NPO Foreign Corporation Questionnaire Please enable JavaScript in your browser to complete this form.Hello! Thank you for your interest in our services! We’d love to help you form your organization, but first we’d like to learn more. After completing this form, you’ll be directed to a link to schedule your phone meeting with Cheryl Smith. Thank you! ABOUT YOUR ORGANIZATIONContact Person: *FirstLastOrganization Name: *Organization Address: *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWebsite / URL:Organization Email: *Organization Phone: *Employer Identification NumberORGANIZATION STRUCTUREHow is your organization structured? Nonprofit CorporationNonprofit LLCFor Profit Corporation or LLCUnincorporated AssociationTrustPlease list the date of incorporation (only if applicable):What is your organization's "home" state (e.g., what state were you originally incorporated in?Foreign Corporation InformationWhich state are you requesting foreign corporation status with?Foreign Corporation Registered Agent Name.FirstLastRegistered Agent's Address (must be a physical address location; no P.O. Box).Which County is your Registered Agent located in?Registered Agent Phone NumberRegistered Agent's Email AddressMission & ActivitiesOrganization's mission statement (under 20 words):Organization's most significant activities:List the services that you will provide to the public. A service is something that you “do” – for example: feed the hungry, provide housing or shelter, tutor children, rescue animals, etc.Please list your board members (name and board title, if applicable):Additional InformationPlease use the space below to share additional information or to ask a pressing question about the application process.Thank you for completing this questionnaire. Your responses will guide our understanding of your organization and areas where we can offer you support. Once you click “submit” you will be guided to a page to schedule your phone meeting with Cheryl Smith. I certify that the information provided is true based on my understanding. Yes, the information I have provided is true.NameSubmit