NEW YORK STATE DEPARTMENT OF LAW CHARITIES BUREAU

120 Broadway - 3rd Floor N ew York , N Y 10271 http://www.charitiesnys.com

ERIC T. SCHNEIDERMAN Attorney General

COMPLAINT/INQUIRY FORM The Charities Bureau has jurisdiction to investigate complaints that involve 1) wrongdoing by charitable corporations, trusts or other nonprofit organizations; 2) fraudulent or misleading solicitation and improper expenditure of money for charitable purposes; and 3) improper activities of executors, administrators, trustees and personal representatives responsible for honoring pledges or bequests to a charity. This Bureau generally does not become involved in governance disputes within nonprofit organizations. The Bureau also responds to general inquiries concerning matters within its jurisdiction.

INSTRUCTIONS: 1. P lease T YPE or PR IN T clearly.

2. Please com plete the entire form . 3. P lease enclose copies of any docum ents relating to this com plaint or inquiry.

1. Your Contact Inform ation: N am e: Alex Camarda, Director of Public Policy & Advocacy, Citizens Union Address: 299 Broadway Suite 700 H om e phone num ber: F ax num ber: Business phone num ber: 212-227-0342 ext. 24 Em ail address: acamarda@citizensunion.org

2. G iv e the follow ing inform ation, if av ailable, for the organization and/or indiv iduals about w hom you are com plaining or inquiring: O rganization N am e: Common Sense Principles O rganization Address: P.O. Box 96 Midlothian, VA 23113 O rganization phone num ber Individual Nam e Christopher Lacivita Individual Title /Pos ition Director : O rganization em ail address: Individual Addre s s Individual P hone No.

3. D etails of your co m plaint or inquiry (Please include as m uch specific detail as possible- continue on additional sheets if neces sary).

See attached letter

4. If you hav e any do cum ents in you r po ssession that relate to you r com plaint or inq uiry, please attach copies of them.

See attached documents

5. Have you subm itted your com plaint or inquiry to the organization? yes no X If yes, what was its response?

6. H av e yo u su bm itted your co m plaint or inquiry to an y other gov ern m en t agen cy? yes no X

If yes, please list the nam e of the agency, address, telephone num ber and nam e of any person contacted. Agency Contact Person Address Phone No.

7. Is a court action pending? yes no X If yes, please provide the nam e, title and index num ber of the proceeding and the nam e and location of the court, if available.

8. List the nam es, addresses and telephone num bers of any other individuals w ho m ay have know ledge of the conten ts of this com plaint or inquiry. Nam e Address Phone No.

Dick Dadey, Executive Director, Citizens Union. 299 Broadway, New York, NY 10007

9. D o you have any objection to the contents of this com plaint or inquiry being forw arded to or discussed with another governm ent agency? yes no X 10. D o you have any objection to your nam e and/or address being forwarded to or discussed with the organization or person who is the subject of this com plaint or inquiry? O bjection to Nam e and Address: yes no X O bjection to Nam e only: yes no X T he Attorney G eneral is not you r private attorney bu t represents the pu blic by enforcing law s design ed to protect the public and charities from m isleading or unlaw ful practices. If you have any questions co ncerning your personal leg al rights or responsibilities, you sh ould contact a priv ate attorney.

Alex Camarda
Signature Print Nam e

10/19/12
D ate