Form CS-6

JIM RYAN

ATTORNEY GENERAL

Professional Fund Raiser's Bond

PLEASE TYPE or PRINT IN INK

KNOW ALL MEN BY THESE PRESENTS

That we,

of

as Principal and

as surety, are held and firmly bound unto the Attorney General of the State of Illinois, for the use of the State of Illinois, and to any person who may have a cause of action against the Principal for any malfeasance or misfeasance in the conduct of solicitation by the Principal as a Professional Fund Raiser, in the sum of TEN THOUSAND DOLLARS ($10,000), lawful money of the United States of America to be paid to the Attorney General of the State of Illinois for the use of the State of Illinois, and for charitable purposes, and to any persons who may have a cause of action against the Principal for any malfeasance or  misfeasance in the conduct of solicitation by the Principal as a Professional Fund Raiser, as their interests may appear, not exceeding in the aggregate and said sum of TEN THOUSAND DOLLARS ($10,000), for  which payment well and truly to be made we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally by these presents.

WHEREAS, the above bounden Principal has applied to the Attorney General of the State of Illinois for registration as a Professional Fund Raiser for the purpose of acting as a Professional Fund Raiser for a charitable organization required to register with the Attorney General of the State of Illinois pursuant to Section 6 of "An Act to Regulate Solicitation and Collection of Funds for Charitable Purposes" of the Sate of Illinois and the acts amendatory thereof and supplemental thereto.

NOW, the condition of this obligation is such,

That if the Attorney General of the State of Illinois does register the above bounden Principal as such Professional Fund Raiser and said Principal faithfully and honestly acts as such Professional Fund Raiser in accordance with law, and fully complies with the provisions of "An Act to Regulate Solicitation and Collection of Funds for Charitable Purposes" of the Sate of Illinois and the acts amendatory thereof and supplemental thereto, and the Principal shall fully indemnify and save harmless from loss of the State of Illinois and any person who may have a cause of action against the Principal for any malfeasance or misfeasance in the conduct of solicitation as such Professional Fund Raiser, then this obligation to be void, otherwise to remain in full force and virtue.

This bond shall not become void upon the first recovery thereon but may be sued upon from time to time until the full amount shall have been exhausted.

THIS BOND IS A SEPARATE BOND AND NOT A CONTINUATION OF A PREVIOUSLY ISSUED BOND.

This bond is to cover all claims arising on account of the solicitation activities of the Principal and his acting as such Professional Fund Raiser

for the full term here beginning on

,  19

and expiring on the 30^th day of the next June.

In Witness Whereof we have hereunto set our hands and seals this

day of

 ,  19

(SEAL)

Principal

Surety

BY:

STATE OF

)

SS

COUNTY OF

)

On this

day of

,      19

before me personally came

,  to me known and known to me to be the individual described in

and who executed the foregoing instrument, and he acknowledged to me that he executed the same.

Notary

STATE OF

)

SS

COUNTY OF

)

On this

day of

,     19

before me personally came

, to me known and known to me to be a partner in the partnership of

and the person described in and who executed the foregoing instrument in the

partnership name of

, and he duly acknowledged to me that

he executed the same as and for  the act and deed of said partnership.

Notary

STATE OF

)

SS

COUNTY OF

)

On this

day of

, 19

before me personally came

, to me known, who being by me duly sworn, did depose and say that

he resides in

, that he is the

of the corporation:

that seal affixed of said instrument  in such corporate seal; that it was affixed  by order of the Board of Directors of said corporation

and that he signed his name thereto by like order.

Notary