1. What is your first and last name?
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First Name
Last Name
2. Did you already consult with one of our advisors?
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Yes
No
3. Do you already have a name for your nonprofit business?
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Yes
No
5. Have you already reserved and/or registered this name with the state you wish to formulate the nonprofit?
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Yes
No
I don't know
You are doing this for me
6. If yes, on what date did you register your company? If no, move to question #7.
MM
DD
YYYY
7. What business structure will your non profit be?
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(Please note: A Sole Proprietor cannot be a nonprofit. An LLC can be a nonprofit but may have a hard time getting tax exempt status from the IRS.)
8. What is the BUSINESS address of your nonprofit?
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The address cannot be a PO BOX
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
If the physical business address is different than the mailing address, please provide the full mailing address.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
10. What is the full first and last name of your Agent for Service of Process?
First Name
Last Name
10a. What is the full address of your Agent for Service of Process?
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
11. What is the name of your California Registered Corporate Agent?
12. What is the specific purpose of your organization?
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13. Who will be the Executor, administrator, or trustee (Founder)?
*
14. What date did your business start or will start?
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MM
DD
YYYY
15. Check the box that best describes the main activity of the business.
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Construction
Real Estate
Rental & Leasing
Manufacturing
Transportation & warehousing
Finance & insurance
Health care & social assistance
Accommodation & food service
Wholesale agent/broker
Wholesale-other
Retail
Other
16. Have your annual gross receipts exceeded $50,000 in any of the past 3 years and/or do you project that your annual gross receipts will exceed $50,000 in any of the next 3 years?
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Yes
No
17. Do you have total assets at the fair market value of which is in excess of $250,000?
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Yes
No
18. To qualify for exemption as a section 501(c)(3) organization, you must be organized and operated exclusively to further one or more of the following purposes. By checking the boxes below, you attest that you are organized and operated exclusively to further the purposes indicated. (Check all that apply.)
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19. Do you or will you attempt to influence legislation?
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Yes
No
20. Do you or will you pay compensation to any of your officers, directors, or trustees?
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Yes
No
21. Do you or will you donate funds to or pay expenses for individual(s)?
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Yes
No
22. Do you or will you conduct activities or provide grants or other assistance to individuals or organizations outside of the United States?
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Yes
No
23. Do you or will you engage in financial transactions such as loans, payments, rents for any officers, directors or trustees or any entities they control?
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Yes
No
24. Do you or will you operate bingo or other gaming activities?
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Yes
No
25. Do you or will you provide disaster relief?
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Yes
No
26. Please list all Board of Directors. Be mindful that all directors listed will be outlined on your initial State and Federal applications. Choose wisely. Please list at least one Chair/President, Secretary and Treasurer.
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By typing my name below, as a form of electronic signature, I attest that I have completed the form in all honesty to the best of my ability.
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