from the Pennsylvania Department of States by calling toll-free, within Pennsylvania, 1-800-
732-0999. Registration does not imply endorsement. VIRGINIA – A financial statement is available from the State Division of Consumer Affairs in the Department of
Agriculture and Consumer Services upon request. WASHINGTON – The notice of solicitation required by the Charitable Solicitation Act is on file with the Secretary of
State’s office. Additional financial disclosure information can be obtained from the Office of the Secretary of State (800) 332-4483, https://www.sos.wa.gov/. WEST
VIRGINIA – Residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capitol, Charleston, WV 25305. Registration
does not imply endorsement.
Please accept my 501©(3) tax-deductible contribution to continue the good work of COS
Foundation in the amount of: $___________
To make your contribution by credit card, please fill in the information below:
Name on Card:
Card #:
Exp.:
/
Sec Code:
Signature:
TO DONATE BY CREDIT CARD
TO DONATE BY CHECK
Payable to:
COS Foundation
Mail to:
COS Foundation
5850 San Felipe St. Ste 575
Houston, Texas 77057
TO DONATE BY WIRE
Account #: 593398691
Routing #: 021000021
Contact Patty Meckler at: 512-487-5525
<pmeckler@conventionofstates.org >