Is this a rushed service? *

(additional fees apply for rushed service. turnaround times are usually a week)

Yes

No

Primary Contact Name *

First Name

Last Name

Primary Contact Phone Number

(###)

###

####

Date of Formation *

MM

DD

YYYY

Type of Organization *

Corporation

LLC

Unincorporated Association

Trust

Has the organization filed any IRS Forms 990, 990-EZ, or 990-N? *

Yes

No

What population(s) does your organization serve? *

Youth

Elderly

Underrepresented Communities

Other

Is the organization involved in political or lobbying activities? *

Yes

No

Will the organization provide scholarships, grants, or other financial assistance? *

Yes

No

Estimated Annual Gross Receipts *

(should not be more than $50,000 for rushed approvals, can be updated later)

Less than $50,000

More than $50,000

Estimated Total Assets *

Less than $250,000

More than $250,000

Will the organization engage in any of the following? *

Fundraising Activities

Receive donations

Hold intellectual property rights

Operate a business enterprise

Does the organization intend to pay compensation to any of its officers, directors, or trustees? *

Yes

No

Section 4: Conflict of Interest Policy: Does the organization have a conflict of interest policy? *

Yes

No

Section 5: Eligibility and Compliance Information: Does your organization operate in the United States? *

Yes

No

Will the organization limit its activities to a single state? *

Yes

No

Has the organization ever been revoked by the IRS? *

Yes

No

Is the organization a successor to a previously formed organization? *

Yes

No

Does your organization provide services outside the United States? *

Yes

No

Section 6: Additional Information: Does your organization have a website or social media presence? *

Option 1

Option 2