Organizationan Demographic Information

Name of Organization

Question Title

* 1. Name of Organization

Primary Contact Name:

Question Title

* 2. Primary Contact Name:

Primary Contact Day Phone:

Question Title

* 3. Primary Contact Day Phone:

Primary Contact Email Address:

Question Title

* 4. Primary Contact Email Address:

Organization Mailing Address:

Question Title

* 5. Organization Mailing Address:

Tax ID/EIN:

Question Title

* 6. Tax ID/EIN:

Has your organization ever been granted 501(c)(3) status, or not?

Question Title

* 7. Has your organization ever been granted 501(c)(3) status, or not?

T