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2011-08-30-14-11-59-213-CHO-scanuser-FIL-RN

2011-08-30-14-11-59-213-CHO-scanuser-FIL-RN

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Published by: Jeremy Hooper on Mar 07, 2012
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03/07/2012

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REGISTRATION STATEMENT

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1. 2. 3. 4. 5. 6.

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[Xl

New Registration Renewal Professional Fund Raiser Professional Fund-Raising

Date

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_

Counsel

Street Address: 2800 Shirlington Rd, 9th Floor, Arlington, VA 22206 Mailing Address: 1747 Pennsylvania Ave, NW, Suite 1000 City: Washington State: DC Phone: (703) 845-8484 Fax: _,._(7..:....;0:..:;:3...L)..:::_84_:_::5:_-9::_:6::..::5.::_5 Principal West Virginia Address, if different from above: -==nJ'-"a'---

NameofBusiness:7T~L~C~,~T_he_L_u_k~e~n~s~C~o~m~p_an~y~~ __ ~~~~~

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_ _

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--------------------7. 8. 9. 10. Type of Business Entity:

Phone: ---------------------------

Sole Proprietorship [Xl Corporation Date and Place business entity was organized or incorporated: List all DBA's used by the business entity: =nJ__:_:a Names and addresses staff: Attached

D

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VA,

Partnership Other
7127/1987

_

of all individuals, partners, officers and principal salaried

11.

Names and addresses of all employees operating in or solicitinq in West Virginia: (Attach list if necessary.)

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12.

Names and addresses of all sub-contractors

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responsible

for soliciting in West

_

13.

Give location of all telemarketing

operations in West Virginia:

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14.

List all mailing addresses, including Post Office Boxes, to be employed in the solicitation of funds in West Virginia. nla

15.

List names and addresses of all charitable organizations with which the organization has contracts to act as professional fund raiser or fund-raising counsel, in this state:
(Give name and full address of each Charitable Organization)

1. Attached 2. 3. 4. 5.
16. Terms of Remuneration Per Contract:

1. Attached

4.
5.
17. Are all current contracts with charitable organizations required by law? [ZI Yes D No on file in this office as

2. 3.

18.

List the names and addresses of professional solicitors employed by the organization, in West Virginia and the terms of remuneration.

1. =nI~a~

__

2. 3.
19. Is the organization licensed by, registered with, or have a permit from any other governmental agency for the purpose of soliciting funds for charitable organizations in any state? [Xl Yes No

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If yes, give the following information: Names: 1.~A=tt=a=c=he=d~

2. 3.

__ __ __

City:

_ State:

_

Date of Authorization: Month: 1. ___________________________

Day:

Yea~

_

3.
20.

2.

Has the organization had any license, registration or permit denied, cancelled or revoked in any state? D Yes [Xl No If yes, give the following information: Name and address of the authority taking action and the nature and date of the disciplinary action: _

21.

Has any official disciplinary action, other than the actions listed in Item 20, and including court action, been taken against the organization of any members, employees, officers or directors in any state? DYes lliI No If yes, give the following information: Name and address of government agency and the nature and date of the action:

I hereby certify under oath that all answers and statements given by me are true and correct without reservation of any kind. It is understood that all facts in this application are open to thorough investigation. Executive Vice President

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County of Subscribed

(Date)

(Title)

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and sworn before me this ~
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(Year)

MyCommissionExpires

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Attachment to Item # ----

lD
TLC, The Lukens Company 2800 Shirlington Rd, 9th Floor Arlington, VA 22206 www.thelukenscornpany.com (703) 845-8484 F (703) 845-9655

Board of Directors & Owners N arne/Address Walter G. Lukens III 2307 Russell Road Alexandria, VA 22301 (703) 845-8484 Holly Ruble 6334 Golf Course Square Alexandria, VA 22307 (703) 845-8484 John Schaller 12755 Fair Crest Court #304 Fairfax, VA 22033 (703) 845-8484 Title President! 100% Owner

Director

Executive Vice President

Attachment to Item # TLC, The Lukens Company 2800 Shirlington Rd, 9th Floor Arlington, VA 22206 www.thelukenscompany.com (703) 845-8484 F (703) 845-9655 Charitable Clients Name/Contact Info American Values 2800 Shirlington Rd, #950 Arlington, VA 22206 (703) 671-2446 www.ouramericanvalues.org Central Park Conservancy 14 East so" Street New York, NY 10022 (212) 310-6639 www.centralparknyc.org Susan B. Anthony List, Inc. 1800 North Kent Street Arlington, VA 22209 (703) 875-3370 www.sba-list.org Washington, D.C. Martin Luther King, Jr. National Memorial Project Foundation, Inc. 401 F Street NW, Suite 334 Washington, DC 20001 www.mlkmemorial.org National September 11 Memorial and Museum at the World Trade Center Foundation, Inc. One Liberty Plaza, 20th Floor New York, NY 10006 (212) 227-7722 www.911memorial.org Effective Date Termination Date

1112212002

11121/2012

7/1/2010

Until Terminated

21112009

12/31/2012

211/2011

1131/2012

7/1/2007

6/30/2012

Attachment to Item #

_

TLC, The Lukens Company 2800 Shirlington Rd, 9th Floor Arlington, VA 22206 www.thelukenscompany.com (703) 845-8484 F (703) 845-9655

States Where Registered Alabama Alaska Arkansas California Colorado Florida Hawaii Indiana Kansas Kentucky Maryland Massachusetts Michigan Minnesota Mississippi New Hampshire New Jersey New York North Carolina Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee Utah Virginia Washington West Virginia

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