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2013 ANNUAL STATEMENT
Charitable Annuity Society - General Filing Instructions

In accordance with Circular Letter No 4 (1993), the Department intends to strictly enforce the statutory filing requirements of Sections 307 and 308 of the New York Insurance Law and impose penalties for any violations thereof. Penalties of up to $250 per day shall be assessed for failure to file required forms on time and in the prescribed manner outline below:

The hard copy format of the Annual Statement is required to be submitted in the prescribed form and size (8 1/2" X 14"). Submissions in other than regulation size will not be accepted and the filing will be considered delinquent. The Annual Statement must be bound at the left side in sequential order and it must have a "Cover" page that indicates the Charitable Annuity Society's Name and the Year.

A bar code is no longer required on the New York Charitable Annuity Society Annual Statement

Any correspondence and amendments to your Annual Statement must be filed in one hard copy format and one electronic format.

CONTACT PERSON:
On the jurat page, be sure to enter the name, telephone number and e-mail address of the Charitable Annuity Society's contact person whom the Department can reach with questions on your Annual Statement.

SIGNATURE AND NOTARIZATION:
The jurat in the hard copy format of the Annual Statement book must be signed with original signature by the appropriate officers and notarized. Photocopies of signatures and/or notarization will NOT be accepted.

This Web site also provides specific instructions for filing the New York Charitable Annuity Society Annual Statement with our Department. A copy of the New York Charitable Annuity Society Annual Statement is available in the Download section of this Web site.

Charitable Annuity Society - Specific Filing Information

The Charitable Annuity Society Filing INSTRUCTIONS AND FORMS PACKET is a self-extracting zipped file; after downloading file, run EXE to obtain the following PDF (Acrobat) files.  When printing the blanks, be sure to use legal size paper (8 1/2" X 14"). Each of the Blanks is bookmarked with a full table of contents for on-line viewing.

FORMS included for Download and/or Print:

To view full instructions for unzipping compressed files, please select this link.

The NEW YORK STATE CHARITABLE ANNUITY SOCIETY ANNUAL STATEMENT 2013 (in PDF Format) is also available from the SUPPLEMENT BLANKS PAGE.

DUE DATE & MAILING
The following table shows the Blank Type in Column One, the Due Date in Column Two, the number of Hard Copies in Column Three, Electronic Copies in Column Four and Where to File in Column Five.

Blank TypeDue DateHard Copy Electronic Copy Where to File Hard
Copies

Charitable Annuity Society
Annual Statement Blank

3/1/2014

11

Mail hard copy to:
Valerie Jones
Life Bureau
New York State Department of Financial Services
One State Street
New York, NY 10004

Email electronic copy to:
cannuity@dfs.ny.gov

For NAIC Numbers and Charitable Annuity Society Names:
To view the company listing for this blank type, select Charitable Societies List.

PROBLEMS AND QUESTIONS:
If you need help filling out your forms, call: Life Bureau, New York City, Phares Caton (212) 709-7671, Brenda Gallo (212) 480-5013 or Ling Li (212) 480-4775.

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