Nonprofit Formation Questionnaire

General Information
Applicant Name
Provide name/s you are considering for this organization.
State you would like to register this organization.
Organization Address Organization Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Point of Contact
Email
Phone Phone - ### - ### ####
EIN (if obtained)
Organizational Questions
Geographic Area/s Served
What is the mission of your organization?
Provide a short description about programs and/or services your organization is interested in providing.
Board of Directors
Have you identified initial Board Members?

Have you identified initial Board Members? Yes No

Organizations are required to have a minimum of 3 Board Member in the initial filings with the IRS. If not yet identified, we can help you with this.
Board Member #1 Board Member #1 First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
Board Member #2 Board Member #2 First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
Board Member #3 Board Member #3 First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
Registered Agent
Will you be using a Registered Agent?

Will you be using a Registered Agent? Yes No
If yes, provide the business contact information below.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Additional Provisions
*This corporation is organized and operated exclusively for charitable purposes in accordance with Section 501(c)(3) of the Internal Revenue Code. Said corporation is organized exclusively for charitable, religious, educational, and scientific purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under section 501(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code. *No part of the net earnings of the corporation shall inure to the benefit of, or be distributable to its members, trustees, officers, or other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in Article Third hereof. No substantial part of the activities of the corporation shall be the carrying on of propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate in, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of or in opposition to any candidate for public office. Notwithstanding any other provision of these articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corporation exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code, or (b) by a corporation, contributions to which are deductible under section 170(c)(2) of the Internal Revenue Code, or the corresponding section of any future federal tax code. *Upon the dissolution of the corporation, assets shall be distributed for one or more exempt purposes within the meaning of section 501(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code, or shall be distributed to the federal government, or to a state or local government, for a public purpose. Any such assets not so disposed of shall be disposed of by a Court of Competent Jurisdiction of the county in which the principal office of the corporation is then located, exclusively for such purposes or to such organization or organizations, as said Court shall determine, which are organized and operated exclusively for such purposes.

Nonprofit Formation Questionnaire

Nonprofit Formation Questionnaire

General Information

Organizational Questions

Board of Directors

Registered Agent