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1. Please provide all information for your organization.

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2. What is the mission of your organization?

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3. Is the organization incorporated with your state?

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4. Have you obtained an Employer Identification Number (EIN) from the IRS?

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5. If you have obtained your EIN, please provide it below.

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6. Please provide names of at least 3 Board Members including their title.  (You must have at least a President, Secretary, and Treasurer)

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7. Are any of the Board members related to one another?

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8. If yes, how are they related?

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9. Do you plan to raise more than $50,000 in EACH of the next 3 years?

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