OOH Pre 501(c)3 Information Submission Survey

Please note that these are general questions that apply to most organizations. Depending on your organization’s specific activities, additional information may be necessary.

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* 1. 501(c)3 Contact Person

Name

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Have you chosen a name for your organization?

YES

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* 3. Please give us a brief summary about the purpose of your organization. What are the programs you will be offering, and to whom? Please give specifics. Describe the Who, What, When, Where, and How for each planned activity.

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* 4. Have you Incorporated your Nonprofit?

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* 5. Does your organization have an EIN number?

Do you want OOH to assist?

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* 6. What type of Nonprofit are you forming?

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* 7. Does your Nonprofit have a website?

YES

Would you like OOH to assist?

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* 8. Other Key Information Needed

What is the corporation’s registered address?

When does your fiscal year end?

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* 9. Has your organization ever received a state government grant, or not?

Yes, it has

No, it has not

Not sure

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* 10. Has your organization visited and/or plans on visiting countries outside the United States?

Yes

Not Sure

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* 11. Do you have a the Board of Director's (BoD) members bio or resume? If not, when will they be available?

YES

Availability Date:

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* 12. Have any of your board members, officers, or key employees previously been convicted of a crime, wither misdemeanor or felony? If yes, please explain in the comment box.

Other (please specify)

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* 13. How will you make people aware of your organization and its programs?

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* 14. Will the organization purchase any goods or services from members of the board? If yes, please provide feedback in the comment block.

YES

Other (please specify)

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* 15. Do you plan to do any gaming or raffles?

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* 16. Will you have a paid staff? If so, please describe who, for what positions, and how much.

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* 17. How much do you believe your organization's income will be in:

2016

2017

2018

2019

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* 18. Do you believe your Nonprofit will make more than $10,000 per year for any of the next 3 years?

Yes

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* 19. What specific expenses will the organization incur in operating these programs?

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* 20. How does your organization plan on raising funds?

	YES	NO
Email, Phone and Mail solicitations	Email, Phone and Mail solicitations YES	Email, Phone and Mail solicitations NO
Government and community grants	Government and community grants YES	Government and community grants NO
Website donations	Website donations YES	Website donations NO
Community Fundraisers	Community Fundraisers YES	Community Fundraisers NO
Personal solicitations/donations	Personal solicitations/donations YES	Personal solicitations/donations NO

Other (please specify)

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* 21. Board of Director's (BoD) Chairperson Information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 22. BoD Secretary Information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 23. BoD Treasurer Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 24. BoD Member

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 25. BoD Membership Key Questions

Will they receive pay?

Fee or program requirements for BoD members?

Any membership not on BoD who has voting rights?

Are any of the board members related? How?

BoD's total time and resources required?