MODEL DISCLOSURE STATEMENT FOR CHARITIES
Financial and other information about the Children’s Organ Transplant Association, Inc.’s purpose, programs and activities can be obtained by contacting Rick Lofgren at 2501 COTA Drive, Bloomington, IN 47403, (800)366-2682, www.cota.org, or for residents of the following states, as stated below.
Florida: SC No. CH2573 A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE, WITHIN THE STATE, 1-800-HELP-FLA OR AT www.FloridaConsumerHelp.com. REGISTRATION DOES NOT IMPLY ENDORSEMENT
Georgia: A full and fair description of our programs and our financial statement summary is available upon request at or office and phone number indicated above.
Illinois: Contracts and reports regarding The Children’s Organ Transplant Association’s are on file with the Illinois Attorney General.
Kansas: In Kansas our license number is 21-022904
Maryland: For the cost of copies and postage, from the Office of the Secretary of State, State House, Annapolis, MD 21401
Michigan: MICS No. CS10867
Mississippi: The official registration and financial information of the Children’s Organ Transplant Association may be obtained from the Mississippi Secretary of State’s office by calling 1-888-236-6167.
Nevada: Contributions may be tax deductible pursuant to the provisions of sec. 170(c) of the Internal Revenue Code of 1986.26 U.S.C. 170(c). The state of incorporation is Indiana.
New Jersey: INFORMATION FILED WITH THE ATTORNEY GENERAL CONCERNING THIS CHARITABLE SOLICITATION AND THE PERCENTAGE OF CONTRIBUTIONS RECEIVED BY THE CHARITY DURING THE LAST REPORTING PERIOD THAT WERE DEDICATED TO THE CHARITABLE PURPOSE 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.state.nj.us/lps/ca/charfrm.htm.
New York: Upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005, 1-212-416-8686 or www.charitiesnys.com.
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.
Pennsylvania: The official registration and financial information of the Children’s Organ Transplant Association may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999.
Virginia: From the State Division of Consumer Affairs, Department of Agriculture and Consumer Services, P.O. Box 1163, Richmond, VA 23218.
Washington: From the Secretary of State at 1-800-332-4483, or http://www.sos.wa.gov/charities/.
West Virginia: West Virginia residents may obtain a summary of the registration and financial documents from the Secretary of State, State Capitol, Charleston, WV 25305
Wisconsin: A financial statement of the charitable organization disclosing assets, liabilities, fund balances, revenue and expenses for the preceding fiscal year will be provided to any person upon request.
CONTRIBUTIONS ARE DEDUCTIBLE FOR FEDERAL INCOME TAX PURPOSES IN ACCORDANCE WITH APPLICABLE LAW. REGISTRATION IN A STATE DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION OF THE CHILDREN’S ORGAN TRANSPLANT ASSOCIATION INC. BY THE STATE
