Please complete this Intake Application if you have decided to start a nonprofit organization and would like Maryland Nonprofits' Consulting Team to help you. Your application will be reviewed and a member of our team will contact you to determine next steps. If you are still not sure, please review our description of services here.

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* 1. Desired Name of New Nonprofit

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* 2. Name of Founder (or Authorized Representative)

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* 3. Mailing Address of Founder
(Street address, not P.O. Box)

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* 4. Email of Founder

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* 5. Phone Number of Founder

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* 6. Charitable/Educational Purposes of New Nonprofit
(Please list all)

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* 7. Please describe your planned activities

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* 8. Address of Principal Office of Corporation
*Must be a Maryland address
(Street address, not P.O. Box)

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* 9. Resident Agent of Corporation
(MD resident, over 18) (May be founder)

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* 10. Address of Resident Agent
(Street address)

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* 11. Number of Founding Directors
(Must be at least 3)

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* 12. Names of Founding Directors
(Please list all)

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* 13. Type of Organization

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* 14. Maximum Number of Board Members Allowed

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* 15. Minimum Number of Board Members Allowed

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* 16. Length of Terms for Board Service
(2 years recommended)

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* 17. Officers positions that will serve on the board (Please list all)
(Recommend: President, Vice President, Secretary, Treasurer)

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* 18. Length of Terms for Service in Office

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* 19. Frequency of Board Meetings
(Recommend quarterly, but may be more frequent)

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* 20. Will there be paid staff initially?

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* 21. If yes, please identify positions

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* 22. Total Annual Compensation for Paid Staff
(if over $50,000)

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* 23. Will you use Maryland Nonprofits' model bylaws?

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* 24. Will you use Maryland Nonprofits' model conflict of interest policy?

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* 25. What is the fiscal year of the organization?
(Recommend calendar year)

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* 26. Expected sources of revenue?

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* 27. What do you expect in gross revenue in the first year of business?

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* 28. Have you developed a budget?

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* 29. If yes, please provide

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* 30. If you think your gross receipts will be below $50,000 per year for the first three years, complete the IRS 1023EZ Eligibility Worksheet found here and upload your completed Worksheet below.

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