1. Answer all items completely. This form must comply with Indiana Code § 23-7-8-1 et seq. and 11 IAC 3-1 et seq.

2. Initial Registration: Include $1,000.00 registration fee with initial application.
Renewal Registration:

Include $50.00 renewal fee with renewal application. This renewal fee and renewal update application must be received by midnight on July 1 of each year.

3. Any change in the information contained in this application must be submitted to the Consumer Protection Division within 80 days of the change.

4. File this form at least two weeks before the start of any campaign.

5. If you cannot provide a complete response to any question in the space provided, you may upload additional documents before filing this form. Please label each document with the number of the question to which it responds.

6. You may submit the online form and mail your payment to our office. Instructions for mailing your payment will be available after your submission has been completed.

7. You may fill out a paper copy of this form by downloading it at: http://www.in.gov/attorneygeneral/2379.htm.

    Mail to: Office of the Indiana Attorney General
Consumer Protection Division
Attn: Fundraiser Registration
5th Floor - Indiana Government Center South
302 West Washington Street
Indianapolis, IN 46204-2770


DEFINITIONS:

"Professional fundraiser consultant" means any person who is hired for a fee to plan, manage, advise, or act as a consultant in connection with soliciting contributions for, or on behalf of, a charitable organization, but who does not actually solicit contributions as a part of the person's services or employ, procure, or engage a compensated person to solicit contributions. The term does not include a charitable organization, or a bona fide officer, employee, member, or volunteer of a charitable organization, that solicits on its own behalf.

"Professional solicitor" means a person who, for a financial consideration, solicits contributions for, or on behalf of, a charitable organization, either personally or through agents or employees specifically employed for that purpose. The term does not include a charitable organization, or an officer, an employee, a member, or a volunteer of a charitable organization, that solicits on its own behalf.

For other definitions applicable to professional fundraiser consultants and solicitors, see Indiana Code § 23-7-8-1 and 11 IAC 3-1.




Mailing Address    (check if same as Street Address)
   (check if you are an Officer of the business)
   (check if same as business address)
Mailing Address    (check if same as Street Address)
3. Name(s), alias(es), or assumed name(s), under which your organization intends to solicit contributions or provide services (your d/b/a, if any):
Name(s), alias(es), or assumed name(s)
* 4. Has any court or other government authority denied, suspended, revoked, or enjoined your organization’s registration or renewal?
* 5. Has any court or other government authority sued or indicted any of the officers, directors, partners, managers, or supervisors or your organization in their individual capacities for fundraising-related activity?
6. Names and addresses of all persons (including individuals, organizations, trust foundations, associations, partnerships, limited liability companies, or corporations) who own a ten percent (10%) or greater interest in the registrant; and names and addresses of all officers, employees, and agents who are actively involved in fundraising or related activities:
  
  (Sole proprietor)
  (check if same as business address)
   (You will have the option to upload a list after submitting the registration.)
* 7. Does the registrant or any person named in Question 6 own any other business related to fundraising?


Payment must be made after you click Submit. If you do not make payment you must mail a check to:

Office of the Indiana Attorney General
Consumer Protection Division
Attn: Fundraiser Registration
5th Floor - Indiana Government Center South
302 West Washington Street
Indianapolis, IN 46204-2770


If you have any quesitons, please email Leslie Gebby at leslie.gebby@atg.in.gov.