Professional Campaign Fundraiser
FORM FRR
REGISTRATION STATEMENT
NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION
P.O. Box 185, Trenton, NJ 08625-0185
Phone: (609) 292-8700
Website: www.elec.nj.gov
1. Professional Campaign Fundraiser
Name of Professional Campaign Fundraiser
Business Name
Business Address (Number and Street)
Business Address (City, State and Zip Code)
Day Telephone*
Evening Telephone*
Regular Occupation or Business
Registration #
2. Type of Report
3. Service of Legal Process - Name and Resident Address of a New Jersey Resident Who Has Been Designated as the Professional Campaign Fundraiser's Agent for the Service of Legal Process
Name
Address (Number and Street)
Address (City, State and Zip Code)
4. General Nature of the Services
Briefly Describe the Services You Will Provide as a Professional Campaign Fundraiser
5. Fundraising Events
Date of Event
Location of Event
Address (Number and Street)
Address (City, State and Zip Code)
Amount(s) Raised at Event
Describe Event
*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.
New Jersey Election Law Enforcement Commission
Page 1 of 2
Form FRR Revised: Jan. 2023
Required;
Required;
Required;
Required;
mm/dd/yyyy
(check if different than previously reported)
Initial Registration
Amendment (please specify)
5. Fundraising Events (cont.)
Date of Event
Location of Event
Address (Number and Street)
Address (City, State and Zip Code)
Amount(s) Raised at Event
Describe Event
Date of Event
Location of Event
Address (Number and Street)
Address (City, State and Zip Code)
Describe Event
Amount(s) Raised at Event
6. Employees of the Fundraiser - Please List the Name of Each Individual Employed By the Professional Campaign Fundraiser
Who Receives Monetary Compensation of At Least $5,000 Per Year to Perform Any Service Directly Related to the Solicitation
of Contributions for a Candidate or Committee.
Name of Individual
Address (Number and Street)
Address (City, State and Zip Code)
Day Telephone*
Evening Telephone*
Name of Individual
Address (Number and Street)
Address (City, State and Zip Code)
Day Telephone*
Evening Telephone*
Name of Individual
Address (Number and Street)
Address (City, State and Zip Code)
Day Telephone*
Evening Telephone*
Professional Campaign Fundraiser Certification
I certify that the statements on this document are true and correct. I am aware that if any of the statements on this document are willfully false, I may be subject to punishment.
I acknowledge that in order to complete my registration as a Professional Campaign Fundraiser I must submit the required annual fee.
Registration Number
PIN
Signature of Professional Campaign Fundraiser
Date
*Leave this field blank if your telephone number is unlisted. Pursuant to N.J.S.A. 47:1A-1.1, an unlisted telephone number is not a public record and must not be provided on this form.
New Jersey Election Law Enforcement Commission
Page 2 of 2
Form FRR Revised: Jan. 2023
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Required;
Required;
mm/dd/yyyy
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