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501(c)3 Formation Questionnaire
1.
Please provide all information for your organization.
Organization
Name of Founder
Address
Address 2
City/Town
State
Zip Code
Email Address
Phone Number
2.
What is the mission of your organization?
3.
Is the organization incorporated with your state?
4.
Have you obtained an Employer Identification Number (EIN) from the IRS?
5.
If you have obtained your EIN, please provide it below.
6.
Please provide names of at least 3 Board Members including their title. (You must have at least a President, Secretary, and Treasurer)
President
Vice-President
Secretary
Treasurer
Board Member
7.
Are any of the Board members related to one another?
Yes
No
8.
If yes, how are they related?
9.
Do you plan to raise more than $50,000 in EACH of the next 3 years?
Yes
No
Current Progress,
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