THE BEST WAY TO DISCOVER YOURSELF IS TO LOSE YOURSELF IN THE SERVICE OF OTHERS
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501c3, 508C1A, NON-PROFIT QUESTIONNAIRE
Below are the questions that we need answered first for the non-profit to finalize the applications for tax exemptions.
Referral's Name:
First Name:
MI
Last Name:
Home Address:
City
State:
Zip
Email Address
Phone Number
Social Security Number (SSN) # NOT EIN:
Name of the Organization you want to use:
Please specify alternate choices in case your name is not available.
The complete address of my Organization is:
Mailing Address if different from above:
The Advisory board members or Directors (they can be the same people if needed): Name of President/Head Minister:
Name of Secretary:
Name of Advisory member 1.
Name of Advisory member 2.
Name of Advisory member 3.
Please provide a brief description of your purpose in the form of a mission statement.
Describe your past, present, and planned activities in a narrative. (You may also attach representative copies of newsletters, brochures, or similar documents for supporting details to this narrative.)
In carrying out your exempt purposes, do you provide goods, services, or funds to individuals?
The following "Yes" or "No" questions relate to goods, services, and funds you provide to individuals and organizations as part of your activities. Your answers should pertain to past, present, and planned activities. In carrying out your exempt purposes, do you provide goods, services, or funds to organizations?
YES
NO
If "Yes," describe each program that provides goods, services, or funds to organizations
Do any of your programs limit the provision of goods, services, or funds to a specific individual or group of specific individuals?
YES
NO
If “Yes,” please explain what qualifies them to receive the benefits.
Please click on the checkbox to continue
*
