Title: 501©(4) Pledge Form - GOTV Georgia
Original CoS Document (slug): 501-c-4-pledge-form-gotv-georgia
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Attached File: COSA_YEN_Ask_-_Prospects_-_4.pdf
Created: 2020-12-21 18:51:41
Updated: 2021-12-21 19:00:00
Published: 2020-12-21 02:00:00
Converted: 2025-04-14T19:59:09.669937181
Convention of States Action (COS Action) is a non-profit section 501©(4) organization. Contributions to COS Action are not tax deductible as charitable
contributions. COS Action respects the wishes of its donors to keep their identities confidential.
5850 San Felipe Street, Suite 580 ⚫ Houston, TX 77057 ⚫ ConventionOfStates.com ⚫ 512-487-5525
CALIFORNIA – Convention of States Action’s audited financial statement is available upon request to Convention of States Action. 0 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, WITHIN FLORIDA, 1-800-435-7352 (800-
HELP-FLA). REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. Florida registration number
CH40366. GEORGIA – Upon request, Convention of States Action will provide a full and a fair description of this and its other programs as well
as a financial statement or financial summary. MARYLAND – A copy of Convention of States Action’s current financial statement is available upon
request to Convention of States Action, 1464 Morena Blvd, San Diego, CA 92110. For the cost of postage and copying, financial and other
information is available from the Maryland Secretary of State, State House, Annapolis, MD 2140, (410) 974-5534. MINNESOTA – 0 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 Convention of States Action 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 by the Secretary of State. NEW JERSEY – INFORMATION FILED WITH THE
ATTORNEY GENERAL CONCERNING THIS CHARITABLE SOLICITATION MAY BE OBTAINED FROM THE ATTORNEY GENERAL OF THE STATE OF NEW
JERSEY BY CALLING (973) 504-6215 AND IS AVAILABLE ON THE INTERNET AThttp:%%//%%www.njconsumeraffairs.gov/ocp/charities.htm. REGISTRATION
WITH THE ATTORNEY GENERAL DOES NOT IMPLY ENDORSEMENT. NEW YORK – Upon request, a copy of Convention of States Action’s last
annual report filed with the Attorney General is available from Convention of States Action 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 (919) 814-5400. The license is not an endorsement by the
State. OHIO – Convention of Stats Action is a charity organized under Section 501©(4) and dedicated to developing and advocating legislation
to promote self-governance related issues. PENNSYLVANIA – The official registration and financial information of Convention of States Action
may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, (800) 732-0999. VIRGINIA –Financial and
other information is available from the State Office of Consumer Affairs in the Department of Agriculture and Consumer Affairs, P.O. Box 1163,
Richmond, VA 23217. WASHINGTON – For additional information regarding Convention of States Action’s activities or financial information,
Convention of States Action is registered with the Washington State Charities Program as required by law and information may be obtained by
calling 800-332-4483 or 360-725-0378. 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.
I would like to help to Get Out the Vote for the Georgia runoff and continue the good work of
COS Action, a 501©(4) nonprofit, with my most generous gift 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 Action
Mail to:
COS Action
5850 San Felipe St. Ste 580
Houston, Texas 77057
TO DONATE BY WIRE
Account #: 659907021
Routing #: 021000021
Contact Patty Meckler at:
512-487-5525
<pmeckler@conventionofstates.com >